More older adults now live in non-family-based households, even as the provision of support to older adults within the domestic setting becomes more salient. This study examines the determinants of having non-immediate family or non-coresident helpers in older adults’ received social support networks, and its associations with quality of life. Data were from a nationally representative study of Singaporeans aged 60 and above (N = 2248) who did not live alone. Findings show that those who received help solely from persons other than their spouse or child report a lower quality of life compared to other kinds of networks. However, those who had more non-coresident helpers than co-resident helpers experienced a higher quality of life compared to those who relied mainly on co-resident helpers. We suggest that policymakers should consider supporting a wider range of informal social support arrangements and providers, as networks of received social support become increasingly diverse.
AngS.MalhotraR. (2016). Association of received social support with depressive symptoms among older males and females in Singapore: Is personal mastery an inconsistent mediator?Social Science & Medicine, 153(Supplement C), 165–173. https://doi.org/10.1016/j.socscimed.2016.02.019
2.
AngS.MalhotraR. (2022). The filial piety paradox: Receiving social support from children can be negatively associated with quality of life. Social Science & Medicine, 303, 114996. https://doi.org/10.1016/j.socscimed.2022.114996
3.
AntonucciT. C.AjrouchK. J.BirdittK. S. (2013). The convoy model: Explaining social relations from a multidisciplinary perspective. The Gerontologist, 54(1), 82–92. https://doi.org/10.1093/geront/gnt118
4.
BarrenetxeaJ.YangY.MarkidesK. S.PanA.KohW.-P.FengQ. (2021). Social support and health among older adults – the Singapore Chinese Health Study. Ageing and Society, 42(2), 1–17. https://doi.org/10.1017/S0144686X20001944
5.
CarstensenL. L. (1992). Social and emotional patterns in adulthood: Support for socioemotional selectivity theory. Psychology and Aging, 7(3), 331–338. https://doi.org/10.1037/0882-7974.7.3.331
6.
ChanA. (1999). The social and economic consequences of ageing in Asia: An introduction. Southeast Asian Journal of Social Science, 27(2), 1–7. https://doi.org/10.1163/030382499X00011
7.
ChanA.RamanP.MaS.MalhotraR. (2015). Loneliness and all-cause mortality in community-dwelling elderly Singaporeans. Demographic Research, 32(49), 1361–1382.
8.
ChenR.SimonM. A.ChangE.-S.ZhenY.DongX. (2014). The perception of social support among U.S. Chinese older adults: Findings from the PINE study. Journal of Aging and Health, 26(7), 1137–1154. https://doi.org/10.1177/0898264314529332
9.
ColeS. R.HernánM. A. (2008). Constructing inverse probability weights for marginal structural models. American Journal of Epidemiology, 168(6), 656–664. https://doi.org/10.1093/aje/kwn164
10.
CornwellB.SchummL. P.LaumannE. O.GraberJ. (2009). Social networks in the NSHAP study: Rationale, measurement, and preliminary findings. The Journals of Gerontology: Series B, 64B(suppl_1), i47–i55. https://doi.org/10.1093/geronb/gbp042
11.
De KokerB. (2009). Socio-demographic determinants of informal caregiving: Co-Resident versus extra-resident care. European Journal of Ageing, 6(1), 3–15. https://doi.org/10.1007/s10433-008-0103-7
12.
DesmondM. (2012). Disposable ties and the urban poor. American Journal of Sociology, 117(5), 1295–1335. https://doi.org/10.1086/663574
13.
EagleD. E.HybelsC. F.Proeschold-BellR. J. (2018). Perceived social support, received social support, and depression among clergy. Journal of Social and Personal Relationships, 36(7), 2055–2073. https://doi.org/10.1177/0265407518776134
14.
GierveldJ. de J.ValkH. deBlommesteijnM. (1999). Living arrangements of older persons and family support in more developed countries (technical meeting on population ageing and living arrangements of older persons: Critical issues and policy responses). United Nations Secretariat.
15.
GlaserK.AgreeE. M.CostenbaderE.CamargoA.TrenchB.NatividadJ.ChuangY.-L. (2006). Fertility decline, family structure, and support for older persons in Latin America and Asia. Journal of Aging and Health, 18(2), 259–291. https://doi.org/10.1177/0898264305285668
16.
HenlyJ. R.DanzigerS. K.OfferS. (2005). The contribution of social support to the material well-being of low-income families. Journal of Marriage and Family, 67(1), 122–140. https://doi.org/10.1111/j.0022-2445.2005.00010.x
17.
Holt-LunstadJ.SmithT. B.LaytonJ. B. (2010). Social relationships and mortality risk: A meta-analytic review. PLOS Medicine, 7(7), Article e1000316. https://doi.org/10.1371/journal.pmed.1000316
18.
Housing, & Development Board. (2021). Public housing in Singapore: Residents’ profile, housing satisfaction and preferences: HDB sample household survey 2018. Housing and Development Board.
19.
IkkinkK. K.van TilburgT. (1999). Broken ties: Reciprocity and other factors affecting the termination of older adults’ relationships. Social Networks, 21(2), 131–146. https://doi.org/10.1016/S0378-8733(99)00005-2
20.
KangS. H.TanE. S.YapM. T. (2013). National survey of senior citizens 2011. Institute of Policy Studies.
21.
KimJ.-H.KnightB. G. (2008). Effects of caregiver status, coping styles, and social support on the physical health of Korean American caregivers. The Gerontologist, 48(3), 287–299. https://doi.org/10.1093/geront/48.3.287
22.
KimG. R.NetuveliG.BlaneD.PeaseyA.MalyutinaS.SimonovaG.KubinovaR.PajakA.CroezenS.BobakM.PikhartH. (2015). Psychometric properties and confirmatory factor analysis of the CASP-19, a measure of quality of life in early old age: the HAPIEE study. Aging & Mental Health, 19(7), 595–609. https://doi.org/10.1080/13607863.2014.938605
23.
KnodelJ.ChayovanN. (1997). Family support and living arrangements of the Thai elderly. Asia-Pacific Population Journal, 12(4), 5–15. https://doi.org/10.18356/2e4a0e5d-en
24.
KnodelJ.SaengtienchaiC. (1999). Studying living arrangements of the elderly: Lessons from a quasi-qualitative case study approach in Thailand. Journal of Cross-Cultural Gerontology, 14(3), 197–220. https://doi.org/10.1023/A:1006620314634
25.
LakeyB.OrehekE.HainK. L.VanVleetM. (2009). Enacted support’s links to negative affect and perceived support are more consistent with theory when social influences are isolated from trait influences. Personality & Social Psychology Bulletin, 36(1), 132–142. https://doi.org/10.1177/0146167209349375
26.
LapierreT. A.KeatingN. (2013). Characteristics and contributions of non-kin carers of older people: A closer look at friends and neighbours. Ageing and Society, 33(8), 1442–1468. https://doi.org/10.1017/S0144686X12000736
27.
LintonE.GubhajuB.ChanA. (2018). Home alone: Older adults in Singapore (No. 4; research brief series). Centre for Ageing Research and Education, Duke-NUS Medical School.
MasonA.OgawaN.FukuiT. (2010). Ageing, family support systems, saving and wealth: Is decline on the horizon for Japan? In TuljapurkarS.OgawaN.GauthierA. H. (Eds.), Ageing in advanced industrial states: Riding the age waves (Volume 3, pp. 139–172). Springer.
31.
MaunE.GlaserK.CornaL. (2020). Co-resident care-giving and problematic sleep among older people: Evidence from the UK household longitudinal study. Ageing and Society, 40(6), 1195–1222. https://doi.org/10.1017/S0144686X1800168X
32.
MelroseK. L.BrownG. D. A.WoodA. M. (2015). When is received social support related to perceived support and well-being? When it is needed. Personality and Individual Differences, 77(4), 97–105. https://doi.org/10.1016/j.paid.2014.12.047
33.
MiaoJ.WuX. (2019). Subjective wellbeing of Chinese elderly: A comparative analysis among Hong Kong, urban China and Taiwan. Ageing and Society, 41(3)1–22. https://doi.org/10.1017/S0144686X19001272
34.
NgK. H. (2015). Incomes and poverty during old age in Singapore (Report on Ageing in Singapore). Tsao Foundation.
35.
OfferS. (2012). The burden of reciprocity: Processes of exclusion and withdrawal from personal networks among low-income families. Current Sociology, 60(6), 788–805. https://doi.org/10.1177/0011392112454754
36.
OfferS.FischerC. S. (2017). Difficult people: Who is perceived to be demanding in personal networks and why are they there?American Sociological Review, 83(1), 111–142. https://doi.org/10.1177/0003122417737951
37.
RaccichiniA.CastellaniS.CiverchiaP.FioravantiP.ScarpinoO. (2009). The caregiver’s burden of alzheimer patients: Differences between live-in and non-live-in. American Journal of Alzheimer’s Disease and Other Dementias, 24(5), 377–383. https://doi.org/10.1177/1533317509340025
38.
RozarioP. A.RosettiA. L. (2012). “Many helping hands”: A review and analysis of long-term care policies, programs, and practices in Singapore. Journal of Gerontological Social Work, 55(7), 641–658. https://doi.org/10.1080/01634372.2012.667524
39.
RyanL. H.SmithJ.AntonucciT. C.JacksonJ. S. (2012). Cohort differences in the availability of informal caregivers: Are the boomers at risk?The Gerontologist, 52(2), 177–188. https://doi.org/10.1093/geront/gnr142
40.
SchnettlerS.WohlerT. (2016). No children in later life, but more and better friends? Substitution mechanisms in the personal and support networks of parents and the childless in Germany. Ageing and Society, 36(7), 1339–1363. https://doi.org/10.1017/S0144686X15000197
41.
SextonE.King-KallimanisB. L.ConroyR. M.HickeyA. (2013). Psychometric evaluation of the CASP-19 quality of life scale in an older Irish cohort. Quality of Life Research, 22(9). https://doi.org/10.1007/s11136-013-0388-7
42.
ShenY.YeattsD. E. (2013). Social support and life satisfaction among older adults in China: Family-based support versus community-based support. The International Journal of Aging and Human Development, 77(3), 189–209. https://doi.org/10.2190/AG.77.3.b
43.
SilversteinM.ChenX.HellerK. (1996). Too much of a good thing? Intergenerational social support and the psychological well-being of older parents. Journal of Marriage and Family, 58(4), 970–982. https://doi.org/10.2307/353984
44.
SiriboonS.KnodelJ. (1994). Thai elderly who do not coreside with their children. Journal of Cross-Cultural Gerontology, 9(1), 21–38. https://doi.org/10.1007/BF00972063
45.
SpillmanB. C.PezzinL. E. (2000). Potential and active family caregivers: Changing networks and the ‘sandwich generation. The Milbank Quarterly, 78(3), 347–374. https://doi.org/10.1111/1468-0009.00177
46.
StockerC. M.GilliganM.KlopackE. T.CongerK. J.LanthierR. P.NepplT. K. (2020). Sibling relationships in older adulthood: Links with loneliness and well-being. Journal of Family Psychology, 34(2), 175–185. https://doi.org/10.1037/fam0000586
47.
SuanetB.AntonucciT. C. (2016). Cohort differences in received social support in later life: The role of network type. The Journals of Gerontology: Series B, 72(4), 706–715. https://doi.org/10.1093/geronb/gbw075
48.
TeerawichitchainanB.PothisiriW.LongG. T. (2015). How do living arrangements and intergenerational support matter for psychological health of elderly parents? Evidence from Myanmar, Vietnam, and Thailand. Social Science & Medicine, 136(137), 106–116. https://doi.org/10.1016/j.socscimed.2015.05.019
49.
Tengku MohdT. A. M.YunusR. M.HairiF.HairiN. N.ChooW. Y. (2019). Social support and depression among community dwelling older adults in Asia: A systematic review. BMJ Open, 9(7), Article e026667. https://doi.org/10.1136/bmjopen-2018-026667
50.
ThangL. L. (2015). Social networks and the wellbeing of older adults in Singapore. In ChengS.-T.ChiI.FungH. H.LiL. W.WooJ. (Eds.), Successful aging: Asian perspectives (pp. 147–163). Springer. https://doi.org/10.1007/978-94-017-9331-5_9
51.
ThangL. L.HongS.-I. (2015). Ageing-in-place in studio apartments in Singapore: Maintaining independence in community living. Asia Pacific Journal of Social Work and Development, 25(4), 250–263. https://doi.org/10.1080/02185385.2015.1120414
52.
ThangL. L.LimE. Z. K.KangD. J. Y.LimW. L. (2021). “We are close enough”: Closeness and support from siblings among divorced and widowed seniors in Singapore. In BuchananA.RotkirchA. (Eds.), Brothers and sisters: Sibling relationships across the life course (pp. 357–376). Springer International Publishing. https://doi.org/10.1007/978-3-030-55985-4_20
53.
ThoitsP. A. (2011). Mechanisms linking social ties and support to physical and mental health. Journal of Health and Social Behavior, 52(2), 145–161. https://doi.org/10.1177/0022146510395592
54.
UchinoB. N. (2006). Social support and health: A review of physiological processes potentially underlying links to disease outcomes. Journal of Behavioral Medicine, 29(4), 377–387. https://doi.org/10.1007/s10865-006-9056-5
55.
UmbersonD.MontezJ. K. (2010). Social relationships and health: A flashpoint for health policy. Journal of Health and Social Behavior, 51(1_suppl), S54–S66. https://doi.org/10.1177/0022146510383501
56.
VerderyA. M.MargolisR.ZhouZ.ChaiX.RittirongJ. (2018). Kinlessness around the world. The Journals of Gerontology: Series B, 74(8), 1394–1405. https://doi.org/10.1093/geronb/gby138
57.
WangS.YangX.AttanéI. (2018). Social support networks and quality of life of rural men in a context of marriage squeeze in China. American Journal of Men’s Health, 12(4), 706–719. https://doi.org/10.1177/1557988317753263
58.
ZhuH.XieY. (2017). Buying out of familial obligation: The tradeoff between financially supporting versus living with elderly parents in Urban China. Chinese Journal of Sociology, 3(1), 56–73. https://doi.org/10.1177/2057150X16685499
