Social support and social strain from children and subsequent health and well-being among older U.S. adults

Abstract

Social relationships contribute to well-being across the life course and may be especially vital resources for supporting healthy aging among older adults. This research examined associations between perceptions of social support and social strain from children assessed by older adult parents and 35 indicators of physical, behavioral, and psychosocial health and well-being. We utilized three waves of data from the Health and Retirement Study (HRS; N = 11,609), a diverse, national sample of U.S. adults over age 50. We found that increases in social support were associated with better subsequent outcomes on all psychological indicators (higher positive affect, life satisfaction, optimism, purpose in life, mastery, health mastery, financial mastery; lower depression, depressive symptoms, hopelessness, negative affect, perceived constraints) and most social factors (lower loneliness, greater likelihood of contact with children and other family) over the four-year follow-up period. Results also showed that increases in social strain were subsequently related to worse functioning across all indicators of psychological well-being and select social factors (i.e., higher loneliness) and psychological distress outcomes (i.e., higher hopelessness, negative affect, and perceived constraints). However, we did not find evidence that changes in social support and social strain were associated with physical health or health behavior outcomes.

Keywords

Aging parent-child relationship social strain social support well-being

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References

Berkman

L. F.

Syme

S. L.

(1979). Social networks, host resistance, and mortality: A nine-year follow-up study of Alameda county residents. American Journal of Epidemiology, 109(2), 186–204. https://doi.org/10.1093/oxfordjournals.aje.a112674

Birditt

Antonucci

T. C.

(2008). Life sustaining irritations? Relationship quality and mortality in the context of chronic illness. Social Science & Medicine, 67(8), 1291–1299. https://doi.org/10.1016/j.socscimed.2008.06.029

Blieszner

Mancini

J. A.

(1987). Enduring ties: Older adults' parental role and responsibilities. Family Relations, 36(2), 176–180. https://doi.org/10.2307/583950

Brazeau

Lewis

N. A.

(2021). Within-couple health behavior trajectories: The role of spousal support and strain. Health Psychology, 40(2), 125–134. https://doi.org/10.1037/hea0001050

Carr

(2018). The linked lives principle in life course studies: Classic approaches and contemporary advances. In Alwin

D. F.

Felmlee

D. H.

Kreager

D. A.

(Eds), Social networks and the life course: Integrating the development of human lives and social relational networks (pp. 41–63). Springer International Publishing.

Carstensen

L. 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

Chen

Feeley

T. H.

(2014). Social support, social strain, loneliness, and well-being among older adults. Journal of Social and Personal Relationships, 31(2), 141–161. https://doi.org/10.1177/0265407513488728

Cornwell

E. Y.

Waite

L. J.

(2009). Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior, 50(1), 31–48. https://doi.org/10.1177/002214650905000103

Crosnoe

Elder

G. H.

(2004). From childhood to the later years: Pathways of human development. Research on Aging, 26(6), 623–654. https://doi.org/10.1177/0164027504268491

10.

Due

Holstein

Lund

Modvig

Avlund

(1999). Social relations: network, support and relational strain. Social Science & Medicine, 48(5), 661–673. https://doi.org/10.1016/S0277-9536(98)00381-5

11.

Eickmeyer

K. J.

Payne

K. K.

Brown

S. L.

Manning

W. D.

(2017). Crossover in the median age at first marriage and first birth: Thirty-five years of change. Family Profiles. https://scholarworks.bgsu.edu/ncfmr_family_profiles/178

12.

Elder

G. H.

Johnson

M. K.

Crosnoe

(2003). The emergence and development of life course theory. In Mortimer

J. T.

Shanahan

M. J.

(Eds), Handbook of the life course (pp. 3–19). Springer US.

13.

English

Carstensen

L. L.

(2014). Selective narrowing of social networks across adulthood is associated with improved emotional experience in daily life. International Journal of Behavioral Development, 38(2), 195–202. https://doi.org/10.1177/0165025413515404

14.

Finch

J. F.

Okun

M. A.

Barrera

M.,

Jr Zautra

A. J.

Reich

J. W.

(1989). Positive and negative social ties among older adults: Measurement models and the prediction of psychological distress and well-being. American Journal of Community Psychology, 17(5), 585–605. https://doi.org/10.1007/BF00922637

15.

Fingerman

K. L.

Huo

Birditt

K. S.

(2020). A decade of research on intergenerational ties: Technological, economic, political, and demographic changes. Journal of Marriage and Family, 82(1), 383–403. https://doi.org/10.1111/jomf.12604

16.

Gilligan

Suitor

J. J.

Feld

Pillemer

(2015). Do positive feelings hurt? Disaggregating positive and negative components of intergenerational ambivalence. Journal of Marriage and Family, 77(1), 261–276. https://doi.org/10.1111/jomf.12146

17.

Holt-Lunstad

Smith

T. B.

Layton

J. 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.

Johnson

C. L.

Troll

L. E.

(1994). Constraints and facilitators to friendships in late late life. The Gerontologist, 34(1), 79–87. https://doi.org/10.1093/geront/34.1.79

19.

Kalmijn

De Vries

(2009). Change and stability in parent–child contact in five Western countries. European Journal of Population, 25(3), 257–276. https://doi.org/10.1007/s10680-008-9176-4

20.

Koropeckyj-Cox

(2004). Beyond parental status: Psychological well‐being in middle and old age. Journal of Marriage and the Family, 64(4), 957–971. https://doi.org/10.1111/j.1741-3737.2002.00957.x

21.

Lawton

Silverstein

Bengtson

(1994). Affection, social contact, and geographic distance between adult children and their parents. Journal of Marriage and the Family, 56(1), 57–68. https://doi.org/10.2307/352701

22.

Lett

H. S.

Blumenthal

J. A.

Babyak

M. A.

Catellier

D. J.

Carney

R. M.

Berkman

L. F.

Burg

M. M.

Mitchell

Jaffe

A. S.

Schneiderman

(2007). Social support and prognosis in patients at increased psychosocial risk recovering from myocardial infarction. Health Psychology, 26(4), 418–427. https://doi.org/10.1037/0278-6133.26.4.418

23.

Lyyra

T.-M.

Heikkinen

R.-L.

(2006). Perceived social support and mortality in older people. The Journals of Gerontology: Series B, 61(3), S147–S152. https://doi.org/10.1093/geronb/61.3.S147

24.

Mancini

J. A.

Blieszner

(1989). Aging parents and adult children: Research themes in intergenerational relations. Journal of Marriage and the Family, 51(2), 275–290. https://doi.org/10.2307/352492

25.

McGinnis

J. M.

Williams-Russo

Knickman

J. R.

(2002). The case for more active policy attention to health promotion. Health Affairs, 21(2), 78–93. https://doi.org/10.1377/hlthaff.21.2.78

26.

Milkie

M. A.

Bierman

Schieman

(2008). How adult children influence older parents’ mental health: Integrating stress-process and life-course perspectives. Social Psychology Quarterly, 71(1), 86–105. https://doi.org/10.1177/019027250807100109

27.

Newsom

J. T.

Nishishiba

Morgan

D. L.

Rook

K. S.

(2003). The relative importance of three domains of positive and negative social exchanges: A longitudinal model with comparable measures. Psychology and Aging, 18(4), 746–754. https://doi.org/10.1037/0882-7974.18.4.746

28.

Nilsson

C. J.

Nørgaard

Foverskov

Bruunsgaard

Andersen

P. K.

Lund

(2020). Positive and negative aspects of social relations and low-grade inflammation in Copenhagen Aging and Midlife Biobank. European Journal of Ageing, 17(4), 531–546. https://doi.org/10.1007/s10433-020-00561-y

29.

Okabayashi

Liang

Krause

Akiyama

Sugisawa

(2004). Mental health among older adults in Japan: Do sources of social support and negative interaction make a difference? Social Science & Medicine, 59(11), 2259–2270. https://doi.org/10.1016/j.socscimed.2004.02.024

30.

Pierce

K. D. R.

Quiroz

C. S.

(2019). Who matters most? Social support, social strain, and emotions. Journal of Social and Personal Relationships, 36(10), 3273–3292. https://doi.org/10.1177/0265407518817400

31.

Reczek

Zhang

(2016). Parent–child relationships and parent psychological distress. Research on Aging, 8(7), 742–766. https://doi.org/10.1037/a0031859

32.

Robles

T. F.

Slatcher

R. B.

Trombello

J. M.

McGinn

M. M.

(2014). Marital quality and health: A meta-analytic review. Psychological Bulletin, 140(1), 140–187. https://doi.org/10.1037/a0031859

33.

Rook

K. S.

(1984). The negative side of social interaction: Impact on psychological well-being. Journal of Personality and Social Psychology, 46(5), 1097–1108. https://doi.org/10.1037/0022-3514.46.5.1097

34.

Rossi

A. S.

Rossi

P. H.

(1990). Normative obligations and parent-child help exchange across the life course. In Pillemer

McCartney

(Eds), Parent-child relations throughout life (pp. 201–223). Routledge.

35.

Rossi

A. S.

Rossi

P. H.

(2018). Of human bonding: Parent-child relations across the life course. Routledge.

36.

Rowland

D. T.

(2007). Historical trends in childlessness. Journal of Family Issues, 28(10), 1311–1337. https://doi.org/10.1177/0192513X07303823

37.

Shiovitz-Ezra

Leitsch

S. A.

(2010). The role of social relationships in predicting loneliness: The national social life, health, and aging project. Social Work Research, 34(3), 157–167. https://doi.org/10.1093/swr/34.3.157

38.

Thoits

P. 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

39.

Uchino

B. 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

40.

Uchino

B. N.

(2009). What a lifespan approach might tell us about why distinct measures of social support have differential links to physical health. Journal of Social and Personal Relationships, 26(1), 53–62. https://doi.org/10.1177/0265407509105521

41.

Umberson

(1992). Relationships between adult children and their parents: Psychological consequences for both generations. Journal of Marriage and Family Counseling, 54(3), 664–674. https://doi.org/10.2307/353252

42.

Umberson

Crosnoe

Reczek

(2010). Social relationships and health behavior across the life course. Annual Review of Sociology, 36(1), 139–157. https://doi.org/10.1146/annurev-soc-070308-120011

43.

Umberson

Williams

Powers

D. A.

Liu

Needham

(2006). You make me sick: Marital quality and health over the life course. Journal of Health and Social Behavior, 47(1), 1–16. https://doi.org/10.1177/002214650604700101

44.

Valerio

Knop

Kreider

R. M.

(2021). Childless older Americans: 2018. U.S. Census bureau current population reports (pp. 70–173). U.S. Government Printing Office.

45.

VanderWeele

T. J.

(2017). Outcome-wide epidemiology. Epidemiology, 28(3), 399–402. http://dx.doi.org/10.1097/EDE.0000000000000641

46.

VanderWeele

T. J.

Ding

(2017). Sensitivity analysis in observational research: Introducing the E-Value. Annals of Internal Medicine, 167(4), 268–274. https://doi.org/10.7326/M16-2607

47.

VanderWeele

T. J.

Mathur

M. B.

Chen

(2020). Outcome-wide longitudinal designs for causal inference: A new template for empirical studies. Statistical Science, 35(3), 437–466. https://doi.org/10.1214/19-STS728

48.

Waite

L. J.

(1995). Does marriage matter? Demography, 32(4), 483–507. https://doi.org/10.2307/2061670

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