Although there is a strong empirical link between support quality and health in later life, research on the predictors of support quality is lacking. Significant predictors of components of kin and non-kin perceived support quality were identified and compared in 241 visually impaired elders reporting on their closest friend and closest family member. Results revealed differ ential patterns of predictors for family and friend support components. Having a spouse as closest family member was associated with higher perceived affective and instrumental family support. Significant interactions for family relationship type and sex showed that for males, but not females, having a spouse as closest family member was associated with lower perceived affective and informational friendship support. Participant age was positively associated with instrumental family support, but negatively associated with instrumental and affective friendship sup port. Overall, functional disability had a negative association with support quality. Strategies for increasing support quality are discussed.
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References
1.
Antonucci, T. C.
(1990). Social supports and social relationships. In R. H. Binstock & L. K. George (Eds.), Handbook of aging and the social sciences (3rd ed., pp. 205-226). New York: Academic Press.
2.
Blieszner, R.
(1995). Friendship processes and well-being in the later years of life: Implications for interventions. Journal of Geriatric Psychiatry, 28, 165-182.
3.
Branch, L. G.
, Horowitz, A., & Carr, C. (1989). The implications for everyday life of incident self-reported visual decline among people over age 65 living in the community. The Gerontologist, 29, 359-365.
4.
Center for the Study of Aging and Human Development
. (1975). Multidimensional functional assessment: The OARS methodology. Durham, NC: Center for the Study of Aging and Human Development, Duke University.
5.
Cohen, T. F.
(1992). Men's families, men's friends: A structural analysis of constraints on men's social ties. In P. M. Nardi (Ed.), Men's friendships (pp. 115-131). Newbury Park, CA: Sage.
6.
Cutrona, C. E.
(1986). Objective determinants of perceived social support. Journal of Personality and Social Psychology, 50, 349-355.
7.
Cutrona, C. E.
, & Russell, D. W. (1987). The provisions of social relationships and adaptation to stress. In W. H. Jones & D. Perlman (Eds.), Advances in personal relationships (Vol. 1, pp. 37-67). Greenwich, CT: JAI.
8.
Dunkel-Schetter, C.
, Folkman, S., & Lazarus, R. S. (1987). Correlates of social support receipt. Journal of Personality and Social Psychology, 53, 71-80.
9.
Faye, E. E.
(1984). Clinical low vision (2nd ed.). Boston: Little, Brown.
10.
Field, D.
, & Minkler, M. (1988). Continuity and change in social support between young-old and old-old or very-old age. Journal of Gerontology: Psychological Sciences, 43, P100-P106.
11.
Field, D.
, Minkler, M., Falk, R. F., & Leino, E. V. (1993). The influence of health on family contacts and family feelings in advanced old age: A longitudinal study. Journal of Gerontology: Psy chological Sciences, 48, P18-P28.
12.
Gillman, A. E.
, Simmel, A., & Simon, E. P. (1986). Visual handicap in the aged: Self-reported visual disability and the quality of residents of public housing for the elderly. Journal of Visual Impairment and Blindness, 80, 588-590.
13.
Horowitz, A.
(1994). Vision impairment and functional disability among nursing home residents. The Gerontologist, 34, 316-323.
14.
Horowitz, A.
, Teresi, J. E., & Cassels, L. A. (1991). Development of a vision screening questionnaire for older people. Journal of Gerontological Social Work, 17(3-4), 37-56.
15.
Johnson, C. L.
, & Troll, L. E. (1994). Constraints and facilitators to friendships in late late life. The Gerontologist, 34, 79-87.
16.
Krause, N.
(1991). Stress and isolation from close ties in later life. Journal of Gerontology: Social Sciences, 46, S183-194.
17.
Krause, N.
(1995). Assessing stress-buffering effects: A cautionary note. Psychology and Aging, 10, 518-526.
18.
Krause, N.
, & Liang, J. (1993). Stress, social support, and psychological distress among the Chinese elderly. Journal of Gerontology: Psychological Sciences, 48, P282-P291.
19.
Krause, N.
, Liang, J., & Keith, V. (1990). Personality, social support, and psychological distress in later life. Psychology and Aging, 5, 315-326.
20.
LaForge, R. G.
, Specter, W. D., & Sternberg, J. (1992). The relationship of vision and hearing impairment to one-year mortality and functional decline. Journal of Aging and Health, 4, 126-148.
21.
The Lighthouse
. (1995). The Lighthouse national survey on vision loss: The experiences, attitudes and knowledge of middle-aged and older Americans. New York: Author.
22.
Lynch, S. A.
(1998). Who supports whom? How age and gender affect the perceived quality of support from family and friends. The Gerontologist, 34, 232-238.
23.
Mancini, J. A.
, & Simon, J. (1984). Older adults' expectations of support from family and friends. Journal of Applied Gerontology, 3, 150-160.
24.
National Society for the Prevention of Blindness
. (1984-1985). National Society for the Prevention of Blindness Survey ’84: Attitudes towards blindness prevention. Sight-Saving, 53, 14-17.
25.
Reinhardt, J. P.
(1994). Friendship as a resource in age-related vision loss: Final report submitted to the National Institute of Mental Health. New York: The Lighthouse Research Institute.
26.
Reinhardt, J. P.
(1996). Importance of friendship and family support in adaptation to chronic vision impairment. Journal of Gerontology: Psychological Sciences, 51BP268-P278.
27.
Roberto, K. A.
, & Scott, J. P. (1984-1985). Friendship patterns among older women. International Journal of Aging and Human Development, 19, 1-10.
28.
Rook, K. S.
(1994). Assessing the health-related dimensions of older adults' social relationships. In M. P. Lawton & J. A. Teresi (Eds.), Annual review of gerontology and geriatrics, volume 14: Focus on assessment techniques (pp. 142-181). New York: Springer.
29.
Shea, L.
, Thompson, L., & Blieszner, R. (1988). Resources in older adults' old and new friendships. Journal of Social and Personal Relationships, 5, 83-96.
30.
Simonsick, E. M.
, Kasper, J. D., & Phillips, C. L. (1998). Physical disability and social interaction: Factors associated with low social contact and home confinement in disabled older women (the Women's Health and Aging Study). Journal of Gerontology: Social Sciences, 53, S209-S217.
31.
Thompson, M. G.
, & Heller, K. (1990). Facets of support related to well-being: Quantitative social isolation and perceived family support in a sample of elderly women. Psychology and Aging, 5, 535-544.
32.
Travis, S. S.
(1995). Families and formal networks. In R. Blieszner & V. H. Bedford (Eds.), Handbook of aging and the family (pp. 459-473). Westport, CT: Greenwood.
33.
Weiss, R.
(1974). The provisions of social relationships. In Z. Rubin (Ed.), Doing unto others (pp. 17-26). Englewood Cliffs, NJ: Prentice-Hall.
34.
Wellman, B.
(1992). Men in networks: Private communities, domestic friendships. In P. M. Nardi (Ed.), Men's friendships (pp. 74-114). Newbury Park, CA: Sage.
35.
Wright, P. H.
(1989). Gender differences in adults' same and cross-gender friendships. In R. G. Adams & R. Blieszner (Eds.), Older adult friendship: Structure and process (pp. 197-221). Newbury Park, CA: Sage.
