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Latent Class Typologies for Emotional Support Among Midlife and Aging Americans: Evidence from the National Health and Human Nutrition Examination Survey

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Abstract

Using data from 40-year-old and older respondents in the 2007–2008 National Health and Nutrition Examination Study, this study sought to identify variations in emotional support networks among midlife and older adults and examine how those variations were related to depressive symptoms and to perceptions of inadequate support. Latent class analyses were used to identify six typologies of emotional support networks. Typologies were labeled, and multinomial logistic regression was used to examine how membership in typologies was related to variations in depressive symptoms and perceived adequacy of emotional support. The findings indicate that when the focus is emotional support, social support from spouses is related to fewer depressive symptoms and less perceived need for increased emotional support. The results of this study suggest that access to family members, especially spouses, for emotional support is related to fewer depressive symptoms and a decreased probability of reporting inadequate social support. Overall, this study suggests that emotional support networks that include family members, especially spouses, are supportive of older persons’ quality of life.

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References

  • Adams, R. G., & Blieszner, R. (1995). Aging well with friends and family. American Behavioral Scientist, 39(2), 209–224. doi:10.1177/0002764295039002008.

    Article  Google Scholar 

  • 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). San Diego, CA: Academic Press.

    Google Scholar 

  • Antonucci, T. C., & Akiyama, H. (1995). Convoys of social relations: Family and friendships within a life span context. In R. Blieszner & V. H. Bedford (Eds.), Handbook of aging and the family (pp. 355–371). Westport, CT: Greenwood Press/Greenwood Publishing Group.

    Google Scholar 

  • Berkman, L. F., Seeman, T. E., Albert, M., Blazer, D., Kahn, R., Mohs, R., et al. (1993). High, usual and impaired functioning in community-dwelling older men and women: Findings from the MacArthur Foundation research network on successful aging. Journal of Clinical Epidemiology, 46(10), 1129–1140. doi:10.1016/0895-4356(93)90112-E.

    Article  PubMed  Google Scholar 

  • Callahan, C. M., Kesterson, J. G., & Tierney, W. M. (1997). Association of symptoms of depression with diagnostic test charges among older adults. Annals of Internal Medicine, 126(6), 426–432. Retrieved from http://annals.org/article.aspx?articleid=710381.

  • Caputo, J., & Simon, R. W. (2013). Physical limitation and emotional well-being: Gender and marital status variations. Journal of Health and Social Behavior, 54(2), 241–257. doi:10.1177/0022146513484766.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control. (2006). Analytical and reporting guidelines: National Health and Nutrition Examination Survey. Hyattsville, MD: National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/data/nhanes/nhanes_03_04/nhanes_analytic_guidelines_dec_2005.pdf.

  • Centers for Disease Control. (2009). National Health and Nutrition Examination Survey: 2007–2008 [Data file]. Retrieved from http://www.cdc.gov/nchs/nhanes/nhanes_questionnaires.htm.

  • Choi, H., & Marks, N. F. (2011). Socioeconomic status, marital status continuity and change, marital conflict, and mortality. Journal of Aging and Health, 23(4), 714–742. doi:10.1177/0898264310393339.

    Article  PubMed Central  PubMed  Google Scholar 

  • Fiori, K. L., Antonucci, T. C., & Cortina, K. S. (2006). Social network typologies and mental health among older adults. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 61(1), 25–32. doi:10.1093/geronb/61.1.P25.

    Article  Google Scholar 

  • Fiori, K. L., Smith, J., & Antonucci, T. C. (2007). Social network types among older adults: A multidimensional approach. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 62B(6), P322–P330. doi:10.1093/geronb/62.6.P322.

    Article  Google Scholar 

  • Glass, T. A., DeLeon, C., Bassuk, S. S., & Berkman, L. F. (2006). Social engagement and depressive symptoms in late life: Longitudinal findings. Journal of Aging and Health, 18(4), 604–628. doi:10.1177/0898264306291017.

    Article  PubMed  Google Scholar 

  • House, J. S. (1981). Work stress and social support. Reading, MA: Addison-Wesley Publishing.

    Google Scholar 

  • House, J. S. (1996). Americans’ changing lives: Waves I and II, 1986 and 1989. Ann Arbor, MI: Inter-university Consortium for Political and Social Research.

    Google Scholar 

  • Jorm, A. F. (2005). Social networks and health: It’s time for an intervention trial. Journal of Epidemiology and Community Health, 59(7), 537–538. doi:10.1136/jech.2004.031559.

    Article  PubMed Central  PubMed  Google Scholar 

  • Katon, W. J., Lin, E., Russo, J., & Unutzer, J. (2003). Increased medical costs of a population-based sample of depressed elderly patients. Archives of General Psychiatry, 60(9), 897–903. doi:10.1001/archpsyc.60.9.897.

    Article  PubMed  Google Scholar 

  • Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9. Journal of General Internal Medicine, 16(9), 606–613. doi:10.1046/j.1525-1497.2001.016009606.x.

    Article  PubMed Central  PubMed  Google Scholar 

  • Langa, K. M., Valenstein, M. A., Fendrick, A. M., Kabeto, M. U., & Vijan, S. (2004). Extent and cost of informal caregiving for older Americans with symptoms of depression. American Journal of Psychiatry, 161(5), 857–863. doi:10.1176/appi.ajp.161.5.857.

    Article  PubMed  Google Scholar 

  • Lanza, S. T., Dziak, J. J., Huang, L., Xu, S., & Collins, L. M. (2011). PROC LCA & PROC LTA users’ guide (Version 1.2.7). University Park, PA: The Methodology Center, Pennsylvania State University. Retrieved from http://methodology.psu.edu.

  • Liebler, C. A., & Sandefur, G. D. (1998). Exchanging social support with friends, neighbors, and coworkers [CDE Working Paper No. 98-19]. Madison, WI: University of Wisconsin-Madison, Center for Demography and Ecology. Retrieved from http://www.ssc.wisc.edu/cde/cdewp/98-19.pdf.

  • Lima, J. C., Allen, S. M., Goldscheider, F., & Intrator, O. (2008). Spousal caregiving in late midlife versus older ages: Implications of work and family obligations. Journal of Gerontology: Social Sciences, 63B, S229–S238. Retrieved from http://psychsocgerontology.oxfordjournals.org/.

  • Litwin, H. (2001). Social network type and morale in old age. Gerontologist, 41(4), 516. doi:10.109/geront/41.4.516.

    Article  PubMed  Google Scholar 

  • Litwin, H., & Shiovitz-Ezra, S. (2011). Social network type and subjective well-being in a national sample of older Americans. The Gerontologist, 51, 379–388. doi:10.1093/geront/gnq094.

    Article  PubMed Central  PubMed  Google Scholar 

  • Merz, E. M., Schuengel, C., & Schulze, H. J. (2009). Intergenerational relations across four years: Wellbeing is affected by quality not by support exchange. Gerontologist, 49(4), 536–548. doi:10.1093/geront/gnp043.

    Article  PubMed  Google Scholar 

  • SAS Institute (Version 9.2) [Software]. (2008). Available from http://www.sas.com/.

  • Uchino, B. N., Cacioppo, J. T., & Kiecolt-Glasner, J. K. (1996). The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health. Psychological Bulletin, 119, 488–531.

    Article  PubMed  Google Scholar 

  • Umberson, D., & Montez, J. K. (2010). Social relationships and health: A flashpoint for health policy. Journal of Health and Social Behavior, 51(S), S54–S66. doi:10.1177/0022146510383501.

    Article  PubMed Central  PubMed  Google Scholar 

  • Wenger, G. C. (1991). A network typology: From theory to practice. Journal of Aging Studies, 5(2), 147–162. doi:10.1016/0890-4065(91)90003-B.

    Article  Google Scholar 

  • White, A. M., Philogene, G. S., Fine, L., & Sinha, S. (2009). Social support and self-reported health status of older adults in the United States. American Journal of Public Health, 99(10), 1872–1878. doi:10.2105/AJPH.2008.146894.

    Article  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

This study is partially funded by the University of Arkansas Division of Agriculture. The authors thank Mr. James Duncan for his assistance on this manuscript.

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Correspondence to Timothy S. Killian.

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Killian, T.S., Turner, M.J. Latent Class Typologies for Emotional Support Among Midlife and Aging Americans: Evidence from the National Health and Human Nutrition Examination Survey. J Adult Dev 21, 96–105 (2014). https://doi.org/10.1007/s10804-014-9183-0

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