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Association Between Social Support and Health of Aging Adults with Dementia

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Abstract

The purpose of this cross-sectional study was to explore the relationship between social support and the health outcomes of older adults, ages 50 and older, with dementia in the United States, using data from the 2012 wave of the Health and Retirement Study (N = 446). The dependent variables included depressive symptoms (CES-D), self-reported health, number of chronic conditions, and the sum of activities of daily living (ADL) limitations. The key independent variables were measures of social support including marital status, children living within ten miles, relatives near, good friends near or in congregation, how often they attend religious services, relatives in congregation, and number of times they get together with people. Guided by the convoy model, this study focused on the layers of social support that typically surround an aging adult and the types of support within those layers. Findings of the logistic regression suggest that attending religious services was significantly associated with the ADL (p = .004). Having friends near or in a congregation was negatively associated with number of ADL limitations (p < .001), and positively associated with the likelihood of fewer depressive symptoms (p < .001). Results suggest that social support may be playing an important role in the health of aging adults with dementia. It may be important to focus on how to better ensure reliable social networks for aging adults with dementia and how to help secure meaningful social connections. Future research should prioritize assessing the effects of the quality of social supports on different types of health outcomes, within varying social proximities.

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References

  • Amieva, H., Stoykova, R., Matharan, F., Helmer, C., Antonucci, T. C., & Dartigues, J. F. (2010). What aspects of social network are protective for dementia? Not the quantity but the quality of social interactions is protective up to 15 years later. Psychosomatic Medicine, 72, 905–911. https://doi.org/10.1097/PSY.0b013e3181f5e121.

    Article  Google Scholar 

  • Antonucci, T. C., & Akiyama, H. (1987). Social networks in adult life and a preliminary examination of the convoy model. Journal of Gerontology, 43, 519–527.

    Article  Google Scholar 

  • Antonucci, T. C., Ajrouch, K. J., & Birditt, K. 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.

    Article  Google Scholar 

  • Ashida, S., & Heaney, C. A. (2008). Differential associations of social support and social connectedness with structural features of social networks and the health status of older adults. Journal of Aging and Health, 20(7). https://doi.org/10.1177/0898264308324626.

    Article  Google Scholar 

  • Barnes, D. E., & Yaffe, K. (2011). The projected impact of risk factor reductions on Alzheimer’s disease prevalence. The Lancet Neurology, 10, 819–828. https://doi.org/10.1016/S1474-4422(11)70072-2.

    Article  Google Scholar 

  • Berkman, L. F., & Syme, L. (1979). Social networks, host resistance, and mortality: A nine-year follow-up study of Alameda County residents. American Journal of Epidemiology, 109, 186–204.

    Article  Google Scholar 

  • Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science & Medicine, 51, 843–857.

    Article  Google Scholar 

  • Carstensen, L. L., Isaacowitz, D. M., & Charles, S. T. (1999). Taking time seriously: A theory of socioemotional selectivity theory. American Psychologist, 54, 165–181.

    Article  Google Scholar 

  • Chien, S., Campbell, N., Chan, C., Hayden, O., Hurd, M., Main, R., …St. Clair, P. (2015). RAND HRS data documentation, Version O. Retrieved from http://hrsonline.isr.umich.edu/modules/meta/rand/randhrso/randhrs_O.pdf

  • Cohen, S. (2004). Social relationships and health. American Psychologist, 59, 676–684.

    Article  Google Scholar 

  • Cohen, S., Mermelstein, R., Kamarck, T., & Hoberman, H. M. (1985). Measuring the functional components of social support. In I. G. Sarason & B. R. Sarason (Eds.), Social support: Theory, research and applications (pp. 73–94). NATO ASI Series (D: Behavioural and Social Sciences)). Dordrecht: Springer.

    Chapter  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Crooks, V. C., Lubben, J., Petitti, D. B., Little, D., & Chiu, V. (2008). Social network, cognitive function, and dementia incidence among elderly women. American Journal of Public Health, 98(7), 1221–1227. https://doi.org/10.2105/AJPH.2007.115923.

    Article  Google Scholar 

  • Dewey, M. E., & Saz, P. (2001). Dementia, cognitive impairment and mortality in persons aged 65 and over living in the community: A systematic review of the literature. International Journal of Geriatric Psychiatry, 16(8), 751–761.

    Article  Google Scholar 

  • Etters, L., Goodall, D., & Harrison, B. E. (2008). Caregiver burden among dementia patient caregivers: A review of the literature. Journal of the American Association of Nurse Practitioners, 20(8), 423–428. https://doi.org/10.1111/j.1745-7599.2008.00342.x.

    Article  Google Scholar 

  • George, L. K., Ellison, C. G., & Larson, D. B. (2002). Explaining the relationships between religious involvement and health. Psychological Inquiry: An international Journal for the Advancement of Psychological Theory, 13(3). https://doi.org/10.1207/S15327965PLI1303_04.

    Article  Google Scholar 

  • Hashimoto, K., Kurita, H., Haratani, T., Fujii, K., & Ishibashi, T. (1999). Direct and buffering effects of social support on depressive symptoms of the elderly with home help. Psychiatry and Clinical Neurosciences, 53, 95-100. doi:10.1046/j.1440-1819.1999.00478.x

    Article  Google Scholar 

  • Heaney, C. A., & Israel, B. A. (2008). Social networks and social support. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (4th ed., pp. 189–210). San Francisco: Jossey-Bass.

    Google Scholar 

  • Hebert, L. E., Weuve, J., Scherr, P. A., & Evans, D. A. (2013). Alzheimer disease in the United States (2010-2050) estimated using the 2010 census. Neurology, 80(19), 1778–1783. https://doi.org/10.1212/WNL.0b013e31828726f5.

    Article  Google Scholar 

  • Heeringa, S. G., & Connor, J. (1995). Technical description of the Health and Retirement Study sample design: HRS/AHEAD documentation report DR-002. Retrieved from http://hrsonline.isr.umich.edu/sitedocs/userg/HRSSAMP.pdf

  • Heron, M. P., Hoyert, D. L., Murphy, S. L., Xu, J. Q., Kochanek, K. D., & Tejada-Vera, B. (2009). Deaths: Final data for 2006. National Vial Statistics Reports, 57(14). Hyattsville: National Center for Health Statistics.

  • Ho, S. C., Chan, A., Woo, J., Chong, P., & Sham, A. (2009). Impact of caregiving on health and quality of life: A comparative population-based study of caregivers for elderly persons and noncaregivers. The Journals of Gerontology Series A, 64(8), 873–879. https://doi.org/10.1093/Gerona/glp034.

    Article  Google Scholar 

  • Hurd, M. D., Martorell, P., Delavande, A., Mullen, K. J., & Langa, K. M. (2013). Monetary costs of dementia in the United States. New England Journal of Medicine, 368, 1363–1334. https://doi.org/10.1056/NEJMsa1204629.

    Article  Google Scholar 

  • Jorm, A. F. (2000). Is depression a risk factor for dementia or cognitive decline? A review. Gerontology, 46(4), 219–227.

    Article  Google Scholar 

  • Langa, K. M., Chernew, M. E., Kabeto, M. U., Herzog, A. R., Ofstedal, M. B., Willis, R. J., et al. (2001). National estimates of the quantity and cost of informal caregiving for the elderly with dementia. Journal of General Internal Medicine, 16(11), 770–778. https://doi.org/10.1111/j.1525-1497.2001.10123.x.

    Article  Google Scholar 

  • Langford, C. P. H., Bowsher, J., Maloney, J. P., & Lillis, P. P. (1997). Social support: A conceptual analysis. Journal of Advanced Nursing, 25, 95–100.

    Article  Google Scholar 

  • Nicholson, N. R. (2012). A review of social isolation: An important but under assessed condition in older adults. The Journal of Primary Prevention, 33(2–3), 137–152. https://doi.org/10.1007/s10935-012-0271-2.

    Article  Google Scholar 

  • Pharr, J. R., Francis, C. D., Terry, C., & Clark, M. C. (2014). Culture, caregiving, and health: Exploring the influence of culture on family caregiver experiences. ISRN Public Health, 2014, 1–8. https://doi.org/10.1155/2014/689826.

    Article  Google Scholar 

  • Pinquart, M., & Sorensen, S. (2011). Spouses, adult children, and children in-law as caregivers of older adults: A meta-analytic comparison. Psychology and Aging, 26(1), 1–14. https://doi.org/10.1037/a0021863.

    Article  Google Scholar 

  • Radloff, L. S., & Teri, L. (1986). Use of the Center for Epidemiological Studies-Depression Scale with older adults. Clinical Gerontologist, 5(1–2), 119–136.

    Article  Google Scholar 

  • Reblin, M., & Uchino, B. (2008). Social and emotional support and its implication for health. Current Opinion in Psychiatry, 21(2), 201–205. https://doi.org/10.1097/YCO.0b013e3282f3ad89.

    Article  Google Scholar 

  • Roff, L. L., Klemmack, D. L., Simon, C., Cho, G. W., Parker, M. W., Koenig, H. G., et al. (2006). Functional limitations and religious service attendance among African American and white older adults. Health & Social Work, 31(4), 246–255. https://doi.org/10.1093/hsw/31.4.246.

    Article  Google Scholar 

  • Sarason, B. R., Sarason, I. G., & Gurung, R. A. R. (1997). Close relationships and health outcomes: A key to the role of social support. In S. Duck (Ed.), Handbook of personal relationships: Theory, research and interventions (2nd ed., pp. 547–573). New York: Wiley.

    Google Scholar 

  • Schulz, R., O’Brien, A. T., Bookwala, J., & Fleissner, K. (1995). Psychiatric and physical morbidity effects of dementia caregiving: Prevalence, correlates, and causes. Gerontologist, 35(6), 771–791.

    Article  Google Scholar 

  • Seeman, T. E. (2000). Health promoting effects of friends and family on health outcomes in older adults. American Journal of Health Promotion, 14, 362–370.

    Article  Google Scholar 

  • Seeman, T. E., Berkman, L. F., Blazer, D. G., & Rowe, J. W. (1994). Social ties and support and neuroendocrine function: The MacArthur studies of successful aging. Annals of Behavioral Medicine, 16, 95–106.

    Google Scholar 

  • Steffick, D. E. (2000). HRS Documentation Report DR-005. Survey Research Center at the Institute for Social Research; Ann Arbor, MI. Documentation of Affective Functioning Measures in the Health and Retirement Study.

  • Thiyagarajan, J. A., Prince, M., & Webber, M. (2014). Social support network typologies and health outcomes of older people in low and middle income countries – A 10/66 Dementia Research Group population-based study. International Review of Psychiatry, 26(4), 476–485.

    Article  Google Scholar 

  • Uchino, B. N. (2004). Social support and physical health: Understanding the health consequences of our relationships. New Haven: Yale University Press.

    Book  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Uchino, B. N. (2009). Understanding the links between social support and physical health. Perspectives on Psychological Science, 4(3), 236–255.

    Article  Google Scholar 

  • Waite, A., Bebbington, P., Skelton-Robinson, M., & Orrell, M. (2004). Life events, depression and social support in dementia. British Journal of Clinical Psychology, 43, 313–324.

    Article  Google Scholar 

  • Wallace, R., Herzog, A. R., Ofstedal, M. B., Steffick, D., Fonda, S., & Langa, K. (2000). Documentation of affective functioning measures in the health and retirement study. Ann Arbor: University of Michigan.

    Google Scholar 

  • World Health Organization. (2015). Dementia Fact Sheet. Retrieved from http://www.who.int/mediacentre/factsheets/fs362/en/

  • World Health Organization, & Alzheimer’s Disease International. (2012). Dementia: A public health priority. Retrieved from http://apps.who.int/iris/bitstream/10665/75263/1/9789241564458_eng.pdf

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Acknowledgements

This study was supported by faculty in the Family Science Department of the School of Public Health at the University of Maryland, as well as Saeeun Choi, Ph.D. of Korea National University of Education.

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Correspondence to Allyson Pakstis.

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Pakstis, A., Kim, J. & Bhargava, V. Association Between Social Support and Health of Aging Adults with Dementia. Ageing Int 43, 477–495 (2018). https://doi.org/10.1007/s12126-018-9325-y

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