Sex Roles

, Volume 53, Issue 5–6, pp 443–451 | Cite as

Marital Status and Health Beliefs: Different Relations for Men and Women

  • Charlotte N. Markey
  • Patrick M. Markey
  • Carl Schneider
  • Susan Brownlee
Article

Abstract

Although relations between marital status and health have been substantiated, the results of relatively few studies suggest how or why marriage is associated with health. To understand how marriage and health are associated, this study was designed to examine the role of health beliefs. Two thousand two hundred and six (2,206) adults who participated in the New Jersey Family Health Survey provided information about their marital status, proactive health beliefs, and proactive health behaviors. Results indicated that being married (vs. single) was positively associated with men's proactive health beliefs, whereas marriage did not appear to influence women's proactive health beliefs positively. Significant relations between participants' reports of proactive health beliefs and proactive health behaviors were found. Findings are discussed in terms of the importance of understanding the complex nature of associations between social relationships and health.

Keywords

marriage health beliefs health behaviors gender differences protective effects of marriage 

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References

  1. Aiken, L. S., West, S. G., Woodward, C. K., & Reno, R. R. (1994). Health beliefs and compliance with mammography-screening recommendations in asymptomatic women. Health Psychology, 12, 122–129.CrossRefGoogle Scholar
  2. Ball, F. L. J., Cowan, P., & Cowan, C. P. (1995). Who's got the power? Gender differences in partners' perceptions of influence during marital problem-solving discussions. Family Process, 34, 303–321.CrossRefPubMedGoogle Scholar
  3. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
  4. Brownlee, S. (1997). Perceived vulnerability to illness. Dissertation Abstracts International, 58-07B. (University Microfilms No. 9800237).Google Scholar
  5. Burman, B., & Margolin, G. (1992). Analysis of the associations between marital relationships and health problems: An interactional perspective. Psychological Bulletin, 112, 39–63.CrossRefPubMedGoogle Scholar
  6. Carels, R. A., Sherwood, A., & Blumenthal, J. A. (1998). Psychosocial influences on blood pressure during daily life. International Journal of Psychophysiology, 28, 117–129.CrossRefPubMedGoogle Scholar
  7. Centers for Disease Control and Prevention (CDC). (2004). Behavioral Risk Factor Surveillance System Questionnaire. Retrieved November 22, 2004, from http://www.cdc.gov/nccdphp/brfss/pdf-ques/2001brfss.pdf.
  8. Coughlin, P. C. (1990). Premenstrual syndrome: How marital satisfaction and role choice affect symptom severity. Social Work, 35, 351–355.PubMedGoogle Scholar
  9. Courtenay, W. H. (2000). Engendering health: A social constructionist examination of men's health beliefs and behaviors. Psychology of Men and Masculinity, 1, 4–15.Google Scholar
  10. Eagly, A. H. (1987). Sex differences in social behavior: A social role interpretation. Hillsdale, NJ: Erlbaum.Google Scholar
  11. Erlandsson, L., & Eklund, M. (2003). The relationships of hassles and uplifts to experience of health in working women. Women and Health, 38, 19–37.CrossRefGoogle Scholar
  12. Ewart, C. K., Taylor, C. B., Kraemer, H. C., & Agras, W. S. (1991). High blood pressure and marital discord: Not being nasty matters more than being nice. Health Psychology, 10, 155–163.CrossRefPubMedGoogle Scholar
  13. Gottman, J. M., & Notarius, C. I. (2002). Marital research in the 20th century and a research agenda for the 21st century. Family Process, 41, 159–197.CrossRefPubMedGoogle Scholar
  14. Gove, W. R., Hughes, M., & Style, C. B. (1983). Does marriage have positive effects on the psychological well-being of the individual? Journal of Health and Social Behavior, 24, 122–131.PubMedGoogle Scholar
  15. Hochbaum, G. (1958). Public participation in medical screening programs (DHEW Publication No. 572, Public Health Services). Washington, DC: U.S. Government Printing Office.Google Scholar
  16. Horwitz, A. V., White, H. R., & Howell-White, S. (1996). Becoming married and mental health: A longitudinal study of a cohort of young adults. Journal of Marriage and the Family, 58, 895–907.Google Scholar
  17. House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241, 540–545.PubMedGoogle Scholar
  18. House, J. S., Robbins, C., & Metzner, H. L. (1982). The association of social relationships and activities with mortality: Prospective evidence from the Tecumseh community health study. American Journal of Epidemiology, 116, 123–140.PubMedGoogle Scholar
  19. Janz, N. K., & Becker, M. H. (1984). The Health Belief Model: A decade later. Health Education Quarterly, 11, 1–47.PubMedGoogle Scholar
  20. Kiecolt-Glaser, J. K., & Newton, T. L. (2001). Marriage and health: His and hers. Psychological Bulletin, 127, 472–503.CrossRefPubMedGoogle Scholar
  21. Levenstein, S., Kaplan, G. A., & Smith, M. (1995). Sociodemographic characteristics, life stressors, and peptic ulcer: A prospective study. Journal of Clinical Gastroenterology, 21, 185–192.PubMedGoogle Scholar
  22. Lewis, M. A., Rook, K. S., & Schwarzer, R. (1994). Social support, social control, and health among the elderly. In G. N. Penny, P. Bennett, & M. Herbert (Eds.), Health psychology: A lifespan perspective (pp. 191–211). Philadelphia: Harwood Academic.Google Scholar
  23. Marcenes, W., & Sheiham, S. (1996). The relationship between marital quality and oral health status. Psychology and Health, 11, 357–369.Google Scholar
  24. Markey, C. N., Markey, P. M., & Birch, L. L. (2001). Interpersonal predictors of dieting practices among married couples. Journal of Family Psychology, 15, 464–475.CrossRefPubMedGoogle Scholar
  25. Medalie, J. H., Stange, K. C., Zyanski, S. J., & Goldbourt, U. (1992). The importance of biospychosocial factors in the development of duodenal ulcer in a cohort of middle-aged men. American Journal of Epidemiology, 136, 1280–1287.PubMedGoogle Scholar
  26. O'Farrell, T., Hooley, J., Fals-Stewart, W., & Cutter, H. S. G. (1998). Expressed emotion and relapse in alcoholic patients. Journal of Consulting and Clinical Psychology, 66, 744–752.CrossRefPubMedGoogle Scholar
  27. Ogden, J. (2003). Some problems with social cognition models: A pragmatic and conceptual analysis. Health Psychology, 22, 424–428.CrossRefPubMedGoogle Scholar
  28. Phillipson, C. (1997). Social relationships in later life: A review of the research literature. International Journal of Geriatric Psychiatry, 12, 505–512.CrossRefPubMedGoogle Scholar
  29. Reed, G. M., Kemeny, M. E., Taylor, S., Wang, H. J., & Visscher, B. R. (1994). Realistic acceptance as a predictor of decreased survival time in gay men with AIDS. Health Psychology, 13, 299–307.CrossRefPubMedGoogle Scholar
  30. Rosenstock, I. M. (1990). The health belief model: Explaining health behavior through expectancies. In K. Glanz, F. M. Lewis, & B. K. Rimer (Eds.), Health behavior and education: Theory, research and practice (pp. 39–62). San Francisco: Jossey-Bass.Google Scholar
  31. Rosenstock, I. M. (2004). Health belief model. In A. E. Kazdin (Ed.), Encyclopedia of psychology (Vol. 4, pp. 78–80). Washington, DC: American Psychological Association.Google Scholar
  32. Ross, C. E., Mirowsky, J., & Goldsteen, K. (1990). The impact of the family on health: The decade in review. Journal of Marriage and the Family, 52, 1059–1078.Google Scholar
  33. Seeman, T. E., Kaplan, G. A., Knudsen, L., Cohen, R., & Guralnik, J. (1987). Social network ties and mortality among the elderly in the Alamdea County study. American Journal of Epidemiology, 126, 714–723.PubMedGoogle Scholar
  34. Tucker, J. S., Friedman, H. S., Wingard, D. L., & Schwartz, J. E. (1996). Marital history at midlife as a predictor of longevity: Alternative explanations to the protective effect of marriage. Health Psychology, 15, 94–101.CrossRefPubMedGoogle Scholar
  35. Turk, D. C., Kerns, R. D., & Rosenberg, R. (1992). Effects of marital interaction on chronic pain and disability: Examining the down side of social support. Rehabilitation Psychology, 37, 259–274.CrossRefGoogle Scholar
  36. Vitaliano, P. P., Young, H. M., Russo, J., Romano, J., & Magana-Amato, A. (1993). Does expressed emotion in spouses predict subsequent problems among care recipients with Alzheimer's disease? Journal of Gerontology, 48, 202–209.Google Scholar
  37. Weinstein, N. D., Rothman, A. J., & Sutton, S. R. (2003). Stage theories of health behavior: Conceptual and methodological issues. In P. Salovey & A. J. Rothman (Eds.), The social psychology of health (pp. 50–62). New York: Psychology Press.Google Scholar
  38. Wickrama, K. A. S., Lorenz, F. O., Conger, R. D., & Elder, G. H. (1997). Marital quality and physical illness: A latent growth curve analysis. Journal of Marriage and the Family, 59, 143–155.Google Scholar
  39. Zautra, A. J., Hoffman, J. M., Matt, K. S., Yocum, D., Potter, P. T., Castro, W. L., et al. (1998). An examination of individual differences in the relationship between interpersonal stress and disease activity among women with rheumatoid arthritis. Arthritis Care and Research, 11, 271–279.PubMedGoogle Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • Charlotte N. Markey
    • 1
  • Patrick M. Markey
    • 2
  • Carl Schneider
    • 3
  • Susan Brownlee
    • 3
  1. 1.Department of PsychologyRutgers UniversityCamden
  2. 2.Department of PsychologyVillanova UniversityVillanova
  3. 3.Center for State Health PolicyRutgers UniversityNew Brunswick

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