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Abstract
Objectives: This study places the self-perceptions of aging (SPA)-health link in the couple context and examines how changes in one’s own and spouse’s SPA influence multiple health domains and how such associations differ by gender. Methods: Fixed-effects regression models were estimated. Data were drawn from the Health and Retirement Survey (N = 5972). Results: For both husbands and wives, almost all health domains declined when their own SPA became more negative. The spouse’s SPA were associated with one’s self-rated health, regardless of gender. Gender differences existed in some cross-spousal health effects; while the husband’s SPA were associated with his wife’s depressive symptoms, the wife’s SPA were associated with her husband’s physical disability, functional limitations, and chronic diseases. Discussion: The SPA–health association extends beyond the individual in married persons, demonstrating intertwined health trajectories in older couples. The detrimental effects of ageism might be underestimated if the spillover effects were not considered.
References
| Allison, P. D. (2009). Fixed effects regression models (Vol. 160). SAGE Publications. Google Scholar | Crossref | |
| Andreß, H.-J., Golsch, K., Schmidt, A. W. (2013). Applied panel data analysis for economic and social surveys. Springer. Google Scholar | Crossref | |
| Ayotte, B. J., Yang, F. M., Jones, R. N. (2010). Physical health and depression: A dyadic study of chronic health conditions and depressive symptomatology in older adult couples. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 65B(4), 438-448. doi:10.1093/geronb/gbq033 Google Scholar | Crossref | ISI | |
| Berg, C. A., Upchurch, R. (2007). A developmental-contextual model of couples coping with chronic illness across the adult life span. Psychological Bulletin, 133(6), 920-954. doi:10.1037/0033-2909.133.6.920 Google Scholar | Crossref | Medline | ISI | |
| Bourassa, K. J., Memel, M., Woolverton, C., Sbarra, D. A. (2015). A dyadic approach to health, cognition, and quality of life in aging adults. Psychology and Aging, 30(2), 449-461. doi:10.1037/pag0000025 Google Scholar | Crossref | Medline | |
| Calasanti, T. (2004). Feminist gerontology and old men. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 59(6), S305-S314. doi:10.1093/geronb/59.6.S305 Google Scholar | Crossref | Medline | |
| Calasanti, T., Bowen, M. E. (2006). Spousal caregiving and crossing gender boundaries: Maintaining gendered identities. Journal of Aging Studies, 20(3), 253-263. doi:10.1016/j.jaging.2005.08.001 Google Scholar | Crossref | ISI | |
| Calasanti, T., King, N. (2007). Taking ‘women's work’ ‘like a man’. Husbands' Experiences of Care Work the Gerontologist, 47(4), 516-527. doi:10.1093/geront/47.4.516 Google Scholar | Crossref | |
| Chang, E.-S., Kannoth, S., Levy, S., Wang, S.-Y., Lee, J. E., Levy, B. R. (2020). Global reach of ageism on older persons’ health: A systematic review. PloS One, 15(1), Article e0220857. doi:10.1371/journal.pone.0220857 Google Scholar | Crossref | Medline | |
| Chen, Y.-C., Putnam, M., Lee, Y. S., Morrow-Howell, N. (2019). Activity patterns and health outcomes in later life: The role of nature of engagement. The Gerontologist, 59(4), 698-708. doi:10.1093/geront/gny023 Google Scholar | Crossref | Medline | |
| Clarke, P., Marshall, V., House, J., Lantz, P. (2011). The social structuring of mental health over the adult life course: Advancing theory in the sociology of aging. Social Forces, 89(4), 1287-1313. doi:10.1353/sof.2011.0036 Google Scholar | Crossref | Medline | ISI | |
| Drewelies, J., Chopik, W. J., Hoppmann, C. A., Smith, J., Gerstorf, D. (2018). Linked lives: Dyadic associations of mastery beliefs with health (behavior) and health (behavior) change among older partners. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 73(5), 787-798. doi:10.1093/geronb/gbw058 Google Scholar | Crossref | Medline | |
| Gove, W. R. (1972). The relationship between sex roles, marital status, and mental illness. Social Forces, 51(1), 34-44. doi:10.1093/sf/51.1.34 Google Scholar | Crossref | ISI | |
| Gove, W. R. (1973). Sex, marital status, and mortality. American Journal of Sociology, 79(1), 45-67. doi:10.1086/225505 Google Scholar | Crossref | Medline | ISI | |
| Gu, D., Brown, B. L., Qiu, L. (2016). Self-perceived uselessness is associated with lower likelihood of successful aging among older adults in China. BMC Geriatrics, 16(1), 172. doi:10.1186/s12877-016-0348-5 Google Scholar | Crossref | Medline | |
| Health and Retirement Study . (2017). Sample sizes and response rates. Retrieved from https://hrs.isr.umich.edu/sites/default/files/biblio/ResponseRates_2017.pdf Google Scholar | |
| Holway, G. V., Umberson, D., Donnelly, R. (2018). Health and health behavior concordance between spouses in same-sex and different-sex marriages. Social Currents, 5(4), 319-327. doi:10.1177/2329496517734570 Google Scholar | SAGE Journals | ISI | |
| Horton, S., Baker, J., Pearce, G. W., Deakin, J. M. (2008). On the malleability of performance. Journal of Applied Gerontology, 27(4), 446-465. doi:10.1177/0733464808315291 Google Scholar | SAGE Journals | ISI | |
| Idler, E. L., Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21-37. doi:10.2307/2955359 Google Scholar | Crossref | Medline | ISI | |
| Iversen, T. N., Larsen, L., Solem, P. E. (2009). A conceptual analysis of ageism. Nordic Psychology, 61(3), 4-22. doi:10.1027/1901-2276.61.3.4 Google Scholar | Crossref | ISI | |
| Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., Jaffee, M. W. (1963). Studies of illness in the aged. JAMA, 185, 914-919. doi:10.1001/jama.1963.03060120024016 Google Scholar | Crossref | Medline | ISI | |
| Kiarsipour, N., Borhani, F., Esmaeili, R., Zayeri, F. (2017). The correlation of aging perceptions and life satisfaction in iranian older adults. Annals of Tropical Medicine and Public Health, 10(4), 861-868. doi:10.4103/atmph.Atmph_232_17 Google Scholar | Crossref | |
| Kiecolt-Glaser, J. K., Newton, T. L. (2001). Marriage and health: His and hers. Psychological Bulletin, 127(4), 472-503. doi:10.1037/0033-2909.127.4.472 Google Scholar | Crossref | Medline | ISI | |
| Kiecolt-Glaser, J. K., Wilson, S. J. (2017). Lovesick: How couples’ relationships influence health. Annual Review of Clinical Psychology, 13(1), 421-443. doi:10.1146/annurev-clinpsy-032816-045111 Google Scholar | Crossref | Medline | |
| Kim, S. H. (2009). Older people’s expectations regarding ageing, health‐promoting behaviour and health status. Journal of Advanced Nursing, 65(1), 84-91. doi:10.1111/j.1365-2648.2008.04841.x Google Scholar | Crossref | Medline | |
| Kim, E. S., Chopik, W. J., Smith, J. (2014). Are people healthier if their partners are more optimistic? The dyadic effect of optimism on health among older adults. Journal of Psychosomatic Research, 76(6), 447-453. doi:10.1016/j.jpsychores.2014.03.104 Google Scholar | Crossref | Medline | ISI | |
| Kotter-Grühn, D., Kleinspehn-Ammerlahn, A., Gerstorf, D., Smith, J. (2009). Self-perceptions of aging predict mortality and change with approaching death: 16-year longitudinal results from the berlin aging study. Psychology and Aging, 24(3), 654-667. doi:10.1037/a0016510 Google Scholar | Crossref | Medline | ISI | |
| Lawton, M. P. (1975). The philadelphia geriatric center morale scale: A revision. Journal of Gerontology, 30(1), 85-89. doi:10.1093/geronj/30.1.85 Google Scholar | Crossref | Medline | |
| Lawton, M. P., Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179-186. Google Scholar | Crossref | Medline | ISI | |
| LeBlanc, A. J., Frost, D. M., Bowen, K. (2018). Legal marriage, unequal recognition, and mental health among same‐sex couples. Journal of Marriage and Family, 80(2), 397-408. doi:10.1111/jomf.12460 Google Scholar | Crossref | Medline | |
| Levy, B. (2009). Stereotype embodiment. Current Directions in Psychological Science, 18(6), 332-336. doi:10.1111/j.1467-8721.2009.01662.x Google Scholar | SAGE Journals | ISI | |
| Levy, B. R., Bavishi, A. (2018). Survival advantage mechanism: Inflammation as a mediator of positive self-perceptions of aging on longevity. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 73(3), 409-412. doi:10.1093/geronb/gbw035 Google Scholar | Crossref | Medline | |
| Levy, B. R., Pilver, C., Chung, P. H., Slade, M. D. (2014). Subliminal strengthening. Psychological Science, 25(12), 2127-2135. doi:10.1177/0956797614551970 Google Scholar | SAGE Journals | ISI | |
| Levy, B. R., Slade, M. D., Chang, E.-S., Kannoth, S., Wang, S.-Y. (2020). Ageism amplifies cost and prevalence of health conditions. The Gerontologist, 60(1), 174-181. doi:10.1093/geront/gny131 Google Scholar | Crossref | Medline | |
| Levy, B. R., Slade, M. D., Kasl, S. V. (2002). Longitudinal benefit of positive self-perceptions of aging on functional health. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57(5), P409-P417. doi:10.1093/geronb/57.5.P409 Google Scholar | Crossref | Medline | ISI | |
| Levy, B. R., Slade, M. D., Kunkel, S. R., Kasl, S. V. (2002). Longevity increased by positive self-perceptions of aging. Journal of Personality and Social Psychology, 83(2), 261-270. doi:10.1037/0022-3514.83.2.261 Google Scholar | Crossref | Medline | ISI | |
| Liang, J., Bollen, K. A. (1983). The structure of the philadelphia geriatric center morale scale: A reinterpretation. Journal of Gerontology, 38(2), 181-189. doi:10.1093/geronj/38.2.181 Google Scholar | Crossref | Medline | |
| Li, X., Lv, Q., Li, C., Zhang, H., Li, C., Jin, J. (2013). The relationship between expectation regarding aging and functional health status among older adults in China. Journal of Nursing Scholarship, 45(4), 328-335. doi:10.1111/jnu.12036 Google Scholar | Crossref | Medline | |
| Lu, W., Pikhart, H., Sacker, A. (2019). Domains and measurements of healthy aging in epidemiological studies: A review. The Gerontologist, 59(4), e294-e310. doi:10.1093/geront/gny029 Google Scholar | Crossref | Medline | |
| Meisner, B. A. (2012). A meta-analysis of positive and negative age stereotype priming effects on behavior among older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 67B(1), 13-17. doi:10.1093/geronb/gbr062 Google Scholar | Crossref | |
| Mendoza-Núñez, V., Sarmiento-Salmorán, E., Marín-Cortés, R., Martínez-Maldonado, M., Ruiz-Ramos, M. (2018). Influence of the self-perception of old age on the effect of a healthy aging program. Journal of Clinical Medicine, 7(5), 106. doi:10.3390/jcm7050106 Google Scholar | Crossref | |
| Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674-697. doi:10.1037/0033-2909.129.5.674 Google Scholar | Crossref | Medline | ISI | |
| Mirowsky, J., Ross, C. E. (1992). Age and depression. Journal of Health and Social Behavior, 33(3), 187-205. doi:10.2307/2137349 Google Scholar | Crossref | Medline | ISI | |
| Mohammadpour, A., Sadeghmoghadam, L., Shareinia, H., Jahani, S., Amiri, F. (2018). Investigating the role of perception of aging and associated factors in death anxiety among the elderly. Clinical Interventions in Aging, 13, 405-410. doi:10.2147/CIA.S150697 Google Scholar | Crossref | Medline | |
| Momtaz, Y., Hamid, T. A., Masud, J., Haron, S. A., Ibrahim, R. (2013). Dyadic effects of attitude toward aging on psychological well-being of older malaysian couples: An actor–partner interdependence model. Clinical Interventions in Aging, 8, 1413-1420. doi:10.2147/CIA.S51877 Google Scholar | Crossref | Medline | |
| Moser, C., Spagnoli, J., Santos-Eggimann, B. (2011). Self-Perception of aging and vulnerability to adverse outcomes at the age of 65-70 years. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 66B(6), 675-680. doi:10.1093/geronb/gbr052 Google Scholar | Crossref | |
| Platt, J. M., Bates, L. M., Jager, J., McLaughlin, K. A., Keyes, K. M. (2020). Changes in the depression gender gap from 1992 to 2014: Cohort effects and mediation by gendered social position. Social Science & Medicine, 258, 113088. doi:10.1016/j.socscimed.2020.113088 Google Scholar | Crossref | Medline | |
| Radloff, L. S. (1977). The CES-D scale. Applied Psychological Measurement, 1(3), 385-401. doi:10.1177/014662167700100306 Google Scholar | SAGE Journals | |
| Reczek, C. (2020). Sexual‐ and gender‐minority families: A 2010 to 2020 decade in review. Journal of Marriage and Family, 82(1), 300-325. doi:10.1111/jomf.12607 Google Scholar | Crossref | Medline | |
| Reczek, C., Pudrovska, T., Carr, D., Thomeer, M. B., Umberson, D. (2016). Marital histories and heavy alcohol use among older adults. Journal of Health and Social Behavior, 57(1), 77-96. doi:10.1177/0022146515628028 Google Scholar | SAGE Journals | ISI | |
| Reczek, C., Thomeer, M. B., Gebhardt-Kram, L., Umberson, D. (2020). “Go see somebody”: How spouses promote mental health care. Society and Mental Health, 10(1), 80-96. doi:10.1177/2156869319834335 Google Scholar | SAGE Journals | ISI | |
| Reczek, C., Umberson, D. (2012). Gender, health behavior, and intimate relationships: Lesbian, gay, and straight contexts. Social Science & Medicine, 74(11), 1783-1790. doi:10.1016/j.socscimed.2011.11.011 Google Scholar | Crossref | Medline | ISI | |
| Roberts, B. W., Smith, J., Jackson, J. J., Edmonds, G. (2009). Compensatory conscientiousness and health in older couples. Psychological Science, 20(5), 553-559. doi:10.1111/j.1467-9280.2009.02339.x Google Scholar | SAGE Journals | ISI | |
| Rosenfield, S., Phillips, J., White, H. (2006). Gender, race, and the self in mental health and crime. Social Problems, 53(2), 161-185. doi:10.1525/sp.2006.53.2.161 Google Scholar | Crossref | ISI | |
| Rosow, I., Breslau, N. (1966). A guttman health scale for the aged. Journal of Gerontology, 21, 556-559. doi:10.1093/geronj/21.4.556 Google Scholar | Crossref | Medline | |
| Sargent-Cox, K. A., Anstey, K. J., Luszcz, M. A. (2012). The relationship between change in self-perceptions of aging and physical functioning in older adults. Psychology and Aging, 27(3), 750-760. doi:10.1037/a0027578 Google Scholar | Crossref | Medline | |
| Sargent-Cox, K. A., Anstey, K. J., Luszcz, M. A. (2014). Longitudinal change of self-perceptions of aging and mortality. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 69(2), 168-173. doi:10.1093/geronb/gbt005 Google Scholar | Crossref | Medline | |
| Schroyen, S., Missotten, P., Jerusalem, G., Van den Akker, M., Buntinx, F., Adam, S. (2017). Association between self-perception of aging, view of cancer and health of older patients in oncology: A one-year longitudinal study. BMC Cancer, 17(614), 1-8. doi:10.1186/s12885-017-3607-8 Google Scholar | Crossref | Medline | |
| Seidler, A. L., Wolff, J. K. (2017). Bidirectional associations between self-perceptions of aging and processing speed across 3 years. GeroPsych, 30, 49 doi:10.1024/1662-9647/a000165 Google Scholar | Crossref | |
| Siebert, J. S., Wahl, H.-W., Degen, C., Schröder, J. (2018). Attitude toward own aging as a risk factor for cognitive disorder in old age: 12-year evidence from the ilse study. Psychology and Aging, 33(3), 461-472. doi:10.1037/pag0000252 Google Scholar | Crossref | Medline | |
| Siebert, J. S., Wahl, H.-W., Schröder, J. (2018). The role of attitude toward own aging for fluid and crystallized functioning: 12-year evidence from the ilse study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 73(5), 836-845. doi:10.1093/geronb/gbw050 Google Scholar | Crossref | Medline | |
| Smith, E. B., Desai, M. M., Slade, M., Levy, B. R. (2018). Positive aging views in the general population predict better long-term cognition for elders in eight countries. Journal of Aging and Health, 31(10), 1739-1747. doi:10.1177/0898264318784183 Google Scholar | SAGE Journals | |
| Steffick, D. E. (2000). Documentation of affective functioning measuresin the health and retirement study. Retrieved from hrs.isr.umich.edu/sites/default/files/biblio/dr-005.pdf Google Scholar | Crossref | |
| Sun, J. K., Smith, J. (2017). Self-perceptions of aging and perceived barriers to care: Reasons for health care delay. The Gerontologist, 57(Suppl. 2), S216-S226. doi:10.1093/geront/gnx014 Google Scholar | Crossref | Medline | |
| Thomeer, M. B., Reczek, C., Umberson, D. (2015). Relationship dynamics around depression in gay and lesbian couples. Social Science & Medicine, 147, 38-46. doi:10.1016/j.socscimed.2015.10.048 Google Scholar | Crossref | Medline | |
| Tovel, H., Carmel, S., Raveis, V. H. (2019). Relationships among self-perception of aging, physical functioning, and self-efficacy in late life. The Journals of Gerontology: Series B, 74(2), 212-221. doi:10.1093/geronb/gbx056 Google Scholar | Crossref | Medline | |
| Umberson, D. (1992). Gender, marital status and the social control of health behavior. Social Science & Medicine, 34(8), 907-917. doi:10.1016/0277-9536(92)90259-S Google Scholar | Crossref | Medline | ISI | |
| Wanic, R., Kulik, J. (2011). Toward an understanding of gender differences in the impact of marital conflict on health. Sex Roles, 65(5), 297-312. doi:10.1007/s11199-011-9968-6 Google Scholar | Crossref | |
| Westerhof, G. J., Miche, M., Brothers, A. F., Barrett, A. E., Diehl, M., Montepare, J. M., Wahl, H.-W., Wurm, S. (2014). The influence of subjective aging on health and longevity: A meta-analysis of longitudinal data. Psychology and Aging, 29(4), 793-802. doi:10.1037/a0038016 Google Scholar | Crossref | Medline | ISI | |
| Whisman, M. A. (2001). The association between depression and marital dissatisfaction. In Beach, S. R. H. (Ed.), Marital and family processes in depression: A scientific foundation for clinical practice (p. 3-24). American Psychological Association. Google Scholar | Crossref | |
| Wurm, S., Tesch-Römer, C., Tomasik, M. J. (2007). Longitudinal findings on aging-related cognitions, control beliefs, and health in later life. The Journals of Gerontology: Series B, 62(3), P156-P164. doi:10.1093/geronb/62.3.P156 Google Scholar | Crossref | Medline | |
| Wurm, S., Warner, L. M., Ziegelmann, J. P., Wolff, J. K., Schüz, B. (2013). How do negative self-perceptions of aging become a self-fulfilling prophecy? Psychology and Aging, 28(4), 1088-1097. doi:10.1037/a0032845 Google Scholar | Crossref | Medline | |
| Yeom, H.-E. (2014). Association among ageing-related stereotypic beliefs, self-efficacy and health-promoting behaviors in elderly Korean adults. Journal of Clinical Nursing, 23(9-10), 1365-1373. doi:10.1111/jocn.12419 Google Scholar | Crossref | Medline |
