Effects of Different Types of Perceived Social Support on Changes in Subjective Health among Older Adults: A Focus on Gender Differences

Miok Ha, Seung-Ju Kang
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Abstract

Purpose: This longitudinal study aimed to investigate which types of perceived social support are associated with changes in subjective health over time among Korean older adults. We further explored whether these associations vary by older adults' gender.Methods: The current study examined 3,650 older adults drawn from additional survey data of the 6th and 7th waves of the Korean Retirement and Income Study (KReIS). Data were analyzed using hierarchical linear regression analyses.Results: Higher perceived instrumental and emotional supports significantly associated with less decline in subjective health over 2 years. Gender only moderated the association between emotional support and changes in subjective health. That is, higher emotional support associated with less decline in subjective health among older women, but not among older men.Conclusion: These findings suggest that instrumental support is the strongest predictor of older adults' changes in health over time, indicating the need for public supports for those who lack instrumental support from their social ties. Health promotion programs for older women should aim to enhance their perceived emotional support to protect them from faster declines in subjective health over time.
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不同类型的感知社会支持对老年人主观健康变化的影响:基于性别差异的研究
目的:本纵向研究旨在调查哪些类型的感知社会支持与韩国老年人主观健康随时间的变化有关。我们进一步探讨了这些关联是否因老年人的性别而异。方法:本研究调查了3650名老年人,这些老年人来自韩国退休和收入研究(KReIS)的第六和第七波额外调查数据。数据分析采用层次线性回归分析。结果:在2年内,较高的感知工具和情感支持与较少的主观健康下降显著相关。性别只调节了情感支持和主观健康变化之间的关联。也就是说,在老年女性中,较高的情感支持与较少的主观健康下降有关,但在老年男性中则不然。结论:这些发现表明,工具支持是老年人健康状况随时间变化的最强预测因子,表明那些缺乏社会关系工具支持的人需要公共支持。针对老年妇女的健康促进计划应旨在增强她们感知到的情感支持,以保护她们免受主观健康随着时间的推移而更快下降的影响。
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31
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