Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-24T09:39:31.548Z Has data issue: false hasContentIssue false

THE ASSOCIATION OF SOCIAL SUPPORT AND ACTIVITIES WITH HEALTH IN SOUTH KOREA: DIFFERENCES IN AGE AND GENDER

Published online by Cambridge University Press:  18 January 2010

SANG-SIK MOON
Affiliation:
Department of Health Administration, Hanyang Women's University, Republic of Korea
SANG-MI PARK*
Affiliation:
School of Public Health and Institute of Health and Environment, Seoul National University, Republic of Korea
SUNG-IL CHO
Affiliation:
School of Public Health and Institute of Health and Environment, Seoul National University, Republic of Korea
*
To whom correspondence should be sent: School of Public Health and Institute of Health and Environment, Seoul National University, 28 Yunkeon-dong, Chongro-ku, Seoul, 110–799, Republic of Korea. Email: smparks@empal.com

Summary

This study investigated gender difference in the effects of social support, including emotional support and instrumental support (such as help when sick and financial assistance), and social activities on perceived health of middle-aged and older adults in South Korea. Data were acquired from 3771 men and 4954 women aged 40 years and older who participated in the 2005 cross-sectional survey of the Seoul Citizens Health and Social Indicators Survey. Using multiple regression analysis, both age- and gender-specific differences related to social support and engagement in social activities and self-rated poor health were examined. Poor emotional support from close friends, relatives or someone with whom one could talk about worries was strongly associated with poor self-rated health in men, with the greatest effect in older men. Lack of engagement in social activities was associated with self-rated poor health in older adults, especially in older men. Poor instrumental support was associated with perceived poor health only in middle-aged women. As a health improvement strategy for men aged 65 years and older especially, emotional support should be considered. Measures should be considered for encouraging social activities by older adults, particularly older men.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Achat, H., Kawachi, I., Levine, S., Berkey, C., Coakley, E. & Colditz, G. (1998) Social networks, stress and health-related quality of life. Quality of Life Research 7, 735750.CrossRefGoogle ScholarPubMed
Asakawa, T., Koyano, W., Ando, T. & Shibata, H. (2000) Effects of functional decline on quality of life among the Japanese elderly. International Journal of Aging and Human Development 50, 319328.CrossRefGoogle ScholarPubMed
Belle, D. (1987) Gender differences in the social moderators of stress. In Barnett, R. C., Biener, L. & Baruch, G. K. (eds) Gender and Stress. Free Press, New York, pp. 257277.Google Scholar
Berardo, F. (1967) Social Adaptation to Widowhood Among a Rural–Urban Aged Population. Washington Agricultural Experiment Station Bulletin. Pullman, University of Washington State, p. 689.Google Scholar
Berkman, L. F. (1995) The role of social relations in health-promotion. Psychosomatic Medicine 57, 245254.CrossRefGoogle ScholarPubMed
Berkman, L. F., Glass, T., Brissette, I. & Seeman, T. (2000) From social integration to health: Durkheim in the new millenium. Social Science & Medicine 51, 843857.CrossRefGoogle Scholar
Berkman, L. F. & Syme, S. L. (1979) Social networks, host resistance and mortality: a nine-year follow-up study of Alameda country residents. American Journal of Epidemiology 109, 186204.CrossRefGoogle Scholar
Blau, Z. S. (1961) Structural constraints on friendships in old age. American Sociological Review 26, 429439.CrossRefGoogle Scholar
Bloom, J. R. & Spiegel, D. (1984) The effect of two dimensions of social support on the psychological well-being and social functioning of women with advanced breast cancer. Social Science & Medicine 19, 831837.CrossRefGoogle ScholarPubMed
Booth, A. (1972) Sex and social participation. American Sociological Review 37, 183192.CrossRefGoogle Scholar
Booth, A. & Hess, E. (1974) Cross-sex friendship. Journal of Marriage and the Family 36, 3847.CrossRefGoogle Scholar
Bukov, A., Mass, I. & Lampert, T. (2002) Social participation in very old age: cross-sectional and longitudinal findings from BASE, Berlin Aging Study. Journals of Gerontology: Social Sciences 57, 510517.CrossRefGoogle ScholarPubMed
Cassel, J. C. (1976) The combination of the social environment to host resistance. American Journal of Epidemiology 104, 107123.CrossRefGoogle Scholar
Cheng, Y. H., Chi, I., Boey, K. W., Ko, L. S. F. & Chou, K. L. (2002) Self-rated economic condition and the health of elderly persons in Hong Kong. Social Science & Medicine 55, 14151424.CrossRefGoogle ScholarPubMed
Cobb, S. (1976) Social support as a moderator of life stress. Psychosomatic Medicine 38, 300314.CrossRefGoogle ScholarPubMed
Dalgard, O. S. & Haheim, L. L. (1998) Psychosocial risk factors and mortality: a prospective study with special focus on social support, social participation, and locus of control in Norway. Journal of Epidemiology and Community Health 52, 476481.CrossRefGoogle ScholarPubMed
Everard, K. M., Lach, H. W., Fisher, E. B. & Baum, M. C. (2000) Relationship of activity and social support to the functional health of older adults. Journals of Gerontology: Social Sciences 55B, S208212.CrossRefGoogle Scholar
Fratiglioni, L., Wang, H. X., Ericsson, K., Maytan, M. & Winblad, B. (2000) Influence of social network on occurrence of dementia: a community-based longitudinal study. Lancet 355, 13151319.CrossRefGoogle ScholarPubMed
Gove, W. R. (1972) The relationship between sex roles, mental illness and marital status. Social Forces 51, 3444.CrossRefGoogle Scholar
Hanson, B. S., Isacsson, S. O., Janzon, L. & Lindell, S. E. (1989) Social network and social support influence mortality in elderly men. American Journal of Epidemiology 130, 100111.CrossRefGoogle ScholarPubMed
Holahan, C. J. & Moos, R. (1981) Social support and psychological distress: longitudinal analysis. Journal of Abnormal Psychology 90, 365370.CrossRefGoogle ScholarPubMed
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, 123140.CrossRefGoogle ScholarPubMed
Hyyppä, M. T. & Mäki, J. (2001) Individual-level relationships between social capital and self-rated health in a bilingual community. Preventive Medicine 32, 148155.CrossRefGoogle Scholar
Hyyppä, M. T. & Mäki, J. (2003) Social participation and health in a community rich in stock of social capital. Health Education Research 18, 770779.CrossRefGoogle Scholar
Idler, E. L. & Kasl, S. (1995) Self-ratings of health: do they also predict change in functional ability? Journals of Gerontology: Social Sciences 50, 344353.CrossRefGoogle ScholarPubMed
Idler, E. L. & Yael, B. (1997) Self-rated health and mortality: a review of 27 community studies. Journal of Health and Social Behavior 38, 2137.CrossRefGoogle Scholar
Kawachi, I., Colditz, G. A., Ascherio, A., Rimm, E. B., Giovannucci, E., Stampfer, M. J. & Willett, W. C. (1996) A prospective study of social networks in relation to total mortality and cardiovascular disease in men in the USA. Journal of Epidemiology and Community Health 50, 245251.CrossRefGoogle ScholarPubMed
Kawachi, I., Kennedy, B. P. & Glass, R. (1999) Social capital and self-rated health: a contextual analysis. American Journal of Public Health 89, 11871193.CrossRefGoogle Scholar
Korea National Statistical Office (1999) Society Survey. Korea National Statistical Office, Daejeon.Google Scholar
Korea National Statistical Office (2005) Population Survey of Economic Activity. Korea National Statistical Office, Daejeon.Google Scholar
Krantz, G. & Östergren, P. O. (2000) Common symptoms in middle aged women: their relation to employment status, psychosocial work conditions and social support in a Swedish setting. Journal of Epidemiology and Community Health 54, 192199.CrossRefGoogle Scholar
Kwon, J. W., Chun, H. R. & Cho, S. I. (2009) A closer look at the increase in suicide rates in South Korea from 1986–2005. BMC Public Health DOI:10.1186/1471-2458-9-72.CrossRefGoogle Scholar
Lee, H. Y., Jang, S. N., Lee, S. J., Cho, S. I. & Park, E. O. (2008) The relationship between social participation and self-rated health by sex and age: a cross-sectional survey. International Journal of Nursing Studies 45, 10421054.CrossRefGoogle ScholarPubMed
Lin, N., Woelfel, M. W. & Light, S. C. (1985) The buffering effect of social support subsequent to an important life event. Journal of Health and Social Behavior 26, 247263.CrossRefGoogle Scholar
Lindstrom, M., Hanson, B. S. & Östergren, P. O. (2001) Socioeconomic differences in leisure-time physical activity: the role of social participation and social capital in shaping health related behavior. Social Science & Medicine 52, 441451.CrossRefGoogle Scholar
Lindstrom, M., Moghaddassi, M. & Merlo, J. (2004) Individual self-rated health, social participation and neighborhood: a multilevel analysis in Malmo, Sweden. Preventive Medicine 39, 135141.CrossRefGoogle Scholar
Litwin, H. (1998) Social network type and health status in a national sample of elderly Israelis. Social Science & Medicine 46, 599609.CrossRefGoogle Scholar
Lund, R., Avlund, K., Modvig, J., Due, P. & Holstein, B. E. (2004) Development in self-rated health among older people as determinant of social relations. Scandinavian Journal of Public Health 32, 419425.CrossRefGoogle ScholarPubMed
Melchior, M., Berkman, L. F., Niedhammer, I., Chea, M. & Goldberg, M. (2003) Social relations and self-reported health: a prospective analysis of the French Gazel cohort. Social Science & Medicine 56, 18171830.CrossRefGoogle Scholar
Michael, Y. M., Colditz, G. A., Coakley, E. & Kawachi, I. (1999) Health behaviours, social networks, and healthy aging: cross-sectional evidence from the Nurses' Health Study. Quality of Life Research 8, 711722.CrossRefGoogle ScholarPubMed
Möller-Leimkühler, A. M. (2003) The gender gap in suicide and premature death or: why are men so vulnerable? European Archives of Psychiatry and Clinical Neuroscience 253, 18.CrossRefGoogle ScholarPubMed
Olsen, O. (1993) Impact of social network on cardiovascular mortality in middle-aged Danish men. Journal of Epidemiology and Community Health 47, 176180.CrossRefGoogle ScholarPubMed
Rietschlin, J. (1998) Voluntary association membership and psychological distress. Journal of Health and Social Behavior 39, 348355.CrossRefGoogle ScholarPubMed
Rose, R. (2000) How much does social capital add to individual health? A survey study of Russians. Social Science & Medicine 51, 14211435.CrossRefGoogle ScholarPubMed
Schaefer, C., Coyne, J. C. & Lazarus, R. S. (1981) The health-related functions of social support. Journal of Behavioral Medicine 4, 381406.CrossRefGoogle ScholarPubMed
Stansfeld, S., Rael, E. G., Head, J., Shipley, M. J. & Marmot, M. G. (1997) Social support and psychiatric absence: a prospective study of British Civil Servants. Psychological Medicine 27, 3548.CrossRefGoogle ScholarPubMed
Sturgis, P., Thomas, R., Purdon, S., Bridgwood, A. & Dodd, T. (2001) Comparative Review and Assessment of Key Health State Measures of the General Population. Department of Health, UK.Google Scholar
Sugisawa, H., Liang, J. & Liu, X. (1994) Social networks, social support, and mortality among older people in Japan. Journal of Gerontology 49, S313.CrossRefGoogle ScholarPubMed
Syme, S. L. (1974) Behavioral factors associated with the etiology of physical disease: a social epidemiological approach. American Journal of Public Health 64, 10431045.CrossRefGoogle ScholarPubMed
Thoits, P. A. (1995) Stress, coping, and social support processes: Where are we? What next? Journal of Health and Social Behavior 35, 5379.CrossRefGoogle Scholar
Turner, R. J. (1981) Social support as a contingency in psychological well-being. Journal of Health and Social Behavior 22, 357367.CrossRefGoogle Scholar
Van Willigen, M. (2000) Differential benefits of volunteering across the life course. Journals of Gerontology: Social Sciences 55B, S308318.CrossRefGoogle Scholar
Vaux, A. (1985) Variations in social support associated with gender, ethnicity and age. Journal of Social Issues 41, 89110.CrossRefGoogle Scholar
Veenstra, G. (2000) Social capital, SES and health: an individual-level analysis. Social Science & Medicine 50, 619629.CrossRefGoogle ScholarPubMed
Vogt, T., Mullooly, J. P., Ernst, D., Pope, C. R. & Hollis, J. F. (1992) Social networks as predictors of ischemic heart disease, cancer, stroke and hypertension: incidence, survival and mortality. Journal of Clinical Epidemiology 45, 659666.CrossRefGoogle ScholarPubMed
Weinberger, M., Hiner, S. L. & Tierney, W. M. (1987) Assessing social support in elderly adults. Social Science & Medicine 25, 10491055.CrossRefGoogle ScholarPubMed