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SPOUSAL INFLUENCES ON HEALTH AND WELL-BEING OF OLDER KUWAITI MEN AND WOMEN

Published online by Cambridge University Press:  08 November 2016

Yagoub Y. Al-Kandari*
Affiliation:
Department of Sociology, Social Work and Anthropology, Kuwait University, Kuwait
Douglas E. Crews
Affiliation:
Department of Anthropology and the School of Public Health, Ohio State University, USA
*
1Corresponding author. Email: alkandari66@hotmail.com

Summary

The aim of the study was to determine the associations of the self-perceptions of health and social support among Kuwaitis who were 60 years old and older, who either were or were not currently living with a spouse. A sample of 1427 was selected (472 men and 955 women). Social Affairs nurses completed all interviews in the participants’ homes. A single questionnaire was designed; SPSS (version 21) was used for data entry and analysis. Participants living with their spouse reported significantly greater social support, more frequent contact with others and greater strength of social relationships than those without a spouse. Significant differences between those with and without a spouse were observed for all physically assessed and self-reported aspects of health. Of 60 items included in the somatic symptoms, participants with a spouse reported fewer poor health symptoms than those without a spouse. More children living in the same household, along with greater frequency of contact, strength of contact and social support significantly and independently predicted positive somatic symptoms in the total sample as well as in both sexes. Participants with a spouse reported fewer poor health symptoms than did those without a spouse. Having a spouse is a significant benefit to many aspects of elder Kuwaitis’ daily lives, including their health and well-being.

Type
Research Article
Copyright
Copyright © Cambridge University Press, 2016 

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References

Abdel-Kalek, A. (2003a) Can somatic symptoms differentiate anxiety from depression? Alexandria Bulletin 3, 289302.Google Scholar
Abdel-Kalek, A. (2003b) The Somatic Symptoms Inventory (SSI): development, parameters, and correlates. Current Psychiatry 10, 114129.Google Scholar
Abdel-Kalek, A. (2004) Can somatic symptoms predict depression? Social Behavior and Personality 32(7), 659666.Google Scholar
Abdel-Khalek, A. M. (2007) Assessment of intrinsic religiosity with a single-item measure in a sample of Arab Muslims. Journal of Muslim Mental Health 2, 211215.CrossRefGoogle Scholar
Al-Kandari, Y. (2001a) Physical health and its relations to some sociocultural variables in a sample of Kuwaiti elderly [in Arabic]. Faculty of Arts Journal: Menoufis University 47, 126.Google Scholar
Al-Kandari, Y. (2001b) Social support and its relations to blood pressure in Kuwaiti family [in Arabic]. Journal of Social Sciences 39(2), 317345.Google Scholar
Al-Kandari, Y. (2007) Fertility and its relation with sociocultural factors in Kuwaiti society. Eastern Mediterranean Medical Journal 13(6), 13641371.Google ScholarPubMed
Al-Kandari, Y. (2008) The role of Diwaniyah in elderly adult’s health in Kuwait society. Journal of the Gulf and Arabian Peninsula Studies 34, 131.Google Scholar
Al-Kandari, Y. (2010) Change and Modernity: Kuwaiti Family as a Model [in Arabic]. Maktab Al-Jame’a Al-Hadeeth, Cairo.Google Scholar
Al-Kandari, Y. (2011) Social support and its relationship to hypertension and general health status among older adults in the mobile care unit in Kuwait. Journal of Cross-Cultural Gerontology 26(2), 175187.CrossRefGoogle ScholarPubMed
Al-Kandari, Y. & Crews, D. (2014a) Age, social support and health among elderly Kuwaitis. Quality in Ageing and Older Adults 15(3), 171184.CrossRefGoogle Scholar
Al-Kandari, Y. & Crews, D. (2014b) Social support and health among elderly Kuwaitis. Journal of Biosocial Science 46(4), 518530.Google Scholar
Al-Kandari, Y. & Crews, D. (2016) Health varies by gender and sociological characteristics among elderly Kuwaitis. Journal of Social Sciences 44(1), 936.Google Scholar
Al-Mutairi, H. (2000) Behaviour disorder among low income Kuwaiti family children. Journal of Social Sciences 28(3), 6588.Google Scholar
Andersson, L. L. & Sundstrom, G. G. (1996) The social network of elderly people in Sweden. In Litwin, H. (ed.) The Social Network of Elderly People: Cross-National Analysis. Greenwood Publishing Group, Inc, USA.Google Scholar
Audah, M. (1986) Elderly problems in Kuwait society: an empirical study on selected sample. Arabian Journal of Humanities 6(23–24), 4895.Google Scholar
Barakat, H. (2013) The Contemporary Arabic Society: Experimental Social Research [in Arabic]. The Arabian United Studies Center, Beirut.Google Scholar
Barron, C. R., Foxall, M. J., Von Dollen, K., Jones, P. A. & Shull, K. A. (1994) Marital status, social support, and loneliness in visually impaired elderly people. Journal of Advanced Nursing 19(2), 272280.Google Scholar
Benmarhnia, T. & Zunzunegui, M. V. (2014) On the role of social support on macroeconomic determinants on elderly people health: a hypothesis about a counterexample in Spain. Journal of Epidemiology and Community Health 68(4), 391392.CrossRefGoogle Scholar
Carnelley, K. B., Wortman, C. B., Bolger, N. & Burke, C. T. (2006) The time course of grief reactions to spousal loss: evidence from a national probability sample. Journal of Personality and Social Psychology 91, 476492.Google Scholar
Chou, K. L. & Chi, I. (2003) Reciprocal relationship between social support and depressive symptoms among Chinese elderly. Aging and Mental Health 7(3), 224231.Google Scholar
Cohen, S. & Wills, T. A. (1985) Stress, social support, and the buffering hypothesis. Psychological Bulletin 98, 310357.Google Scholar
Crews, D. E. & Li, G. (2011) Senescence, aging, life span, frailty, disability and diseases in Chinese populations: trends and prospects. In Chen, S. & Powell, J. L. (eds) Aging in Perspective and the Case of China: Issues and Approaches. Nova Science Publishers Inc., New York, pp. 189212.Google Scholar
El-Haddad, Y. (2003) Major Trends Affecting Families in the Gulf Countries. United Nations Programme on the Family Division of Social Policy and Development (UNDESA).Google Scholar
Elwert, F. & Christakis, N. A. (2008) The effect of widowhood on mortality by the causes of death of both spouses. American Journal of Public Health 98(11), 20922098.CrossRefGoogle ScholarPubMed
Espinosa, J. & Evans, W.N. (2008) Heightened mortality after the death of a spouse: marriage protection or marriage selection? Journal of Health Economics 27(5), 13261342.CrossRefGoogle ScholarPubMed
Gadalla, T. M. (2009) Sense of mastery, social support, and health in elderly Canadians. Journal of Aging and Health 4, 581595.Google Scholar
Ghufran, M. & Ansari, S. (2008) Impact of widowhood on religiosity and death anxiety among senior citizens. Journal of the Indian Academy of Applied Psychology 34(1), 175180.Google Scholar
Gliksman, M. D., Lazarus, R. L., Wilson, A. W. & Leeder, S. R. (1995) Social support, marital status, and living arrangement correlates of cardiovascular disease risk factors in the elderly. Social Science & Medicine 40(6), 811814.CrossRefGoogle ScholarPubMed
Haessler, S. & Willis, S. (1990) Longitudinal stability and change in social support network of the young old and old–old. Paper presented at the 3rd Annual Scientific Meeting of Gerontology Society of America, Boston, MA, November 1990.Google Scholar
Hemstrom, O. (1996) Is marriage dissolution linked to differences in mortality risks for men and women? Journal of Marriage and the Family 58(2), 366378.CrossRefGoogle Scholar
Holt-Lunstad, J., Wendy, A. B. & Brandon, Q. J. (2008) Is there something unique about marriage? The relative impact of marital status, relationship quality, and network social support on ambulatory blood pressure and mental health. Annals of Behavioral Medicine 35(2), 239244.CrossRefGoogle ScholarPubMed
Horman, S. (1989) The role of social support on health throughout the life cycle. Health Education 20(4), 1821.Google Scholar
Iwashyna, T. J. & Christakis, N. A. (2003) Marriage, widowhood, and health-care use. Social Science & Medicine 57(11), 21372147.Google Scholar
Johnson, J. E. (1996) Social and physical health in the rural elderly. Applied Nursing Research 9(2), 6166.Google Scholar
Kolip, P. (2005) The association between gender, family status and mortality. Journal of Public Health 13, 309312.Google Scholar
Leahy, R. & Crews, D. E. (2012) Physiological dysregulation and somatic decline among elders: modeling, applying and re-interpreting allostatic load. Collegium Antropologicum 36(1), 1122.Google Scholar
Lino, V. T., Portela, M. C., Camacho, L. A., Atie, S. & Lima, M. J. (2013) Assessment of social support and its association to depression, self-perceived health and chronic diseases in elderly individuals residing in an area of poverty and social vulnerability in Rio De Janeiro city, Brazil. PLoS One 8(8). doi: 10.1371/journal.pone.0071712.Google Scholar
Lu, L. & Chang, C. J. (1997) Social support, health and satisfaction among the elderly with chronic conditions in Taiwan. Journal of Health Psychology 2(4), 471480.Google Scholar
McCabe, J. (2010) The Psychology of Religion. Phania Publishing, USA.Google Scholar
Manzoli, L., Villari, P., M Pirone, G. & Boccia, A. (2007) Marital status and mortality in the elderly: a systematic review and meta-analysis. Social Science & Medicine 64(1), 7794.CrossRefGoogle ScholarPubMed
Mineau, G. P., Smith, K. R. & Bean, L. L. (2002) Historical trends of survival among widows and widowers. Social Science & Medicine 54, 245254.CrossRefGoogle ScholarPubMed
Muramatsu, N., Yin, H. & Hedeker, D. (2010) Functional declines, social support, and mental health in the elderly: does living in a state supportive of home and community-based services make a difference? Social Science & Medicine 70(7), 10501058.CrossRefGoogle Scholar
Nalungwe, P. (2009) Loneliness among elderly widows and its effect on their mental well being. Bachelor’s thesis, Laurea University of Applied Sciences, Finland.Google Scholar
Okamoto, K. & Tanaka, Y. (2004) Gender differences in the relationship between social support and subjective health among elderly persons in Japan. Preventative Medicine 38(3), 318322.CrossRefGoogle ScholarPubMed
Ostwald, S. K. (2009) Who is caring for the caregiver? Promoting spousal caregiver’s health. Family and Community Health 32(1), 514.Google Scholar
Rosenbloom, C. A. & Whittington, F. J. (1993) The effects of bereavement on eating behaviors and nutrient intakes in elderly widowed persons. Journal of Gerontology: Social Sciences 48(4), S223S229.CrossRefGoogle ScholarPubMed
Sarason, B. R., Sarason, I. G. & Pierce, G. R. (1990) Traditional Views of Social Support and their Impact on Assessment. In Sarason, B. R., Sarason, I. G. & Pierce, G. R. (eds) Social Support: An Interactional View. Wiley-Interscience and John Wiley and Sons, New York, pp. 925.Google Scholar
Shin, J. K., Kim, K. W., Park, J. H., Lee, J. J., Huh, Y., Lee, S. B. et al. (2008) Impacts of poor social support on general health status in community-dwelling Korean elderly: the results from the Korean longitudinal study on health and aging. Psychiatry Investing 5(3), 155162.Google Scholar
Spitze, G. & Logon, J. (1990) More evidence on women (and men) in the middle. Research on the Aging 12(2), 182198.CrossRefGoogle ScholarPubMed
Tanno, K., Ohsawa, M., Itai, K., Kato, K., Turin, T. C., Onoda, T. et al. (2103) Associations of marital status with mortality from all causes and mortality from cardiovascular disease in Japanese haemodialysis patients. Nephrology Dialysis Transplantation. 16.Google Scholar
Taqui, A., Itrat, A., Qidwai, W. & Qadri, Z. (2007) Depression in the elderly: does family system play a role? A cross-sectional study. BMC Psychiatry 7, 57.Google Scholar
Wicke, F. S., Güthlin, C., Mergenthal, K., Gensichen, J., Löffler, C., Bickel, H. et al. (2014) Depressive mood mediates the influence of social support on health-related quality of life in elderly, multimorbid patients. BMC Family Practitioner 15(62), 1562.Google Scholar
Wittstein, I. S., Thiemann, D. R., Lima, J. A., Baughman, K. L., Schulman, S .P., Gerstenblith, G. et al. (2005) Neorohumoral features of myocardial studding due to sudden emotional stress. New England Journal of Medicine 352(6), 539548.Google Scholar
Wyke, S. & Ford, G. (1992) Competing explanation for association between marital status and health. Social Science & Medicine 34(5), 523532.CrossRefGoogle ScholarPubMed
Zimet, G. D., Dahlem, N. W., Zimet, S. G. & Farley, G. K. (1988) The multidimensional scale of perceived social support. Journal of Personality Assessment 52, 3041.CrossRefGoogle Scholar