Later life health optimism,pessimism and realism: Psychosocial contributors and health correlates

Prior research has established positive outcomes of health optimism (appraising one's health as good despite poor objective health (OH)) and negative outcomes of health pessimism (appraising health as poor despite good OH), yet little is known about their contributors. We examined the role of psychosocial factors (life event stress, depression, dispositional optimism, perceived social support) in health realism (appraising health in accordance with OH), optimism and pessimism among 489 older men and women. We then accounted for the psychosocial factors when examining multiple health correlates of health realism, optimism and pessimism. Controlling for age, gender and income, regression results indicate that depression and social support were associated with less health optimism, while dispositional optimism was associated with greater health optimism among those in poor OH. Dispositional optimism was associated with less health pessimism and life event stress was associated with greater pessimism among those in good OH. Beyond the effects of the psychosocial factors, structural equation model results indicate that health optimism was positively associated with healthy behaviours and perceived control over one's health; health pessimism was associated with poorer perceived health care management. Health optimism and pessimism have different psychosocial contributors and health correlates, validating the health congruence approach to later life well-being, health and survival.     

Later life health optimism, pessimism and realism: psychosocial contributors and health correlates

Prior research has established positive outcomes of health optimism (appraising one's health as good despite poor objective health (OH)) and negative outcomes of health pessimism (appraising health as poor despite good OH), yet little is known about their contributors. We examined the role of psychosocial factors (life event stress, depression, dispositional optimism, perceived social support) in health realism (appraising health in accordance with OH), optimism and pessimism among 489 older men and women. We then accounted for the psychosocial factors when examining multiple health correlates of health realism, optimism and pessimism. Controlling for age, gender and income, regression results indicate that depression and social support were associated with less health optimism, while dispositional optimism was associated with greater health optimism among those in poor OH. Dispositional optimism was associated with less health pessimism and life event stress was associated with greater pessimism among those in good OH. Beyond the effects of the psychosocial factors, structural equation model results indicate that health optimism was positively associated with healthy behaviours and perceived control over one's health; health pessimism was associated with poorer perceived health care management. Health optimism and pessimism have different psychosocial contributors and health correlates, validating the health congruence approach to later life well-being, health and survival.     

Addressing women's breast cancer risk and perceptions of control in medical settings

Many women with family histories of breast cancer deal with two distinct but related issues: their objective physical risk and the emotions this risk engenders. Studies indicate that approximately 70% of African American and white women are concerned about their chances of developing breast cancer someday and perceive themselves to be at risk. Health care providers, including psychologists, need to be aware of the special needs and psychosocial concerns of high-risk women with family histories of breast cancer, since perceptions of breast cancer risk influence screening practices. Providers need training in understanding the significance of specific family patterns of breast cancer, screening guidelines appropriate for women at risk, and the benefits and risks of available prevention options, including genetic screening. Delivering accurate information about both established risk factors known to elevate personal risk, such as age and family history, and factors which women associate with breast cancer, such as bumping and bruising a breast, smoking, and oral contraceptive use, is essential for promoting accurate risk perceptions and appropriate screening schedules.     

Possible contributors to the gender differences in alcohol use and problems

Research on alcohol use and problems has demonstrated a much higher rate of alcohol use disorders (AUDs) among men compared with women. The authors review the most frequently researched biological and psychosocial factors that may play a role in the gender differences in alcohol use and problems. Among the biological factors, women might carry a lower genetic risk for AUDs and tend to suffer more negative biological consequences from drinking as compared with men. Regarding psychosocial factors, men appear to be more likely than women to manifest certain risk factors for alcohol use and problems (e.g., fewer perceived social sanctions for drinking, positive expectancies for alcohol use, personality traits such as impulsivity) and have fewer protective factors. Although these findings have helped to explain some of the gender differences in alcohol use and problems, there are inconsistencies in the literature. Additionally, many studie may not have enough statistical power to detect gender differences. The authors suggest that the biological and social consequences of alcohol abuse for women may be especially potent protective factors against AUDs and discuss the possibility of public health campaigns developed on the basis of this idea.     

Religion and Health: Holistic Wellness From the Perspective of Two African American Church Denominations

This study examined differences in beliefs, concerns, practices, and perceptions of susceptibility to illness by gender and religion in 2 Baptist and 3 Seventh Day Adventist (SDA) African American churches. A modified Health Belief Model Questionnaire was completed by 363 African Americans. Health beliefs were more related to gender than to religion. Results revealed that women were concerned about being ill, being susceptible to illness, and expressed confidence in doctors. Men exercised more frequently, were sick less, and felt less susceptible to illness. SDAs believed in following a certain diet and avoiding alcohol and cigarettes. SDA women and Baptist men thought more about health than did SDA men or Baptist women.     

Worldviews and Perceptions of Environmental Problems

The paper reports findings related to perceived worldviews and risk associated with environmental problems by the residents of urban neighborhoods. Unhygienic environmental conditions are common in residential areas of medium-size cities like Allahabad, India. The respondents were 102 men and 102 women of four residential neighborhoods which varied in population, layout planning (congested vs. wide-streets) and pollutions (noise, garbage, drainage). In addition to background information, they completed the worldviews scale, rated perceived seriousness of local environmental problems and risk impact on self, family, rich, poor, plants and animals. They also rated attribution of responsibility for environmental problems and pro-environmental behavior. Probably, due to cultural homogeneity no significant differences were found for worldviews across four neighborhoods. Men and women did not differ in their worldviews except for the fatalistic worldviews with men perceiving themselves less fatalistic than women. With a few exceptions, the residents of four localities did not differ significantly on perception of environmental problems and attribution of responsibility. Correlations of worldviews with perception of environmental problems, risk impact, attribution of responsibility and inactions are discussed. Nature of correlations of environmental conditions with physical and psychological health is also discussed.     

The ‘White Male Effect’ in perceptions of risk of dying from COVID-19

During the COVID-19 pandemic people had to gauge their personal health risks in order to decide which protective behaviors to adopt. We explored whether mortality risk perceptions varied by demographic background. Using data from a nationally representative U.S. survey, we analyzed bi-weekly mortality estimates of 8339 individuals from 1 April 2020 to 21 July 2021. Consistent with a White Male Effect, White men estimated the risk of death to be lower than White women, non-White men, and non-White women. Furthermore, when linking those estimates to the actual risk of dying from COVID-19, as reflected in official fatality rates recorded by the U.S. Center for Disease Control and Prevention (CDC), White men were indeed less likely to die from the coronavirus than would be expected based on their proportion of the populations. In contrast, deaths in non-White men and non-White women were higher than would be expected. Thus, subjective risk perceptions tracked objective mortality risks. Because White men tend to disproportionally hold positions with high decision-making power, although biased risk estimates may be less likely to have negative consequences for themselves, they may be especially detrimental to those for whom such decisions are made.     

Social Isolation and Perceived Barriers to Establishing Social Networks Among Latina Immigrants

Research has identified numerous mechanisms through which perceived social isolation and lack of social support negatively impact health. Little research attention has been dedicated to factors that influence the development of social networks, which have the potential to decrease perceptions of social isolation and provide social support. There is mixed evidence concerning the availability of supportive social networks for Latinos in the US. This study explores trauma-exposed Latina immigrants’ experiences of social isolation in the US and its perceived causes. Twenty-eight Latina immigrant women participated in an interview about traumatic experiences. Informal help seeking and the availability of friendships in the US were also queried. Frequent comparisons between experiences in their home countries and in the US shaped the emerging themes of social isolation and lack of social support. Women reported feeling lonely, isolated, closed-in, and less free in the US due to family separation and various obstacles to developing and maintaining relationships. Socioeconomic, environmental, and psychosocial barriers were offered as explanations for their limited social networks in the US. Understanding experiences of social isolation as well as barriers to forging social networks can help inform the development of social support interventions that can contribute to improved health among Latinos.     

Gender differences in type a behavior and hostility within an organizational setting

Abstract

Recent investigations suggest that the hostility component of the Type A behavior patter (TABP) is a greater detriment to health than the overall pattern. Some researchers suggest that certain Type A characteristics (e.g., job-involvement) are actually adaptive. This study compared the relative relationship of the TABP and hostility to career-related achievement and psychosocial adjustment among 223 service-delivery employees. Male and female participants completed the Jenkins Activity Survey and the MMPI Hostility Scale as part of a cardiovascular disease risk factor screening. The TABP was positively associated with managerial status for both men and women. However, the TABP was positively related to psychosocial adjustment variables among men only. Hostility was significantly related to undesirable outcomes including lower job status, life dissatisfaction, and unfavorable perceptions of the workplace for both men and women. Discussion addresses organizational factors which might perpetuate hostility and the TABP, as well as gender differences in the experience of these constructs.     

Patient–Provider Communication About Sexual Health: The Relationship with Gender, Age, Gender-Stereotypical Beliefs, and Perceptions of Communication Inappropriateness

This investigation examined patient–provider communication about sexual health related to gender and age. Data were collected from 277 individuals, aged 18–60, via convenience and snowball sampling at a large university in southwestern United States. Results indicate women are more proactive about their sexual health than men and tested for STDs more frequently. Women, more than men, initiate discussions with their healthcare provider about sexual health matters and healthcare providers are more likely to initiate communication about such matters with women than men. Men hold stronger gender-stereotypical beliefs than women, are less likely to initiate conversations about sexual issues with their provider, and believe sexual discussions with their partner are inappropriate. Age relates to sexual activity initiation and perceived STD risk.     

Relationships of suicide ideation with cause-specific mortality in a longitudinal study of South Koreans

Using 7-year mortality follow-up data (n = 341) from the 1998 National Health and Nutrition Examination Surveys of South Korean individuals (N = 5,414), the authors found that survey participants with suicide ideation were at increased risk of suicide mortality during the follow-up period compared with those without suicide ideation. The cause-specific analyses showed that, in men, suicide ideation was significantly associated with mortality due to cardiovascular disease, external causes, and other causes. However, there was no significant association between suicide ideation and cause-specific mortality in women. The relationship between suicide ideation and cause-specific mortality in men was not fully explained by baseline health status, socioeconomic status, health behavior, or psychosocial factors.     

Parents’ Perceptions of Autism Spectrum Disorder Etiology and Recurrence Risk and Effects of their Perceptions on Family Planning: Recommendations for Genetic Counselors

Knowledge about the etiology of Autism Spectrum Disorders (ASDs) is increasing, but causes remain elusive for most cases. Genetic counselors are positioned to help families that have children with ASDs despite uncertainty regarding etiology. To determine how genetic counselors might best provide services, an anonymous survey was conducted with 255 parents whose children were diagnosed on the autism spectrum. Questions concerned: 1) their perceptions of ASD cause(s) and 2) recurrence risk, 3) whether perceived risk affected family planning decisions, 4) whether parents had received genetic services, and 5) how genetic counselors might assist families. The most prevalent perceived cause was genetic influences (72.6%). Most parents’ recurrence risk perceptions were inaccurately high and significantly affected family planning. Only 10% had seen a genetic professional related to an ASD. Parents provided several suggestions for genetic counselor best practices. Findings indicate the importance of genetic counselor awareness of parent perceptions in order to best help families who have children with ASDs.     

The malleability of gender stereotypes: influence of population size on perceptions of men and women in the past, present, and future

Recent studies on the malleability of gender stereotypes show that they are flexible, dynamic structures that change with the passage of time. In a study, we examined perceptions about men and women of the past, present, and future in Spain and focused on the influence of an important demographic variable on these perceptions: the population size of people's location of residence. Results showed that people perceived an increase in similarity of men and women from the past to the present and from the present to the future. In less-populated locations, however, men and women were more gender stereotyped and, consequently, still perceived to be further from equality than those in more populated areas. We concluded that the study of dynamic gender stereotypes benefits from extensive research in populations that vary in their demographic characteristics and shows the importance of recent movements in rural areas supporting women's participation in the modernization process.     

Gender differences in evaluating social-sexual conduct in the workplace

Qualitative interviews exploring gender differences in perceptions of sexual harassment were conducted with 100 full-time St. Louis area employees. Women more than men reported that telling dirty/sexual jokes was a non-harassing behavior, qualified behaviors as harassing when they happened in the workplace, and considered behaviors as non-harassing when the man's intentions were not harmful. Men more than women reported that requesting a date was a non-harassing behavior, qualified behaviors as harassing when the woman did not welcome the behavior, and considered behaviors as non-harassing when they did not violate workplace norms. Logistic regression analysis predicted the respondent gender with 86% accuracy. Finally, concept mapping suggested that when women think about harassers they are concerned with power and social aptitude, while men seem to be more concerned about the responsibility and psychological adjustment of perpetrators of sexual harassment. When women think about victims of harassment they are concerned with a woman's assertiveness and work effectiveness, while men are more concerned with the psychological state of the woman and how provocative she is when they think about victims of sexual harassment.     

Perceived Risk of AIDS: Assessing the Behavioral and Psychosocial Consequences in a Cohort of Gay Men1

Longitudinal analyses reported here explored the relationship between a perceived sense of being at risk for AIDS and a variety of behavioral, social, and psychological consequences. Data were obtained from a cohort of 637 homosexual men living in Chicago, who are participating in a psychosocial study and have completed two waves of data collection. Their perceptions of risk were quantified using both an absolute and a comparative measure; these were combined into a risk index, scored from one to nine (x?= 3.91; SD= 1.64). Univariate analyses demonstrated that level of risk was related to several measures of subsequent behavioral risk reduction. However, after adjustment for sociodemographic variables, initial behavior, and other components of a model predicting behavior change, this was no longer true. Of the 12 behavioral outcomes assessed, only one was related to risk after appropriate adjustment, and this relationship was negative. Other longitudinal analyses examined the impact of a sense of risk on measures of psychosocial functioning which have been theoretically linked to health behaviors and to measures of psychological/ social distress. These demonstrated a range of potentially adverse consequences for those who perceived themselves to be at greater risk for AIDS, including increased barriers to behavioral change, obsessive/compulsive behavior, social role impairment, and more intrusive worries and concerns about AIDS. Taken together, these results suggest that there is little or no observable benefit to an increased sense of risk, but that such a sense subsequently leads to distress and dysfunction in a variety of realms. The implications of these findings for development of policy concerning antibody testing of at-risk populations is discussed.     

Social relationships,stressful life events,and self-reported physical health: Genetic and environmental influences

Abstract

This study investigates how the associations between self-reported health, stressful life events, and social relationships are mediated by genetic and environmental influences and how much of the variance in health is in common with variation in these psychosocial factors. The analyses are based on questionnaire data from 576 pairs of twins reared apart and twins reared together. The data revealed that for men environmental influences were solely important for variation in the psychosocial measures and were the primary mediators of the relationship with health. For women, on the other hand, a substantial portion of the variance in the psychosocial factors was due to genetic influences and these influences also contributed to the bulk of the correlations with health. The gender differences for the relationships and their mediation indicate that what should be regarded as a psychosocial factor of importance for health might differ between genders.     

The Impact of Gender and Setting on Perceptions of Others' Ethics

In this article we explore how differences in gender and setting affect individuals' perceptions of others' ethics. We examine 4 hypotheses: first, that men would be perceived as more utilitarian in their ethics and women would be perceived as more formalist; second, individuals would be perceived to be more utilitarian in work settings than in nonwork settings; third, women would be more accurate in their perceptions of others' ethics; fourth, both men and women would be more accurate in their perceptions of women's ethics. Results strongly support the first, refute the second, modestly support the third, and support the fourth. Overall, the data suggest that men and women share very similar perceptions of own-gender and other-gender ethics. However, these shared perceptions are often quite inaccurate.     

Incivility at Academic Conferences: Gender Differences and the Mediating Role of Climate

In a survey study of 458 U.S. women and men, we examined experiences of incivility at an academic conference, a context that represents an important extension of the academic/professional workplace. We hypothesized and found that women reported more incivility, perceived the climate to be more sexist, and reported more conference exclusion than men. Counter to our prediction, men and women did not differ in how negatively they viewed the climate or their conference satisfaction. Since incivility may be a subtle form of bias that targets women more than men, women’s experiences of incivility may lead them to view the environment as more sexist. We found support for this, such that the relationship between incivility and sexist climate perceptions were stronger for women than men. Finally, we proposed that incivility would be related to negative conference outcomes through more negative perceptions of the conference climate for both genders, and through sexist climate perceptions only for women. Results of our path analyses indicated that positive, but not sexist, climate perceptions mediated the relationship between incivility and conference satisfaction for both genders. Further, both sexist and positive climate perceptions mediated the relationship between incivility and conference exclusion for both genders. We discuss incivility as a gendered phenomenon related to sexist contexts, as well as reasons for the observed mediated relationships. Additionally, we discuss the significant role that conference experiences may play for women and men in academia and professional settings, and implications for conference organizers.     

Inferring sexual interest from behavioral cues: Effects of gender and sexually relevant attitudes

Research has found that men impute more sexual meaning to others' behavior than do women. However, little research has examined the possibility that men and women share perceptions of the sexual connotativeness of certain behaviors but diverge in their perceptions of other behaviors. In Study 1, 162 male and 186 female undergraduates, predominantly Caucasian, rated the degree to which each of 27 behaviors of male and female targets connoted a desire for sexual intercourse. Multivariate analyses of variance revealed that, whereas men perceived all but two of the female target behaviors more sexually than women, men and women differed in their perceptions of the sexual connotativeness of only about half of the male target behaviors. A factor analysis revealed three factors for both male and female target behaviors, reflecting mundane dating behaviors, romantic behaviors, and sexual behaviors. Relative to women, men perceived only the mundane dating behaviors more sexually, although regression analyses showed these effects to be moderated by subjects' attitudes toward women. Study 2 examined the extent to which sexually relevant attitudes (e.g., sex role stereotyping, adversarial sexual beliefs, and rape myth acceptance) moderate subjects' perceptions of the sexual connotativeness of the behaviors. Men, particularly those who endorsed traditional, sexually relevant attitudes, were more likely than women to impute sexual meaning to the behaviors. The implications of this for dating situations are discussed.The author wishes to thank Mark Leary and two anonymous reviewers for their comments and suggestions on earlier versions of this article.     

Gender and the Choice of a Science Career: The Impact of Social Support and Possible Selves

This study examined the relationships among perceived social support, beliefs about how one would fare in a science career, and perceptions and choice of a career in science. Participants were 48 men and 33 women from the Midwestern United States who had been identified as gifted in mathematics and science and participated in a high school science enrichment program. They ranged in age from 24 to 28?years old, and the sample was predominantly White (83.3%). Participants completed an online measure approximately 10?years after the program ended examining their sources of support and beliefs about the self as a scientist to see how these variables influence perceptions of a science career and actual career. We expected that the relationship between perceived support from people and current job held would be mediated by participants’ beliefs about their personal life as a scientist in the future. Similarly, we expected that the relationship between a perceived supportive environment and having a science career would be mediated by participants’ beliefs about their career as a scientist in the future. Findings indicated that social support contributed directly to men’s and women’s ability to envision themselves in a future science career, which, in turn, predicted their interest in and motivation for a science career. No significant gender differences were found in the predictors of men’s and women’s perceptions and choice of a science career. Implications for recruitment of students into scientific majors and careers are discussed.