The effects of widowhood on physical and mental health, health behaviors, and health outcomes: The Women's Health Initiative.

This study examined whether widowhood was associated with physical and mental health, health behaviors, and health outcomes using a cross-sectional (N=72,247) and prospective (N=55,724) design in women aged 50-79 years participating in the Women's Health Initiative observational study (85.4% White). At baseline, married women reported better physical and mental health and generally better health behaviors than widowed women. Whereas women who remained married over the 3-year period showed stability in mental health, recent widows experienced marked impairments and longer term widows showed stability or slight improvements. Both groups of widows reported more unintentional weight loss over the 3-year period. Changes in physical health and health behaviors were inconsistent, with generally small effect sizes. Findings underscore the resilience of older women and their capacity to reestablish connections, but point to the need for services that strengthen social support among women who have difficulty during this transition.     

Depression,anxiety and social support in rheumatoid arthritic women without and with a spouse

Abstract

A comparison was made of income and physical, social and psychological aspects of health between 22 female patients who had never married, 127 patients living with a spouse and 53 patients who were widowed or divorced. No significant differences were found between never married patients and patients living with a spouse. The widowed or divorced patients however had a lower income, reported less potential support, more depression and anxiety than the patients who were never married and those living with a spouse. The relationship of social support to depression and anxiety was investigated in spouseless patients (n=75) and in those living with a spouse (n=127). In both groups of patients, less potential support was found to be related to more anxiety. In addition, pain was found to contribute significantly to depression and to anxiety only in the patients living with a spouse. With regard to the latter, it is suggested that the debilitating influence of pain on the relationship with the partner might have been the mediating factor.     

The participation of females in the labor force and rates of personal violence (suicide and homicide)

This study explored the relationship between the participation of married women in the labor force, both part-time and full-time, and rates of personal violence (suicide and homicide) in the continental United States. The participation of married women in the labor force was related to homicide rates. Homicide rates were higher in states where a greater percentage of married women worked full-time. In contrast, suicide rates were more strongly related to indices of social integration (e.g., interstate migration and divorce rates). These results are discussed in terms of differences in social attitudes in the various regions of the United States and the stresses created by women's working.     

Perceptions of mothers: Effects of employment status,marital status,and age of child

Ninety-six female and 96 male college students evaluated a briefly described adult female stimulus person on 24 7-point bipolar scales that described personality traits and professional performance characteristics. Each subject rated 1 of 8 mothers, who was described as either employed or nonemployed, either divorced or married, and as having either a 1-year-old or 11-year-old child. Employed mothers were viewed as less family oriented, but as more instrumental than nonemployed mothers. Divorced mothers were perceived as less well adjusted but more instrumental than married mothers. Employed mothers with a 1-year-old child were rated as most professionally competent, while employed mothers with an 11-year-old child were rated as most instrumental.Portions of this paper were presented at the meeting of the Midwestern Psychological Association, Chicago, May 1987.     

Dependency conflict, marital threat, and alcohol consumption in a middle-aged sample.

The hypothesis that dependency conflict is associated with higher levels of alcohol consumption when dependency needs are threatened or thwarted was tested with a sample of 672 middle-aged, married adults with college-age children. The subjects' current level of alcohol consumption was predicted based on the present level of threat to the marital relationship (assessed by reports from several family members) and on indices of dependency need and inhibition of dependent behavior estimated from sibship size, sibship density, and sibling position. A multiple regression analysis yielded a significant two-way interaction (p less than .05) between marital threat and subject sex, and a significant three-way interaction of dependency need, inhibition of dependent behavior, and marital threat. High marital threat was associated with higher levels of alcohol consumption in men and slightly lower levels of alcohol consumption in women. Additionally, when dependency need was high, alcohol consumption was generally low, except when both inhibition of dependent behavior and marital threat were high. However, when dependency need was low, the highest alcohol consumption score occurred when marital threat was low and inhibition was high.     

Contributions of a supportive work environment to parents' well-being and orientation to work

Examined the joint and unique contributions of informal social support in the workplace and formal, family-responsive benefits and policies provided by employers to the job-related attitudes and personal well-being of employed parents with a young child. Eighty married men, 169 married women, and 72 single women with a preschool child completed a survey concerning social support from co-workers and supervisor, utilization of family-responsive benefits and policies, readiness to leave the employer for additional benefits, job satisfaction, organizational commitment, role strain, and health symptoms. Among the findings: (a) Fathers and mothers expressed equal levels of job satisfaction and organizational commitment, but mothers reported more role strain and health symptoms; (b) nearly 48% of married women's organizational commitment was accounted for by measures of support in the workplace; (c) informal social support at work was significantly more important to men's well-being than that of women; and (d) formal, family-responsive policies appeared more consequential for the prediction of women's role strain, perhaps because of women's greater responsibility for adjusting work life to meet the demands of family roles.     

SOCIAL SUPPORT NETWORK DIFFERENTIALS AMONG MARRIED AND NONMARRIED BLACK FEMALES

Being married has generally been associated with better mental health for adult females, in part because of the social support derived from a primary network relationship. Without the benefit of a spouse, it would be expected that nonmarried adult females would have fewer sources of social support and concomitantly lower levels of psychological well-being. Focusing on selected network characteristics, this study analyzes the differences in social support available to a sample of 91 married and 183 nonmarried Black females residing in a metropolitan area. Results indicate that having a spouse has little influence on the number of socially supportive relationships or the most important sources of assistance with financial problems. A marital partner is a source of emotional support for married Black females, but only for less than one-third. Family members and extended kin are major sources of social support for Black females, irrespective of marital status.     

Ex-Partner,Family, Friends,and Other Relationships: Their Role Within the Social Network of Long-Term Single Mothers1

This study explores various aspects of support in the social network of long-term single mothers: the nature of expected help and of offered support, the attitudes behind support, the strategies for requesting help, the reluctance to ask, the efficacy of received help, the perceived refusals, and the behaviors judged as harmful. Thirty women separated for at least two years with a child aged under 10 were chosen following the snowball technique, and participated in this study. The content analysis of the semi-structured interviews shows how the dynamics of social support varies according to the relationship to the target person: ex-partner, family, friends, or “other relationships”. For instance the ex-partner, when mentioned, rarely offered the expected support and was perceived as harmful. Family members often lived up to their expectations, but women were generally very reluctant to ask them for help. Friends were the most efficient helpers and were the main persons from whom mothers expected cognitive support. The “other relationships” offered a certain amount of help, especially at the instrumental level but, as with the ex-partner, they were frequently perceived as harmful. Finally, we advocate for an “ecological” approach to measure social support in the context of the interaction in which it occurs.     

Dependency Conflict,Marital Threat,and Alcohol Consumption in a Middle-Aged Sample

The hypothesis that dependency conflict is associated with higher levels of alcohol consumption when dependency needs are threatened or thwarted was tested with a sample of 672 middle-aged, married adults with college-age children. The subjects' current level of alcohol consumption was predicted based on the present level of threat to the marital relationship (assessed by reports from several family members) and on indices of dependency need and inhibition of dependent behavior estimated from sibship size, sibship density, and sibling position. A multiple regression analysis yielded a significant two-way interaction (p < .05) between marital threat and subject sex, and a significant three-way interaction of dependency heed, inhibition of dependent behavior, and marital threat. High marital threat was associated with higher levels of alcohol consumption in men and slightly lower levels of alcohol consumption in women. Additionally, when dependency need was high, alcohol consumption was generally low, except when both inhibition of dependent behavior and marital threat were high. However, when dependency need was low, the highest alcohol consumption score occurred when marital threat was low and inhibition was high.     

Character Strengths and Life Satisfaction in Later Life: an Analysis of Different Living Conditions

The aim of this study was to explore the role of character strengths and their associations to life satisfaction in older people. We were interested in studying several transitions that are specific for older people: aging, retirement, living alone, and being widowed. We examined the relationships of these demographic characteristics and living conditions with character strengths and studied their effects on the association of character strengths with life satisfaction. In a cross-sectional analysis, 15,598 older adults (aged 46–93 years) who had completed measures on character strengths, life satisfaction, and demographic characteristics and living conditions were selected from an existing database. Overall, analyses revealed positive associations of most character strengths with age, and higher scores in most character strengths for the employed (vs. the retired) and those living with a partner (vs. those living alone), while only few relationships with being widowed (vs. being married) were observed. Further, the contribution of character strengths to life satisfaction generally decreased slightly with age, but increased for certain character strengths, such as modesty or prudence. Also, stronger relationships between several character strengths and life satisfaction were found for retired people and those living alone, while being widowed did not affect these relationships. The results demonstrate how character strengths might contribute to the life satisfaction of older adults in various living conditions and thereby offer a starting point for strengths-based programs in later life.

     

Marital closeness,autonomy, mastery,and depressive symptoms in a U.S. Internet sample

This Internet survey tests a theory that meeting needs through marital closeness (naming spouse confidant and emotional support; perceiving oneself to be named both by the spouse; and sexual satisfaction), autonomy, and mastery protects against depressive symptoms. The U.S. sample includes 1,163 relatively wealthy and educated married respondents aged 19–84 years. The regression model, controlling for sociodemographic factors, social integration, self‐rated health, and gender interactions, explained more than half the variability in respondents’ depressive symptoms. Regardless of age, wives who were closer to their husbands were less depressed than those who were less close. Older husbands were less depressed than younger ones. Marital closeness was protective for husbands at all ages with its absence particularly problematic at younger ages.     

Stress and coping in mothers caring for a child with severe learning difficulties: A test of Lazarus' transactional model of coping

The literature on psychological stress among women consistently points to the adverse effects of child rearing on mothers, particularly those caring for children with physical or mental handicaps. Early studies of the effects on family functioning of caring for a child with severe learning difficulties adopted a pathological approach in which it was assumed that psychological distress was inevitable among family members, particularly mothers. Recent research has emphasised that many families cope with and adapt to the stress they experience, and seeks to discover how they do so. The paper reports on a study of 166 mothers caring for a child with severe learning difficulties. The aim of the study was to investigate both the factors associated with maternal stress and those which might mediate or buffer the effects of stress. The study used the Folkman and Lazarus' (1979) transactional model of stress. Stress is the condition that results when person/environment transactions lead the individual to perceive a discrepancy between the demands of a situation and his/her resources or ability to cope with those demands. The nature and type of coping generated by a person will be determined by the coping resources in the person's environment. The model identifies five categories of coping resource: utilitarian resources, health/morale, social networks, general and specific beliefs, and problem solving skills. In our study, the five coping resources were represented by the mother's social class and appraisal of her financial worries, physical health, social support, acceptance of and adjustment to the child, and assessment of coping skills. Stress was measured by the Malaise Inventory (Rutter, 1970). Four of the five coping resources were found to be significant contributors in a hierarchical regression analysis of stress scores, contributing additional variance beyond that of behavioural and other child characteristics. Altogether, 55% of the variance in stress scores was explained.     

Changing family formation in Nepal: marriage, cohabitation and first sexual intercourse

CONTEXT: In Nepal, marriage occurs at a relatively young age and arranged weddings are widespread. However, recent changes in the family formation process and the timing of first sexual intercourse suggest that a transformation may be under way. METHODS: Data on marriage, cohabitation and first sexual intercourse from the 2001 Nepalese Demographic and Health Survey were used to describe the family formation process. The sequence of these events and the intervals between them were explored for currently married men and women. Hazard models were used to identify factors associated with behavioral changes over time. RESULTS: The average age at marriage among women married before age 20 increased from 13.7 years for those born in 1952-1956 to 15.6 years for those born in 1977-1981, while remaining relatively stable for men married before age 25 (17.3 years for the 1942-1946 birth cohort to 17.7 for the 1972-1976 birth cohort). After individual and couple characteristics were controlled for, younger age at interview was associated with greater odds of simultaneous marriage and cohabitation for both genders (odds ratios, 1.3-1.7). Younger age at interview was also associated with premarital sex among men--those aged 39 or younger had significantly higher risks than older men of having had premarital sex, with odds ratios rising from 1.6 among those aged 35-39 to 1.8 among those aged 15-24. CONCLUSIONS: It is important not only to promote education as a means of delaying marriage and childbearing, but also to implement programs and services that prevent reproductive health problems for young married couples.     

More Property,Better Sex? The Relationship Between Property Ownership and Sexual Satisfaction Among Married Vietnamese Women

Since the first sexuality research in Vietnam was conducted in the late 1980s, scholarship on this field has proliferated and the topic is now less of a taboo in public discourse. Nevertheless, little is known about the area of sexual satisfaction as well as factors determining a satisfying sexual life for Vietnamese women. Using data from 2783 married women collected from a national survey, we explore the relationships among their sexual satisfaction, socio-demographic factors, and sexual experiences with a focus on their association with ownership of property. Results demonstrated that income, ethnicity, living region, frequency of sex, and sexual experience had a strong relationship with a satisfying sexual life for married women. Additionally, we found that property ownership was a strong predictor of sexual satisfaction: Women who had a savings or bank account in their own name as well as held ownership over their housing or residential land had higher odds of feeling more sexually satisfied. The present study is an important step toward follow-up research that should delve deeper into the field of human subjective sexual well-being not only from the health point of view, but also through a social and cultural lens. The study also has useful implications for those working on sexual health rights as well as for practitioners of women’s rights in development programs and projects that aim to empower women through altering traditional discourses and practices over women’s role in property ownership.     

Childbirth and Alcohol Consumption Impact of Recent Childbirth on Alcohol Consumption

While the devastating effects of parental alcohol use on children’s health are well known, the specific impact of childbirth on parental alcohol consumption has rarely been examined in the general population. We sought to examine patterns of alcohol use associated with childbirth. Data were drawn from the US National Epidemiologic Survey on Alcohol and Related Conditions. We compared successively the characteristics of alcohol use among females living with a child under 1 year with (i) those of females not living with children under 1 year and (ii) those of females living with an older child. Mean daily ethanol intake was lower among females living with a child under 1 than among females either not living with children under 1 year (p?<?0.001) or living with an older child (p?<?0.01). Moreover, low-to-mild drinking frequencies fell among females living with a child under 1, compared with females either not living with children under 1 year (adjusted odds ratio (AOR)?=?0.56; 95% CI [0.40, 0.80] for at least once a month and AOR?=?0.40; 95% CI [0.27, 0.58] for less than once a month) or living with an older child (AOR?=?0.52; 95% CI [0.36, 0.75] for at least once a month and AOR?=?0.66, 95% CI [0.46, 0.94] for less than a month). No significant difference was found for males. Our study suggests that childbirth, as opposed to motherhood per se, reduces several (though not all) dimensions of alcohol consumption in females, but not in males.     

Person-in-Environment Transitions: Developmental Analysis

The holistic, developmental, systems-oriented perspective, an extension of the work of Heinz Werner and his associates, is characterized including basic assumptions of the approach and explication with respect to such problems as child development (including transition to nursery school; child-centered urban planning; microgenesis and ontogenesis); adult development (including becoming a parent and retiring); social relationships (including residential living of first year undergraduates; abused women; marital interaction); health problems (including protection against sexual transmission of HIV, reading disabilities, weight loss, and alcohol and tobacco use); changes in the physical environment; cross-cultural psychology (including cultural differences in values; values mothers hold for preschoolers; necessities, amenities, and luxuries; sojourner experience and action; cross-cultural differences in compliance with automobile safety belt legislation); psychopathology including neuropathology; organizational psychology; conditions facilitating developmental advance; and some significant open research problems.     

Social perceptions of individuals missing upper front teeth

Although it is assumed that there are negative social consequences for individuals missing visible front teeth, no study of the way in which edentulous individuals were perceived in a social context and the potential social repercussions could be located. This initial study concerned college students' perceptions of individuals missing visible upper front teeth. 200 volunteers, 19 to 50 years of age (M = 20.6, SD = 4.4), rated five photographs depicting tooth presence or absence, from a full dentition to missing as many as four upper front teeth, on social traits including attractiveness, health status, educational attainment, satisfaction with life, active social life, aggressiveness, intelligence, trustworthiness, amount of caring, friendship, dating, and likelihood to live as a neighbor. Analysis suggested a person missing visible teeth was more negatively perceived on all social traits than a person with full dentition. Results were strongest when students were proposed to be linked to the edentulous individual in a personal way, i.e., dating or living as neighbor. Men and women agreed on perceptions of social traits and dentition condition. These results suggest the presence of strong Western cultural values, whereby those who are missing teeth may experience significant barriers to personal and social success.     

Sexual Assault History and Health-Related Outcomes in a National Sample of Women

This study examined correlates of past-year chronic medical conditions and lifetime contact with health care professionals for mental health and substance abuse problems in women with differing histories of sexual victimization  ( N  = 627)  identified from the National Comorbidity Survey (e.g., assault in childhood, adulthood, or both life phases). Posttraumatic stress disorder (PTSD) and stressful life events were associated with greater odds of chronic medical conditions among women sexually assaulted in childhood only. Additional traumatic events were associated with greater odds of chronic medical conditions among victims of adult sexual assault. Older age and being married were associated with greater odds of lifetime health care professional contact for mental health/substance abuse issues among certain victim subgroups. Stressful life events were related to greater help-seeking for child victims, and traumatic events were related to greater help-seeking in adult victims. Alcohol dependence symptoms and PTSD were each associated with greater odds of lifetime health care professional contact among women victimized in both life phases, whereas depression was related to greater odds of help-seeking for women victimized in one life phase only. Psychosocial factors may play unique roles in health outcomes for women with different sexual assault histories.     

Gender,Marital Status,and Alcohol Behavior: The Neglected Role of Religion

Substantial previous research indicates that married persons enjoy better mental and physical health than others. One prominent explanation for these patterns is that married persons practice better health behaviors, including lower levels of alcohol consumption, particularly heavy drinking. However, studies of marital status differences in health behaviors have ignored the role of religious homo/heterogamy and attendance, important potential confounding and moderating factors. Focusing on alcohol behavior, we analyze 1977–1994 General Social Survey data, finding that lower levels of drinking are especially pronounced among homogamous conservative couples, and to a lesser extent among mixed-faith unions with one conservative partner. Controlling for other background characteristics, nonconservatives married to nonconservatives do not consistently consume less alcohol than unmarried persons, suggesting that much of the apparent marital status effect on drinking is actually due to religious factors. Contrary to some prior theory and research, these patterns are broadly consistent for both men and women.     

Effects of occupational prestige,employment status,and marital status on perceptions of mothers

Perceptions of mothers were investigated as a function of their marital status, employment status and prestige of their jobs. College students (128 females and 96 males) evaluated a briefly described adult female stimulus person on 24 7-point bipolar scales that described job performance characteristics and personality traits. Each subject rated one of 16 mothers of a young child. The mother was portrayed as either divorced or married and as either currently employed or formerly employed (by choice) in an occupation of either moderate or low prestige. Employed mothers were perceived as more competent in their jobs but as less well-adjusted than nonemployed mothers. Mothers with moderate-prestige occupations were viewed as more competent than those in low-prestige occupations, especially if they were currently employed. Married mothers were seen as better adjusted than divorced mothers.Portions of this paper were presented at the meeting of the Midwestern Psychological Association, Chicago, Illinois, May 1989.