Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-22T20:16:27.337Z Has data issue: false hasContentIssue false

SOCIAL SUPPORT AND HEALTH AMONG ELDERLY KUWAITIS

Published online by Cambridge University Press:  14 November 2013

YAGOUB Y. AL-KANDARI*
Affiliation:
Department of Sociology and Social Work and Anthropology, Kuwait University, Kuwait
DOUGLAS E. CREWS
Affiliation:
Department of Anthropology and School of Public Health, The Ohio State University, USA
*
1Corresponding author. Email: [email protected]

Summary

The aim of this study was to examine differences in several aspects of health between Kuwaiti men and women aged 60 years and over across three age categories (60–69, 70–79, 80+ years). The relationships between several social support variables, somatic symptoms and systolic and diastolic blood pressures were examined. A total of 1427 adult men (472) and women (955) aged 60 years and over representing all six governorates were selected. Data were collected during 2008–2009 by interview and completion of a questionnaire by participants in their own homes, after obtaining their informed consent. The Social Support Scale (SSS), Frequency of Contact Scale (FOC), Strength of Relations (SOR), Somatic Symptoms Inventory (SSI) and self-rated scales of general health were included. Systolic and diastolic blood pressures were measured. The data show that self-rated health and health in the last year differ significantly across age groups. Glycaemia differed significantly across the three age groups for the total sample. Systolic and diastolic blood pressure were higher in older respondents than younger ones, but no significant differences were observed between men and women. No significant differences in somatic symptoms were observed across the three age groups. Strength of relationship, frequency of contact, social support and children living with an elderly adult were all associated with fewer somatic symptoms, and all, except social support, were associated with lower systolic and diastolic blood pressure. Having children, the perception of social support, frequency of contact with, and strength of, relationships with kin are important modulators of somatic symptoms and blood pressure among elderly Kuwaitis.

Type
Articles
Copyright
Copyright © Cambridge University Press 2013 

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

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 Ain Shams University 10, 114129.Google Scholar
Abdel-Kalek, A. (2004) Can somatic symptoms predict depression? Social Behavior and Personality 32(7), 659666.Google Scholar
Akiyama, H., Elliott, K. & Antonucci, T. (1996) Same-sex and cross-sex relationships. Journal of Gerontology 5(6), 374382.CrossRefGoogle Scholar
Al-Falah, N. (1989) Social change in the productive oil countries: Kuwait society. Annals of the Faculty of Arts 10(57).Google 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. (2002) Social support and its relationship with hypertension in Kuwaiti family [in Arabic]. Social Science Journal 30(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 Scholar
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. (2011a) 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.Google Scholar
Al-Kandari, Y. (2011b) Religiosity, social support, and health among the elderly in Kuwait. Journal of Muslim Mental Health VI(1), 8198.Google Scholar
Al-Kandari, Y. & Poirier, F. (2001) Modernization and family structure in Kuwait. The Educational Journal 60(15), 225239.Google Scholar
Al-Mutairi, H. (2000) Behaviour disorder among low income Kuwaiti family children. Journal of Social Sciences 28(3), 6588.Google Scholar
Al-Thakeb, F. (1985) The Arab family and modernity: evidence from Kuwait. Current Anthropology 26, 575580.Google Scholar
Ballesteros, R. F. (2001) Environmental conditions, health and satisfaction among the elderly: some empirical results. Psicolhema 13(1), 4049.Google Scholar
Barakat, H. (2008) 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
Bots, M. L., Grobbee, D. E. & Hofman, A. (1991) High blood pressure in the elderly. Epidemiological Review 13, 294314.Google Scholar
Bustan, M. (1986) A study of the social and institutional circumstances of the residents of the old people's home in Kuwait. Journal of Public Health 8(3), 230236.CrossRefGoogle ScholarPubMed
Case, A. & Paxson, C. (2004) Sex Differences in Morbidity and Mortality. URL: http://www.princeton.edu/rpds/papers/pdfs/case_paxson_morbidity.pdfCrossRefGoogle Scholar
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
Deeg, D. J. & Bath, P. A. (2002) Self-rated health, gender, and mortality in older persons: introduction to a special section. The Gerontologist 43(3), 369371.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.Google Scholar
Gallagher, S. (1994) Doing their share: comparing patterns of help given by older and younger adults. Journal of Marriage and the Family 56, 567578.Google Scholar
Gliksman, M. D., Lazarus, R., Wilson, A. & 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.Google Scholar
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
Hanson, B. S., Isacsson, S. O., Janzon, L. & Lindell, S. E. (1989) Social network and social support influence mortality in elderly men. The Perspective Population Study of ‘men born in 1914’, Malmo, Sweden. American Journal of Epidemiology 130(1), 100111.CrossRefGoogle Scholar
Hegland, M. E., Sarraf, Z. & Shahbazi, M. (2007) Modernization and social change: the impact on iranian elderly social networks and care systems. Anthropology of the Middle East 2(2), 5573.CrossRefGoogle Scholar
Heylen, L. (2010) The older, the lonelier? Risk factors for social loneliness in old age. Ageing Society 30, 11771196.Google Scholar
Horman, S. (1989) The role of social support on health throughout the life cycle. Health Education 20(4), 1821.Google Scholar
House, J. S. (1981) Work Stress and Social Support. Addison-Wesley, Reading, MA.Google Scholar
Jaleeli, R. (2008) Woman and Development in the Arabian Countries: Kuwaiti Women as a Case. Arabic Planning Institution, Kuwait.Google Scholar
Johnson, J. E. (1996) Social support and physical health in the rural elderly. Applied Nursing Research 9(2), 666.Google Scholar
Kaunonen, M., Tarkka, M. T., Paunonen, M. & Laippala, P. (1999) Grief and social support after the death of a spouse. Journal of Advanced Nursing 30(6), 13041311.Google Scholar
Keijser, J. & Schut, H. (1990) Perceived support and coping with loss. In Knipscheer, C. P. M. & Antonucci, T. C. (eds) Social Network Research: Substantive Issues and Methodological Questions. Swets & Zeitlinger B.V., Mesterdam.Google Scholar
Liebler, C. & Sandefur, G. (2001) Gender Differences in the Exchange of Social Support with Friends, Neighbors, and Coworkers at Midlife. URL: http://www.ssc.wisc.edu/wlsresearch/pilot/P01-R01_info/family/Family_AppA5.pdfGoogle Scholar
Lyyra, T. M. & Heikkinen, R. L. (2006) Perceived social support and mortality in older people. Journal of Gerontology B: Psychological Science 61(3), 147152.Google Scholar
McCawley, A. L. (2007) Older people with impaired capacity and financial abuse: a secondary analysis of Tribunal files. PhD thesis, University of Queensland, St Lucia.Google Scholar
Melchiorre, M. G., Chiatti, C., Lamura, G., Torres-Gonzales, F., Stankunas, M., Lindert, J.et al. (2013) Social support, socio-economic status, health and abuse among older people in seven European countries. PLoS ONE 8(1), 110.Google Scholar
Mendoza-Sassi, R. & Beria, J. (2007) Gender differences in self-reported morbidity: evidence from population-based study in southern Brazil. Cadernos de Saúde Pública 23(2), 341346.Google Scholar
Minkler, M. (1985) Social support and health of the elderly. In Cohen, S. & Syme, S. L. (eds) Social Support and Health. Academic Press, San Diego, CA, pp. 199216.Google Scholar
Molarius, A. & Janson, S. (2002) Self-rated health, chronic diseases, and symptoms among middle-aged and elderly men and women. Journal of Clinical Epidemiology 55, 364370.Google Scholar
Murtagh, K. N. & Hubert, H. B. (2004) Gender differences in physical disability among an elderly cohort. American Journal of Public Health 94(8), 14061411.CrossRefGoogle ScholarPubMed
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) Subjective usefulness and 6-year mortality risks among elderly persons in Japan. Journal of Gerontology Series B: Psychological Sciences 59, 246249.Google Scholar
Oman, D., Reed, D. & Ferrara, A. (1999) Do elderly women have more physical disability than men do? American Journal of Epidemiology 150, 834842.Google Scholar
Sable, P. (1991) Attachment, loss of spouse, and grief in elderly adults Omega 23, 129142.Google Scholar
Sarason, B. R., Sarason, I. G. & Pierce, G. R. (1990) Traditional views of Social Support and their Impact on Assessment. In Barbara, R., Sarason, I., Sarason, G. & Pierce, G. R. (eds) Social Support: An Interactional View. A Wiley-Interscience, John Wiley and Sons. New York, pp. 925.Google Scholar
Schollgen, I., Huxhold, O. & Tesch-Romer, C. (2010) Socioeconomic status and health in the second half of life: findings from the German Ageing Survey European Journal of Ageing 7(1), 1728.CrossRefGoogle ScholarPubMed
Shye, D., Mullooly, J. P., Freeborn, D. K. & Pope, C. R. (1995) Gender differences in the relationship between social network support and mortality: a longitudinal study of an elderly cohort. Social Science & Medicine 41(7), 935947.Google Scholar
Sokolovsky, J. (no date) Living Arrangements of Older Persons and Family Support in Less Developed Countries. URL: http://www.un.org/esa/population/publications/bulletin42_43/sokolovsky.pdfGoogle Scholar
Spitze, G. & Logon, J. (1990) More evidence on women (and men) in the middle. Research on Aging 12(2), 182198.Google Scholar
Thanakwang, K. & Soonthorndhada, K. (2011) Mechanisms by which social support networks influence healthy aging among thai community-dwelling elderly. Journal of Aging and Health 23, 13521378.Google Scholar
Waldron, I. (1967) Why do women live longer than men? Social Science & Medicine 10(7–8), 349362.CrossRefGoogle Scholar
White, A. N., Philogene, S., Fine, L. & Sinha, S. (2009) Social support and self reported health status of older adults in the United States. American Journal of Public Health 99(10), 18721878.CrossRefGoogle ScholarPubMed
World Health Organization (2006) Mortality Country Fact Sheet. URL: http://www.who.int/whosis/mort/profiles/mort_emro_kwt_kuwait.pdfGoogle Scholar
Wyke, S. & Ford, G. (1992) Competing explanation for association between marital status and health. Social Science & Medicine 34(5), 523532.Google Scholar
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.Google Scholar
Zisook, S. & Shuchter, S. R. (1991) Depression through the first year after the death of a spouse. American Journal of Psychiatry 148, 13461352.Google ScholarPubMed
Zunzunegui, M. V., Alvarado, B. E., Béland, F. & Vissandjee, B. (2009) Explaining health differences between men and women in later life: a cross-city comparison in Latin America and the Caribbean. Social Science & Medicine 68(2), 235242.Google Scholar