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Social relationships and allostatic load in Taiwanese elderly and near elderly

Author

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  • Seeman, Teresa
  • Glei, Dana
  • Goldman, Noreen
  • Weinstein, Maxine
  • Singer, Burt
  • Lin, Yu-Hsuan

Abstract

Despite the increasing evidence linking aspects of the social environment to a range of health outcomes, important questions remain concerning the precise mechanisms or pathways through which social circumstances exert their influence. Biological pathways are one important area of current research interest. Using data from the Social Environment and Biomarkers of Aging Study (SEBAS) in Taiwan, we examined relationships between social environment characteristics and an index of cumulative biological dysregulation ("allostatic load," AL) in near elderly (NE) (aged 54-70) and elderly Taiwanese (aged 71+). Longitudinal data on levels of social integration and extent of social support were used to predict cumulative AL at the final survey year. Linear regression analyses revealed that among the NE, presence of a spouse between 1996 and 2000 was associated with lower AL in 2000 among men, but not women. Among the elderly, ties with close friends and/or neighbors were found to be significantly related to lower AL for both men and women. Perceived qualities of these social relationships did not show consistent associations with AL. This relatively modest set of significant relationships stands in contrast to somewhat stronger patterns of findings from studies in Western societies. Cross-cultural differences between Western societies and an East Asian society such as Taiwan raise the intriguing possibility that contextual, normative influences on social experience affect the patterns of association between features of these social worlds and the physiological substrates of health.

Suggested Citation

  • Seeman, Teresa & Glei, Dana & Goldman, Noreen & Weinstein, Maxine & Singer, Burt & Lin, Yu-Hsuan, 2004. "Social relationships and allostatic load in Taiwanese elderly and near elderly," Social Science & Medicine, Elsevier, vol. 59(11), pages 2245-2257, December.
    • Handle: RePEc:eee:socmed:v:59:y:2004:i:11:p:2245-2257
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    Citations

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    Cited by:

    1. Eileen M. Crimmins & Sarinnapha Vasunilashorn & Jung Ki Kim & Aaron Hagedorn & Yasuhiko Saito, 2008. "A Comparison of Biological Risk Factors in Two Populations: The United States and Japan," Population and Development Review, The Population Council, Inc., vol. 34(3), pages 457-482, September.
    2. McDade, Thomas W., 2008. "Challenges and opportunities for integrative health research in the context of culture: A commentary on Gersten," Social Science & Medicine, Elsevier, vol. 66(3), pages 520-524, February.
    3. Davillas, Apostolos & Pudney, Stephen, 2020. "Biomarkers, disability and health care demand," Economics & Human Biology, Elsevier, vol. 39(C).
    4. Seeman, Melvin & Stein Merkin, Sharon & Karlamangla, Arun & Koretz, Brandon & Seeman, Teresa, 2014. "Social status and biological dysregulation: The “status syndrome” and allostatic load," Social Science & Medicine, Elsevier, vol. 118(C), pages 143-151.
    5. Regina Frei & Sarah R Haile & Margot Mutsch & Sabine Rohrmann, 2015. "Relationship of Serum Vitamin D Concentrations and Allostatic Load as a Measure of Cumulative Biological Risk among the US Population: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-17, October.
    6. Maes, Kenneth C. & Hadley, Craig & Tesfaye, Fikru & Shifferaw, Selamawit, 2010. "Food insecurity and mental health: Surprising trends among community health volunteers in Addis Ababa, Ethiopia during the 2008 food crisis," Social Science & Medicine, Elsevier, vol. 70(9), pages 1450-1457, May.
    7. Yu Tong & Chuan-Hoo Tan & Hock-Hai Teo, 2017. "Direct and Indirect Information System Use: A Multimethod Exploration of Social Power Antecedents in Healthcare," Information Systems Research, INFORMS, vol. 28(4), pages 690-710, December.
    8. Gersten, Omer, 2008. "Neuroendocrine biomarkers, social relations, and the cumulative costs of stress in Taiwan," Social Science & Medicine, Elsevier, vol. 66(3), pages 507-519, February.
    9. Li, Ting & Zhang, Yanlong, 2015. "Social network types and the health of older adults: Exploring reciprocal associations," Social Science & Medicine, Elsevier, vol. 130(C), pages 59-68.
    10. Shawna Beese & Julie Postma & Janessa M. Graves, 2022. "Allostatic Load Measurement: A Systematic Review of Reviews, Database Inventory, and Considerations for Neighborhood Research," IJERPH, MDPI, vol. 19(24), pages 1-23, December.
    11. Lipowicz, Anna & Szklarska, Alicja & Mitas, Andrzej W., 2016. "Biological costs of economic transition: Stress levels during the transition from communism to capitalism in Poland," Economics & Human Biology, Elsevier, vol. 21(C), pages 90-99.
    12. Li, Ting & Yang, Yang Claire & Zhang, Yanlong, 2018. "Culture, economic development, social-network type, and mortality: Evidence from Chinese older adults," Social Science & Medicine, Elsevier, vol. 204(C), pages 23-30.
    13. Ke Shen & Feinian Chen & Hangqing Ruan, 2021. "The mixed blessing of living together or close by: Parent–child relationship quality and life satisfaction of older adults in China," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 44(24), pages 563-594.

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