Benjamin A. Shaw

Church-Based Social Support and Religious Coping

The purpose of this study is twofold: to explore the nature of church-based social support, and to see whether support received in religious settings is related to the use of religious coping methods. The data come from a nationwide survey of members of the Presbyterian Church USA. Three dimensions of religious support are examined in detail: emotional support from church members, spiritual support from church members, and emotional support from the pastor. These dimensions of support are used to evaluate an issue that has been largely overlooked in the literature—the relationship between religious support and religious coping. The findings reveal that people are especially inclined to use positive religious coping responses when they receive spiritual support from church members. Even though emotional support from the pastor also increases the use of religious coping methods, the relationship is not as strong. Finally, emotional support from church members has no effect.

Emotional Support From Parents Early in Life, Aging, and Health

The purpose of this study is to estimate the relationship between receiving emotional support from parents early in life and an individuals health in adulthood. Analysis of data from a nationally representative sample of adults ages 25-74 years suggests that a lack of parental support during childhood is associated with increased levels of depressive symptoms and chronic conditions in adulthood. These associations between early parental support and adult health persist with increasing age throughout adulthood. Personal control, self-esteem, and social relationships during adulthood account for a large portion of these long-term associations. These findings underscore the importance of adopting a life course perspective in studying the social determinants of health among adults.

A descriptive epidemiology of lifetime trauma and the physical health status of older adults.

Three issues are evaluated in this study. The 1st involves examining the relationship between exposure to trauma over the life course and physical health status in old age. The 2nd has to do with seeing whether the relationship between trauma and health varies across 3 cohorts of older adults: the young-old (ages 65-74), the old-old (ages 75-84), and the oldest old (age 85 and over). The 3rd issue involves seeing whether the age at which a trauma was encountered is related to health in late life. Data from a nationwide survey of older people (N=1,518) reveal that trauma is associated with worse health. Moreover, the young-old appear to be at greatest risk. Finally, data suggest that trauma arising between the ages of 18 and 30 years, as well as ages 31 to 64 years, has the strongest relationship with current health.

Exposure to Physical Violence During Childhood, Aging, and Health

Objectives: The purpose of this study is to estimate the relationship between exposure to physical violence administered by one’s parents and adult health. In the process, the authors also examine factors that mediate and moderate this association. Methods: Hypothesized relationships were tested using ordinary least squares regression analyses with data collected from a nationwide sample of adults aged 25 to 74 in 1995. Results: The data suggest that exposure to childhood physical violence is associated with diminished mental and physical health in adulthood. These associations do not vary by respondent’s age. Furthermore, the long-term effects of childhood physical violence are largely mediated by psychosocial resources. Discussion: These results support the idea that the effects of childhood trauma may persist into later life. Therefore, in studying the antecedents of current health problems among adults, it may be necessary to consider the influence of events that have occurred throughout the entire life course.

Role-specific feelings of control and mortality.

The purpose of this study is to examine the impact of 2 different measures of personal control on mortality in late life. The 1st reflects control over the 3 roles that are most important to elderly study participants. The 2nd is a global measure that assesses control over life as a whole. Data provided by a nationwide survey of older adults (N = 884) indicate that feelings of control over the single most important role significantly reduce the odds of dying. In contrast, control over the 2nd and 3rd most important roles are not related to mortality, nor are feelings of control over life as a whole. The theoretical implications of these findings are discussed.

Evolving Self-Rated Health in Middle and Old Age: How Does it Differ Across Black, Hispanic, and White Americans?

Objective:This research focuses on ethnic variations in the intraindividual changes in self-rated health. Method: Data came from the Health and Retirement Study involving up to 6 repeated observations between 1995 and 2006 of a national sample of 18,486 Americans above 50 years of age. Hierarchical linear models were employed in depicting variations in self-rated health across White, Black, and Hispanic Americans. Results: Subjective health worsened over time albeit moderately. Relative to younger persons, older individuals rated their health poorer with a greater rate of deteriorating health. With reference to ethnic variations in the intercept and slope of perceived health, White Americans rated their health most positively, followed by Black Americans, with Hispanics rating their health least positively. This pattern held even when socioeconomic status, social networks, and prior health were adjusted. Discussion: Significant ethnic differences exist in the evolvement of self-rated health in middle and late life. Further inquiries may include analyzing ethnic heterogeneities from a person-centered perspective, health disparities across subgroups of Hispanics, effects of neighborhood attributes, and implications of left truncation.

Role-Specific Control, Personal Meaning, and Health in Late Life

The purpose of this study is to develop and empirically evaluate a latent variable model that examines the relationships among role-specific control, personal meaning, and health in late life. It is hypothesized that older adults with high levels of role- specific control are likely to develop a deep sense of personal meaning. This conceptual scheme further specifies that elderly people who derive a sense of meaning will, in turn, enjoy better health than older adults who are unable to find meaning in life. Data from a nationwide survey of older people provide support for this theoretical rationale.

Changes in Functional Status Among Older Adults in Japan: Successful and Usual Aging.

This research aimed to chart the trajectories of functional status in old age in Japan and to assess how self-rated health and cognitive functioning differentiate these trajectories and account for interpersonal differences. Data came from a 5-wave panel study of a national sample of 2,200 Japanese older adults between 1987 and 1999. The sample as a whole showed an accelerated increase in functional limitations with age. approximated by a quadratic function. More important, 3 major trajectories of functional change were identified: (a) minimal functional decrement, (b) early onset of functional impairment. and (c) late onset of functional impairment. These findings may serve as useful benchmarks for observations derived from other developed nations.

Negative Interaction and Changes in Functional Disability During Late Life

The purpose of this study was to test two hypotheses. The first specifies that negative social interaction exerts a deleterious effect on changes in functional disability over time. The second proposes that the adverse effects of negative interaction on health will be especially evident among respondents with less education. Data from a nationwide longitudinal survey provide support for Hypothesis 2, but not Hypothesis 1. A set of supplementary analyses was performed to explore why less educated elders may be at risk. These additional analyses reveal that levels of exposure to negative interaction are not greater among older adults with less education, nor is negative interaction more stable in this group. Instead, the most likely explanation for why less educated elders may be at risk may involve differential vulnerability to negative interaction that may be due to depleted individual coping resources.

Age and race differences in the trajectories of self-esteem.

The purpose of this research was to assess age- and race-based variation in within-persons changes in self-esteem over a 16-year period. We used hierarchical linear modeling with data from 3,617 adults 25 years of age and older who were interviewed up to 4 times. Self-esteem increased, on average, over the course of the study period. At the same time, significant age variations around this trend were observed, with younger adults experiencing increases in self-esteem and older adults experiencing decreases. In general, race differences were not evident with respect to average levels or rates of change in self-esteem. However, a significant Age x Race interaction suggested that late-life declines in self-esteem were steeper for Blacks compared with Whites. These findings suggest the presence of age- and race-based stratification with respect to self-esteem. Future work in this area should examine the health and well-being effects of declining self-esteem during old age.