Department of Sociology, Zhejiang University, Hangzhou, China.
School of Social Work, 1259University of Michigan, Ann Arbor, MI, USA.
J Aging Health. 2021 Jan;33(1-2):155-166. doi: 10.1177/0898264320966263. Epub 2020 Oct 9.
This study places the self-perceptions of aging (SPA)-health link in the couple context and examines how changes in one's own and spouse's SPA influence multiple health domains and how such associations differ by gender. : Fixed-effects regression models were estimated. Data were drawn from the Health and Retirement Survey ( = 5972). For both husbands and wives, almost all health domains declined when their own SPA became more negative. The spouse's SPA were associated with one's self-rated health, regardless of gender. Gender differences existed in some cross-spousal health effects; while the husband's SPA were associated with his wife's depressive symptoms, the wife's SPA were associated with her husband's physical disability, functional limitations, and chronic diseases. The SPA-health association extends beyond the individual in married persons, demonstrating intertwined health trajectories in older couples. The detrimental effects of ageism might be underestimated if the spillover effects were not considered.
本研究将自我老化感知（SPA）与健康之间的联系置于夫妻关系背景下，考察了个体自身和配偶 SPA 的变化如何影响多个健康领域，以及这种关联在性别上的差异。采用固定效应回归模型进行估计。数据来自健康与退休调查（n=5972）。对于丈夫和妻子来说，当他们自己的 SPA 变得更消极时，几乎所有的健康领域都在下降。配偶的 SPA 与一个人的自我评估健康状况有关，无论性别如何。一些跨配偶的健康影响存在性别差异；虽然丈夫的 SPA 与妻子的抑郁症状有关，但妻子的 SPA 与丈夫的身体残疾、功能限制和慢性疾病有关。SPA 与健康的关联在已婚人士中超越了个体，表明老年夫妇的健康轨迹交织在一起。如果不考虑溢出效应，年龄歧视的不利影响可能被低估。
