Lu Peiyi, Shelley Mack
Gerontology Program, Department of Political Science, Iowa State University, Ames, Iowa.
Department of Political Science and Statistics, School of Education, Iowa State University, Ames, Iowa.
Asian Soc Work Policy Rev. 2019 Oct;13(3):307-319. doi: 10.1111/aswp.12183. Epub 2019 Aug 22.
The shared resource hypothesis suggests that married couples share the same environmental resources, which shape their health concordance. This study tests its cross-national applicability. Cross-sectional 2012-2013 Health and Retirement Study data from China, England, Mexico, and the United States were analyzed. Heterosexual couples (age ≥60) who were married or partnered were studied ( = 20,565 pairs). Dyadic data were analyzed by multilevel models to examine the effect of self and spousal social and physical health statuses on depressive symptoms. Regression models were used to test the relationship between couples' shared resources and depressive symptom concordance. Results indicated both husbands and wives' depressive symptoms were associated with their own and spouses' social and health statuses. Most couple-level resources were insignificant predictors for Chinese and Mexican couples' concordance, but having more social and financial resources was associated with higher concordance among British and American couples. Self-reported health was the most consistent predictor in all countries. The shared resource hypothesis was more applicable to depressive symptom concordance within couples in the United States and England, but not in China and Mexico. Couple-centered intervention is suggested for clinical practice, and the spousal effect should be considered in policymaking.
共享资源假说表明，已婚夫妇共享相同的环境资源，这些资源塑造了他们的健康一致性。本研究检验了其跨国适用性。分析了来自中国、英国、墨西哥和美国的2012 - 2013年健康与退休研究的横断面数据。对已婚或有伴侣的异性恋夫妇（年龄≥60岁）进行了研究（n = 20,565对）。通过多层次模型分析二元数据，以检验自我及配偶的社会和身体健康状况对抑郁症状的影响。使用回归模型来检验夫妻共享资源与抑郁症状一致性之间的关系。结果表明，丈夫和妻子的抑郁症状均与他们自己及配偶的社会和健康状况相关。对于中国和墨西哥夫妇的一致性而言，大多数夫妻层面的资源是不显著的预测因素，但拥有更多的社会和经济资源与英美夫妇更高的一致性相关。自我报告的健康状况在所有国家都是最一致的预测因素。共享资源假说在美国和英国的夫妻抑郁症状一致性方面更适用，但在中国和墨西哥则不然。建议在临床实践中采用以夫妻为中心的干预措施，并在政策制定中考虑配偶的影响。
