A Change for the Worse: Negative Social Exchanges are Associated with an Accelerated Decline in Self-Rated Health Over Time

J Aging Health. 2022 Oct;34(6-8):984-995. doi: 10.1177/08982643221083407. Epub 2022 Apr 27.

Abstract

Objectives: Age-associated accelerated declines in physical health vary across individuals, and researchers have suggested that individual differences in decline may vary as a function of stressors. The relation of one such stressor, negative social exchanges, to accelerated declines in self-rated health is investigated.

Method: Participants are from a 2-year, 5-wave, national, longitudinal study of social relationships among older adults. Growth curve analyses are used to examine the relation of negative and positive social exchanges to accelerated changes in self-rated health, controlling for age, sex, race/ethnicity, education, and depressive symptoms.

Results: Individuals reporting more frequent negative social exchanges showed significantly accelerated declines in physical health. Positive social exchanges were not related to linear or accelerated declines in self-rated health over time.

Discussion: The association between negative social exchanges and accelerated deterioration in self-rated health provides general support for hypotheses that interpersonal stressors play an important role age-related physical health decline.

Keywords: aging; negative social interactions; self-rated health.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Ethnicity*
  • Health Status
  • Humans
  • Interpersonal Relations*
  • Longitudinal Studies
  • Social Support