Trajectories of Instrumental and Emotional Social Support and the Associated Risk of Mortality in Bereaved Older Adults in Taiwan

Author:

Tzeng Huei-Jia12,Lee Chiachi Bonnie3,Chen Cheng-Tsung4,Lee Miaw-Chwen156ORCID

Affiliation:

1. Department of Social Welfare, National Chung Cheng University, Chiayi, Taiwan

2. Department of Preventive Medicine, Kaohsiung Municipal Min-Sheng Hospital, Kaohsiung, Taiwan

3. Department of Health Services Administration, China Medical University, Taichung, Taiwan

4. School of Information Engineering, Sanming University, Fujian, China

5. Center for Innovative Research on Aging Society, National Chung Cheng University, Chiayi, Taiwan

6. Advanced Institute of Manufacturing with High-tech Innovations, National Chung Cheng University, Chiayi, Taiwan

Abstract

This study identified the trajectories of instrumental and emotional perceived social support (PSS) from 1996 to 2003 and investigated the associated risk of mortality in bereaved older adults in Taiwan. The study analyzed 1,188 bereaved older adults who had experienced loss of a spouse, a child, or both before 1996 from the Taiwan Longitudinal Study on Aging. More favorable trajectories of PSS are associated with lower mortality risk in bereaved older adults. Compared with the spousal or dual bereavement, the parental bereavement benefited more from consistently high instrumental PSS. The present study revealed that consistently high emotional PSS had a stronger protective effect on mortality risk for a widow or widower than did consistently high instrumental support. The findings of this study can serve as an empirical reference to inform social policies and clinical practices for bereaved older adults in culturally similar societies.

Funder

China Medical University, Taiwan

Ministry of Science and Technology, Taiwan

Ministry of Education Taiwan

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Health (social science),Social Psychology

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