Health in household context: Living arrangements and health in late middle age
Open accessAbstract
People living in some arrangements show better health than persons in other living arrangements. Recent prospective studies document higher mortality among persons living in particular types of households. We extend this research by examining the influence of household structure on health using longitudinal data. We theorize that individuals experience role-based household relations as sets of resources and demands. In certain household structures, individuals are more likely to perceive that the demands made on them outweigh the resources available to them. This perceived imbalance poses a risk to individual health. We test our expectations by analyzing the relationship between living arrangements and health using data from waves 1 and 2 of the Health and Retirement Study. We focus on persons ages 51-61 and explore gender differences. We find prospective links between household structure and self-rated health, mobility limitation, and depressive symptoms. Married couples living alone or with children only are the most advantaged; single women living with children appear disadvantaged on all health outcomes. Men and women in other household types are disadvantaged on some health outcomes. Our results suggest that the social context formed by the household may be important to the social etiology of health. In addition, they qualify the well-known link between marital status and health: The effect of marital status on health depends on household context.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
People who live alone in later life may be more vulnerable in terms of social, behavioural, functional, and socioeconomic factors.
“People who live alone in later life may be more vulnerable in terms of social, behavioural, functional, and socioeconomic factors (Bergland & Engedal, 2011;Haslbeck, McCorkle, & Schaeffer, 2012;Hughes & Waite, 2002;Shaw, Fors, Fritzell, Lennartsoon, & Agahi, 2017).”
From Living alone and cognitive function in later life (2019) · cites this paper as Hughes & Waite, 2002
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Regression Models for Categorical and Limited Dependent Variables.
MTW, & Long, J. S. (1997) · Journal of the American Statistical Association · doi:10.2307/2965458 · Cited by 6,889 · see citing works
Social conditions as fundamental causes of disease.
Link, B. G., & Phelan, J. (1995) · Journal of Health and Social Behavior · doi:10.2307/2626958 · Cited by 5,722 · see citing works
Stress, Coping, and Social Support Processes: Where Are We? What Next?
Thoits, P. A. (1995) · Journal of Health and Social Behavior · doi:10.2307/2626957 · Cited by 3,496 · see citing works
Uchino, B. N., Cacioppo, J. T., & Kiecolt-Glaser, J. K. (1996) · Psychological Bulletin · doi:10.1037/0033-2909.119.3.488 · Cited by 2,727 · see citing works
Social Conditions as Fundamental Causes of Disease
Link, B. G., & Phelan, J. C. (1995) · PubMed · doi:10.13016/rpln-eiwa · Cited by 2,684 · see citing works
Gender, marital status and the social control of health behavior
Umberson, D. (1992) · Social Science & Medicine · doi:10.1016/0277-9536(92)90259-s · Cited by 1,357 · see citing works
Social ties and health: The benefits of social integration
Seeman, T. E. (1996) · Annals of Epidemiology · doi:10.1016/s1047-2797(96)00095-6 · Cited by 1,137 · see citing works
Turvey, C., Wallace, R. B., & Herzog, R. (1999) · International Psychogeriatrics · doi:10.1017/s1041610299005694 · Cited by 716 · see citing works
'Til Death Do Us Part: Marital Disruption and Mortality
Lillard, L. A., & Waite, L. J. (1995) · American Journal of Sociology · doi:10.1086/230634 · Cited by 573 · see citing works
Self-citationMarital status and health among the elderly
Goldman, N., Korenman, S. D., & Weinstein, R. B. (1995) · Social Science & Medicine · doi:10.1016/0277-9536(94)00281-w · Cited by 553 · see citing works
Community-Level Socioeconomic Status Effects on Adult Health
Robert, S. (1998) · Journal of Health and Social Behavior · doi:10.2307/2676387 · Cited by 461 · see citing works
Reconceptualizing Marital Status as a Continuum of Social Attachment
Ross, C. E. (1995) · Journal of Marriage and the Family · doi:10.2307/353822 · Cited by 436 · see citing works
Becoming Married and Mental Health: A Longitudinal Study of a Cohort of Young Adults
Horwitz, A. V., White, H. R., & Howell-White, S. (1996) · Journal of Marriage and the Family · doi:10.2307/353978 · Cited by 407 · see citing works
Impact of Social Environment Characteristics on Neuroendocrine Regulation
Seeman, T. E., & McEwen, B. S. (1996) · Psychosomatic Medicine · doi:10.1097/00006842-199609000-00008 · Cited by 397 · see citing works
Living Alone, Social Integration, and Mental Health
Hughes, M. D., & Gove, W. R. (1981) · American Journal of Sociology · doi:10.1086/227419 · Cited by 366 · see citing works
Self-citationDenton, M. A., & Walters, V. (1999) · Social Science & Medicine · doi:10.1016/s0277-9536(98)00421-3 · Cited by 350 · see citing works
Overcrowding in the Home: An Empirical Investigation of Its Possible Pathological Consequences
Gove, W. R., Hughes, M. D., & Galle, O. R. (1979) · American Sociological Review · doi:10.2307/2094818 · Cited by 290 · see citing works
Self-citationAquilino, W. S. (1990) · Journal of Marriage and the Family · doi:10.2307/353035 · Cited by 286 · see citing works
The health of grandparents raising grandchildren: results of a national study.
Minkler, M., & Fuller‐Thomson, E. (1999) · American Journal of Public Health · doi:10.2105/ajph.89.9.1384 · Cited by 250 · see citing works
Whitehead, M., Burström, B., & Diderichsen, F. (2000) · Social Science & Medicine · doi:10.1016/s0277-9536(99)00280-4 · Cited by 219 · see citing works
Possible Causes of the Apparent Sex Differences in Physical Health: An Empirical Investigation
Gove, W. R., & Hughes, M. D. (1979) · American Sociological Review · doi:10.2307/2094822 · Cited by 217 · see citing works
Self-citationInteracting Effects of Multiple Roles on Women's Health
Waldron, I., Weiss, C. C., & Hughes, M. E. (1998) · Journal of Health and Social Behavior · doi:10.2307/2676314 · Cited by 207 · see citing works
Self-citationSocial Roles as Process: Caregiving Careers and Women's Health
Pavalko, E. K., & Woodbury, S. (2000) · Journal of Health and Social Behavior · doi:10.2307/2676362 · Cited by 189 · see citing works
The Influence of Living Alone on Depression in Elderly Persons
Dean, A., Kolody, B., Wood, P., & Matt, G. E. (1992) · Journal of Aging and Health · doi:10.1177/089826439200400101 · Cited by 173 · see citing works
Families and Health: the Negative Side of Social Ties
Burg, M. M., & Seeman, T. E. (1994) · Annals of Behavioral Medicine · doi:10.1093/abm/16.2.109 · Cited by 163 · see citing works
The Influence of Parent and Child Needs on Coresidence in Middle and Later Life
Ward, R. A., LOGAN, J. R., & Spitze, G. D. (1992) · Journal of Marriage and the Family · doi:10.2307/353288 · Cited by 155 · see citing works
The Effects of Family Composition, Health, and Social Support Linkages on Mortality
Rogers, R. G. (1996) · Journal of Health and Social Behavior · doi:10.2307/2137260 · Cited by 154 · see citing works
Waite, L. J., & Hughes, M. E. (1999) · The Journals of Gerontology Series B · doi:10.1093/geronb/54b.3.s136 · Cited by 151 · see citing works
Self-citationSeparate but Lethal: The Effects of Economic Segregation on Mortality in Metropolitan America
Waitzman, N. J., & Smith, K. R. (1998) · Milbank Quarterly · doi:10.1111/1468-0009.00095 · Cited by 138 · see citing works
The self-reported health status of lone parents
Benzeval, M. (1998) · Social Science & Medicine · doi:10.1016/s0277-9536(97)10083-1 · Cited by 136 · see citing works
Women's health: Dimensions and differentials
Macran, S., Clarke, L., & Joshi, H. E. (1996) · Social Science & Medicine · doi:10.1016/0277-9536(95)00432-7 · Cited by 127 · see citing works
Race, Socioeconomic Status, and Health: Accounting for Race Differences in Health
Schoenbaum, M., & Waidmann, T. (1997) · The Journals of Gerontology Series B · doi:10.1093/geronb/52b.special_issue.61 · Cited by 115 · see citing works
Household Formation in Developed Societies
Burch, T. K., & Matthews, B. J. (1987) · Population and Development Review · doi:10.2307/1973136 · Cited by 113 · see citing works
Living Arrangements of Minority Elders
Himes, C. L., Hogan, D. P., & Eggebeen, D. J. (1996) · The Journals of Gerontology Series B · doi:10.1093/geronb/51b.1.s42 · Cited by 99 · see citing works
Assessing sex differences in vulnerability among employed parents: the importance of marital status.
Simon, R. (1998) · Journal of Health and Social Behavior · doi:10.2307/2676388 · Cited by 78 · see citing works
Multiple Roles and Physical Health among Older Adults
Adelmann, P. K. (1994) · Research on Aging · doi:10.1177/0164027594162002 · Cited by 64 · see citing works
Painful Inheritance: Health and the New Generation of Fatherless Families.
Elkind, D., Angel, R. J., & Angel, J. L. (1995) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2077703 · Cited by 28 · see citing works
Social Integration and Mental Health Promotion
Dalgard, O. S. (1999) · Journal of Public Mental Health · doi:10.1108/17465729199900007 · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 16
- Antonucci, Toni C. and Hiroko Akiyama. 1995. “Convoys of Social Relations: Family and Friendships within a Life Span Context.” Pp. 355–71 in Handbook of Aging and the Family, edited by R. Blieszner and V H. Bedford. Westport, CT: Greenwood Press.
- Bengtson, Vern, Carolyn Rosenthal, and Linda Burton. 1990. “Families and Aging: Diversity and Heterogeneity.” Pp. 263–87 in Handbook of Aging and the Social Sciences, 3d ed., edited by R. H. Binstock and L. K. George. San Diego, CA: Academic Press.
- Berkman, Lisa F. and Thomas Glass. 2000. “Social Integration, Social Networks, Social Support, and Health.” Pp. 137–73 in Social Epidemiology, edited by L. F. Berkman and I. Kawachi. Oxford, UK: Oxford University Press.
- Burr Jeffrey A, Mutchler Jan E. “Ethnic Living Arrangements: Cultural Convergence or Cultural Manifestation”. Social Forces. 1993;72:169–80. [Google Scholar]
- House James S, Umberson Debra, Landis Karl R. “Structures and Processes of Social Support”. Annual Review of Sociology. 1988;14:293–318. [Google Scholar]
- Hughes, Mary Elizabeth and Linda J. Waite. Forthcoming. “The American Family as a Context for Healthy Aging.” In The Family in an Aging Society, edited by Sarah Harper. Oxford, UK: Oxford University Press.
- Kessler Ronald C, McLeod Jane D. “Sex Differences in Vulnerability to Network Events”. American Sociological Review. 1984;49:620–31. [Google Scholar]
- Logan, John R. and Glenna D. Spitze. 1996. Family Ties: Enduring Relations between Parents and Their Grown Children. Philadelphia, PA: Temple University Press.
- Lupton, Joseph and James P. Smith. Forthcoming. “Marriage, Assets, and Savings.” In Marriage and the Economy, edited by S. Grossbard-Shechtman. Cambridge, UK: Cambridge University Press.
- Marks Nadine F, Lambert James David. “Marital Status Continuity and Change among Young and Mid-Life Adults: Longitudinal Effects on Psychological Well-being”. Journal of Family Issues. 1998;19:652–86. [Google Scholar]
- Moen Phyllis, Dempster-McClain Donna, Williams Robin M. “Successful Aging: A Life Course Perspective on Women’s Multiple Roles and Health”. American Journal of Sociology. 1992;97:1612–38. [Google Scholar]
- Rogers, Richard G., Robert A. Hummer, and Charles B. Nam. 2000. Living and Dying in the USA: Behavioral, Health and Social Differentials of Adult Mortality. San Diego, CA: Academic Press.
- Ross Catherine E, Mirowsky John, Goldsteen Karen. “The Impact of the Family on Health: Decade in Review”. Journal of Marriage and the Family. 1990;52:1059–78. [Google Scholar]
- Ross Catherine E, Wu C. “The Links between Education and Heath”. American Sociological Review. 1995;60:719–45. [Google Scholar]
- Umberson Debra, Chen Meichu D, House James S, Hopkins Kristine, Slaten Ellen. “Gender Differences in Relationships and Psychological Weil-Being”. American Sociological Review. 1996;61:837–57. [Google Scholar]
- Wallace Robert A, Herzog A Regula. “Overview of the Health Measures in the Health and Retirement Survey”. Journal of Human Resources. 1995;30:S84–S107. [Google Scholar]
Cited by
Sorted by citations
Living alone and cognitive function in later life
Evans, I. E. M., Llewellyn, D. J., Matthews, F. E., Woods, R. T., Brayne, C., & Clare, L. (2019) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2018.12.014 · Cited by 142 · see citing works
Waldinger, R. J., & Schulz, M. S. (2010) · Psychology and Aging · doi:10.1037/a0019087 · Cited by 134 · see citing works
Ageing and intergenerational family ties in Arab countries
Kronfol, N. M., Rizk, A., & Siba, M. (2015) · Eastern Mediterranean Health Journal · doi:10.26719/2015.21.11.835 · Cited by 27 · see citing works
- Authors
- Hughes, M. E., & Waite, L. J.
- Affiliations
- Duke University (US)
- ORCID
- Waite, Linda J.
- Venue
- Journal of Health and Social Behavior
- Publisher
- SAGE Publications
- Published
- 2002-03
- Volume
- 43
- Issue
- 1
- Pages
- 1
- ISSN
- 0022-1465 (ISSN-L)
- PMC
- PMC1440422
- OpenAlex
- W1989126018
- Cited by
- 346
- References
- 38
- Citations by year
- 2026: 11 · 2025: 14 · 2024: 22 · 2023: 25 · 2022: 27 · 2021: 22 · 2020: 14 · 2019: 17 · 2018: 16 · 2017: 13 · 2016: 13 · 2015: 30 · 2014: 19 · 2013: 20 · 2012: 18
- FWCI
- 4.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Health and Social Behavior (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (1r03ag014816-01)
- National Institute on Aging (P20AG012857, R03 AG14816, P30AG012857, P01AG018911, T32AG000243)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Demography › Family Dynamics and Relationships
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- living arrangements, household composition, late middle age, self-rated health, mobility limitations, depressive symptoms, marital status, gender differences, married couples
- MeSH terms
- Activities of Daily Living, Depressive Disorder, Family Characteristics, Family Health, Female, Health Status Indicators, Humans, Longitudinal Studies, Male, Middle Aged, United States, Marital Status, Self Efficacy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review