The relationship of family proximity and social support to the mental health of older rural adults: The Appalachian context

McCulloch, B. Jan

doi:10.1016/0890-4065(95)90026-8

Cited by 26 publications

(22 citation statements)

References 28 publications

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“…78 This utilization of non-family support may also result from contemporary trends towards individuals to leave rural areas for work, leaving fewer family members in easy reach to rely upon. 29 …”

Section: Discussionmentioning

confidence: 99%

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The Role of Social Support in Multiple Morbidity: Self-Management among Rural Residents

Bardach¹,

Tarasenko²,

Schoenberg³

2011

Journal of Health Care for the Poor and Underserved

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Social support generally is considered a valuable asset that may compensate for health service deficiencies among rural populations. Employing a mixed methods approach, we explored how vulnerable rural residents described social support in the context of self-management for multiple chronic conditions. Participants generally felt support was available, though emotional/informational support was perceived as less available than other types of support. Participants did not rely heavily on informal support to help them manage their multiple morbidities, preferring to call on their doctor and their own resources. We discuss implications of these findings for meeting this vulnerable population’s self-management needs.

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Section: Discussionmentioning

confidence: 99%

“…27–28 Social support may be especially important to residents of Appalachia, where disease rates are high and strong informal social support network values are normative. 29–35 In this context, researchers have suggested social support may serve as a buffer against the impact of life stressors. 27–28,36 …”

Section: Multiple Morbidity and Self-managementmentioning

confidence: 99%

The Role of Social Support in Multiple Morbidity: Self-Management among Rural Residents

Bardach¹,

Tarasenko²,

Schoenberg³

2011

Journal of Health Care for the Poor and Underserved

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“…The influence of these variables on the configuration of care has not been thoroughly examined. For example, only a handful of investigators have assessed the informal and formal networks of elders living in the rural Appalachian region of the eastern United States (Collins & Paul, 1994;McCulloch, 1995;Rowles, 1991;Rowles & Johansson, 1993). In the aggregate, their findings reaffirm the importance of family in the lives of elders and their limited reliance on formal systems of support.…”

Section: Diversity In Rural Regionsmentioning

confidence: 67%

“…Studies of rural elders guided by Andersen's model consistently reveal that service use is most often related to education (Carter et al, 1991;Lave et al, 1995), awareness of services and the perceived need for assistance (Krout, 1984;McCaslin, 1989;Mindel & Wright, 1982;Netzer, Coward, & Dougherty, Use of Services 1997), and a preference for family care (Collins & Paul, 1994;McCulloch, 1995;Rowles, 1991;Rowles & Johansson, 1993). Comparative accounts of community service use by elders living in urban and rural areas identify perception of need as a key predictor of service use, regardless of geographic location or the ethnicity of sample members (McCaslin, 1989;Schoenberg & Coward, 1998).…”

Section: Theoretical Frameworkmentioning

confidence: 98%

The helping networks of rural elders: Demographic and social psychological influences on service use

Blieszner

Roberto²,

Singh³

2001

Ageing Int.

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The aim of this project was to extend theory and research on service use or avoidance among rural older adults by incorporating well being and attitude variables into the Andersen social behavioral model. The data were from a representative sample (N = 471) of community-dwelling Appalachian Virginians having limitations in daily activities and representing different levels of involvement with community agencies. Results indicated that variables indexing more education, less family contact, and a preference for formal services over informal assistance predicted use of formal services. Conclusions address the need to plan and market services differentially for subgroups of rural elders, potential application of the results by community leaders and gerontology practitioners, and suggestions for future research on service use among rural eiders.When the need for assistance arises, the majority of rural elders rely on their informal network of family members, friends, and neighbors. Those whom we call family caregivers (that is, relatives, friends, neighbors, and any others who help older adults without financial compensation) provide assistance with needs such as personal care, transportation, meals, companionship, home maintenance, and money management. Older adults may engage health and community-based services to complement the support provided by informal networks and to provide care when such networks are either unavailable or unable to assist them.In this paper, we provide an overview of the issues and the research literature related to help-seeking among rural older adults. This information serves as a backdrop for our investigation of the need for services, attitudes about informal caregiving and formal services, and patterns of service use among older adults living in rural Virginia. We conclude with implications for practitioners as well as suggestions for future research.

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“…Functional social support is one of the most studied predictors of mental health and well-being (e.g., Carlson, McNutt, Choi, & Rose, 2002;Cheung & Sun, 2000;Coker et al, 2002;Dalgard, Bjork, & Tambs, 1995;Dressler, 1985;Linn, Husaini, Whitten Stovall, & Broomes, 1989;McCulloch, 1995;Nyamathi, Flaskerud, & Leake, 1997;Perodeau & du Fort, 2000;Roessler, Salize, Cucchiaro, Reinhard, & Kernig, 1999) with results consistently showing positive impact (for reviews, see e.g., Barrera, 2000;McLean, 1995;Schwarzer & Leppin, 1992;R. J. Turner, Frankel, & Levin, 1983).…”

Section: Social Supportmentioning

confidence: 99%

Residential Community Identification and Psychological Well-Being

Da¹

2005

PsycEXTRA Dataset

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The relationship of family proximity and social support to the mental health of older rural adults: The Appalachian context

Cited by 26 publications

References 28 publications

The Role of Social Support in Multiple Morbidity: Self-Management among Rural Residents

The Role of Social Support in Multiple Morbidity: Self-Management among Rural Residents

The helping networks of rural elders: Demographic and social psychological influences on service use

Residential Community Identification and Psychological Well-Being

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