Abstract
As people age, many aspects of their lives tend to change, including the constellation of people with whom they are connected, their social context, their families, and their health—changes that are often interrelated. Wave I of the National Social Life, Health, and Aging Project (NSHAP) has yielded rich information on intimate ties, especially dyads and families, and on social connections generally. Combined with extensive biological and other health measures, NSHAP enables researchers to address key questions on health and aging. We begin with recent findings on intimate dyads, then move to social participation, and finally to elder mistreatment. Among dyads, we find that whereas sexual activity drops sharply with age for both women and men, gender differences in partner loss as well as psychosocial and normative pressures constrain women’s sex more than men’s. However, surviving partnerships tend to be emotionally and physically satisfying and are marked by relatively frequent sex. In contrast to sex, nonsexual intimacy is highly prevalent at older ages, especially among women. Older adults are also socially resilient—adapting to the loss of social ties by increasing involvement with community and kin networks. Despite these social assets, older adults remain vulnerable to mistreatment. Overall, these findings yield a mixed picture of gender-differentiated vulnerabilities balanced by proactive adaptation and maintenance of social and dyadic assets.
Keywords: Vaginal Intercourse, Elder Abuse, Elder Mistreatment, National Opinion Research Center, National Social Life
References
- Acierno R. Elder Mistreatment: Epidemiological Assessment Methodology. In: Bonnie R.J., Wallace R.B., editors. Elder Mistreatment: Abuse, Neglect and Exploitation in an Aging America. Panel to Review Risk and Prevalence of Elder Abuse and Neglect. Washington, DC: The National Academies Press; 2003. pp. 261–302. [PubMed] [Google Scholar]
- Antonucci T.C., Akiyama H. Convoys of Social Relations: Family and Friendships Within a Life Span Context. In: Blieszner R., Bedford V.H., editors. Handbook of Aging and the Family. Westport, CT: Greenwood; 1995. pp. 355–71. [Google Scholar]
- Basson R., Berman J., Burnett A., Derogatis L., Ferguson D., Fourcroy J., Goldstein I., et al. Report of the International Consensus Development Conference on Female Sexual Dysfunction: Definitions and Classifications. Journal of Urology. 2000;163:888–93. doi: 10.1016/S0022-5347(05)67828-7. [DOI] [PubMed] [Google Scholar]
- Baumeister R.F. Gender Differences in Erotic Plasticity: The Female Sex Drive as Socially Flexible and Responsive. Psychological Bulletin. 2000;126:347–74. doi: 10.1037/0033-2909.126.3.347. [DOI] [PubMed] [Google Scholar]
- Baumeister R.F. Gender and Erotic Plasticity: Sociocultural Influences on the Sex Drive. Sex and Relationship Therapy. 2004;19:133–39. doi: 10.1080/14681990410001691343. [DOI] [Google Scholar]
- Bramlett M.D., Mosher W.D. Vital and Health Statistics. Hyattsville, MD: National Center for Health Statistics; 2002. Cohabitation, Marriage, Divorce and Remarriage in the United States. [PubMed] [Google Scholar]
- Bullivant S.B., Sellergren S.A., Stern K., Spencer N.A., Jacob S. Women’s Sexual Experience During the Menstrual Cycle: Identification of the Sexual Phase by Noninvasive Measurement of Luteinizing Hormone. Journal of Sex Research. 2004;41:82–93. doi: 10.1080/00224490409552216. [DOI] [PubMed] [Google Scholar]
- Burt R. A Note on Strangers, Friends and Happiness. Social Networks. 1987;9:311–31. doi: 10.1016/0378-8733(87)90002-5. [DOI] [Google Scholar]
- Cacioppo J.T., Patrick W. Loneliness: Human Nature and the Need for Social Connection. New York: Norton; 2008. [Google Scholar]
- Christakis N.A., Allison P.D. Inter-Spousal Mortality Effects: Caregiver Burden Across the Spectrum of Disabling Diseases. In: Cutler D., Wise D.A., Woodbury R.G., editors. Health at Older Ages: The Causes and Consequences of Declining Disability Among the Elderly. Chicago: University of Chicago Press; 2008. pp. 455–78. [Google Scholar]
- Coleman J.S. Social Capital in the Creation of Human Capital. American Journal of Sociology. 1988;94:S95–S120. doi: 10.1086/228943. [DOI] [Google Scholar]
- Comijs H.C., Penninx B.W.J.H., Knipscheer K.P.M., van Tilburg W. Psychological Distress in Victims of Elder Mistreatment: The Effects of Social Support and Coping. The Journals of Gerontology: Series B. 1999;54B:P240–P245. doi: 10.1093/geronb/54b.4.p240. [DOI] [PubMed] [Google Scholar]
- Cornwell B., Laumann E.O., Schumm L.P. The Social Connectedness of Older Adults: ANational Profile. American Sociological Review. 2008;73:185–203. doi: 10.1177/000312240807300201. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cornwell B., Schumm L.P., Laumann E.O., Graber J. Social Networks in the NSHAP Study: Rationale, Measurement, and Preliminary Findings. The Journals of Gerontology: Series B. 2009;64B(1):i47–i55. doi: 10.1093/geronb/gbp042. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cornwell E.Y., Waite L.J. Measuring Objective and Subjective Isolation Using Multiple Indicators From the NSHAP Study. The Journals of Gerontology: Series B. 2009;64B(1):i38–i46. doi: 10.1093/geronb/gbp037. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cumming E., Henry W.E. Growing Old, The Process of Disengagement. New York: Basic Books; 1961. [Google Scholar]
- Das A. Masturbation in the United States. Journal of Sex & Marital Therapy. 2007;33:301–17. doi: 10.1080/00926230701385514. [DOI] [PubMed] [Google Scholar]
- Das, A., E.O. Laumann, and L.J Waite. Forthcoming. “Sexual Expression Over the Life Course: Results From Three Landmark Surveys.” InSexualities Over the Life Course edited by L. Carpenter and J. Delamater. New York: New York University Press.
- Das A., Parish W.L., Laumann E.O. Masturbation in Urban China. Archives of Sexual Behavior. 2009;38:108–20. doi: 10.1007/s10508-007-9222-z. [DOI] [PubMed] [Google Scholar]
- Dekker A., Schmidt G. Patterns of Masturbatory Behavior: Changes Between the Sixties and the Nineties. In: Bockting W.O., Coleman E., editors. Masturbation as a Means of Achieving Sexual Health. Binghamton, NY: Haworth; 2002. pp. 35–49. [Google Scholar]
- Deng Z., Bonacich D. Some Effects of Urbanism on Black Networks. Social Networks. 1991;13:35–50. doi: 10.1016/0378-8733(91)90012-I. [DOI] [Google Scholar]
- Elwert F., Christakis N.A. Widowhood and Race. American Sociological Review. 2006;71:16–41. doi: 10.1177/000312240607100102. [DOI] [Google Scholar]
- Felder S. The Gender Longevity Gap: Explaining the Difference Between Singles and Couples. Journal of Population Economics. 2006;19:543–57. doi: 10.1007/s00148-005-0040-0. [DOI] [Google Scholar]
- Gavrilova N., Lindau S.T. Salivary Sex Hormone Measurement in a National, Population-Based Study of Older Adults. The Journals of Gerontology: Series B. 2009;64B(1):i94–i105. doi: 10.1093/geronb/gbn028. [DOI] [PMC free article] [PubMed] [Google Scholar]
- House J.S. Social Isolation Kills, but How and Why? Psychosomatic Medicine. 2001;63:273–74. doi: 10.1097/00006842-200103000-00011. [DOI] [PubMed] [Google Scholar]
- Hughes M.E., Waite L.J., Cacioppo J., Hawkley L.C. A Short Scale for Measuring Loneliness in Large Surveys: Results From Two Population-Based Studies. Research on Aging. 2004;26:655–72. doi: 10.1177/0164027504268574. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hurlbert J.S., Haines V.A., Beggs J.J. Core Networks and Tie Activation: What Kinds of Routine Networks Allocate Resources in Nonroutine Situations? American Sociological Review. 2000;65:598–618. doi: 10.2307/2657385. [DOI] [Google Scholar]
- Hwalek M., Sengstock M.C. Assessing the Probability of Abuse of the Elderly: Toward the Development of a Clinical Screening Instrument. Journal of Applied Gerontology. 1986;5:153–73. doi: 10.1177/073346488600500205. [DOI] [Google Scholar]
- Joyner K., Laumann E.O. Teenage Sex and Sexual Revolution. In: Laumann E.O., Michael R.T., editors. Sex, Love and Health in America: Private Choices and Public Policies. Chicago: University of Chicago Press; 2001. pp. 41–71. [Google Scholar]
- Knoke D. Networks of Political Action: Toward Theory Construction. Social Forces. 1990;68:1041–63. doi: 10.2307/2579133. [DOI] [Google Scholar]
- Kontula O., Haavio-Mannila E. Sexual Pleasures: Enhancement of Sex Life in Finland, 1971–1992. Aldershot: Dartmouth; 1995. [Google Scholar]
- Kontula O., Haavio-Mannila E. Masturbation in a Generational Perspective. In: Bockting W.O., Coleman E., editors. Masturbation as a Means of Achieving Sexual Health. Binghamton, NY: Haworth; 2002. pp. 49–83. [Google Scholar]
- Lachs M.S., Williams C.S., O’Brien S., Pillemer K.A., Charlson M.E. The Mortality of Elder Mistreatment. Journal of the American Medical Association. 1998;280:428–32. doi: 10.1001/jama.280.5.428. [DOI] [PubMed] [Google Scholar]
- Laumann E.O., Das A., Waite L.J. Sexual Dysfunction Among Older Adults: Prevalence and Risk Factors From a Nationally Representative U.S. Probability Sample of Men and Women 57 to 85 Years of Age. Journal of Sexual Medicine. 2008;5:2300–11. doi: 10.1111/j.1743-6109.2008.00974.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Laumann E.O., Ellingson S., Mahay J., Paik A. The Sexual Organization of the City. Chicago: University of Chicago Press; 2004. [Google Scholar]
- Laumann E.O., Gagnon J.H., Michael R.T., Michaels S. The Social Organization of Sexuality: Sexual Practices in the United States. Chicago: University of Chicago; 1994. [Google Scholar]
- Laumann E.O., Leitsch S., Waite L.J. Elder Mistreatment in the United States: Prevalence Estimates From a Nationally Representative Study. The Journals of Gerontology: Series. 2008;B63B:S248–S254. doi: 10.1093/geronb/63.4.s248. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Laumann E.O., Youm Y. Sexual Expression in America. In: Laumann E.O., Michael R.T., editors. Sex, Love, and Health in America: Private Choices and Public Policies. Chicago: University of Chicago Press; 2001. pp. 109–48. [Google Scholar]
- Lindau S.T., Drum M., Gaumer E., Surawaska H., Jordan J. Prevalence of High-Risk HPV Infection Among Older Women in the United States. Obstetrics and Gynecology. 2008;112:979–89. doi: 10.1097/AOG.0b013e31818b0df2. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lindau S.T., Hoffmann J.N., Lundeen K., Jaszczak A., McClintock M.K., Jordan J.A. Vaginal Self-Swab Specimen Collection in a Home-Based Survey of Older Women: Method and Applications. The Journals of Gerontology: Series B. 2009;64B:i106–i119. doi: 10.1093/geronb/gbn021. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lindau S.T., Laumann E.O., Levinson W. Reply to the Editor: Prevalence of Sexual Activity, Behaviors and Problems Among Older Adults in the United States: A National, Population-Based Study. New England Journal of Medicine. 2007;357:2732–33. doi: 10.1056/NEJMoa067423. [DOI] [Google Scholar]
- Lindau S.T., Laumann E.O., Levinson W., Waite L.J. Synthesis of Scientific Disciplines in Pursuit of Health: The Interactive Biopsychosocial Model. Perspectives in Biology and Medicine. 2003;46:S74–S86. doi: 10.1353/pbm.2003.0055. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lindau S.T., Schumm P., Laumann E.O., Levinson W., O’Muircheartaigh C.A., Waite L.J. ANational Study of Sexuality and Health Among Older Adults in the U.S. New England Journal of Medicine. 2007;357:762–74. doi: 10.1056/NEJMoa067423. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marin A. Are Respondents More Likely to List Alters With Certain Characteristics? Implications for Name Generator Data. Social Networks. 2004;26:289–307. [Google Scholar]
- Marsden P. Core Discussion Networks of Americans. American Sociological Review. 1987;52:122–31. doi: 10.2307/2095397. [DOI] [Google Scholar]
- McDowell I., Newell C. Measuring Health: A Guide to Rating Scales and Questionnaires. Oxford: Oxford University Press; 1996. [Google Scholar]
- McPherson M., Smith-Lovin L., Brashears M. Social Isolation in America: Changes in Core Discussion Networks Over Two Decades. American Sociological Review. 2006;71:353–75. doi: 10.1177/000312240607100301. [DOI] [Google Scholar]
- Moore G. Structural Determinants of Men’s and Women’s Personal Networks. American Sociological Review. 1990;55:726–35. doi: 10.2307/2095868. [DOI] [Google Scholar]
- O’Muircheartaigh C.O., Smith S.N. NSHAP (National Social Life, Health, and Aging Project) Wave 1 Methodology Report. Chicago: National Opinion Research Center; 2007. [Google Scholar]
- Organisation for Economic Co-operation and Development . OECD Health Data 2010. Paris: Organisation for Economic Co-operation and Development; 2002. [Google Scholar]
- Presser H.B. Age Differences Between Spouses. American Behavioral Scientist. 1975;19:190–205. doi: 10.1177/000276427501900205. [DOI] [Google Scholar]
- Qato D.M., Schumm L.P., Johnson M., Mihai A., Lindau S.T. Medication Data Collection and Coding in a Home-Based Survey of Older Adults. The Journals of Gerontology: Series B. 2009;64B(1):i86–i93. doi: 10.1093/geronb/gbp036. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rasulo D., Christensen K., Tomassini C. The Influence of Social Relations on Mortality in Later Life: A Study on Elderly Danish Twins. The Gerontologist. 2005;45:601–608. doi: 10.1093/geront/45.5.601. [DOI] [PubMed] [Google Scholar]
- Rosen R.C., Laumann E.O. The Prevalence of Sexual Problems in Women: How Valid Are Comparisons Across Studies? Archives of Sexual Behavior. 2003;32:209–11. doi: 10.1023/A:1023405415831. [DOI] [PubMed] [Google Scholar]
- Ruan D. The Content of the General Social Survey Discussion Networks: An Exploration of the General Social Survey Discussion Name Generator in a Chinese Context. Social Networks. 1998;20:247–64. doi: 10.1016/S0378-8733(98)00004-5. [DOI] [Google Scholar]
- Schofield M.J., Mishra G.D. Validity of Self-report Screening Scale for Elder Abuse: Women’s Health Australia Study. Gerontologist. 2003;43:110–20. doi: 10.1093/geront/43.1.110. [DOI] [PubMed] [Google Scholar]
- Schumm L.P., McClintock M., Williams S., Leitsch S., Lundstrom J., Hummel T., Lindau S.T. Assessment of Sensory Function in the National Social Life, Health, and Aging Project. The Journals of Gerontology: Series B. 2009;64B(1):i76–i85. doi: 10.1093/geronb/gbp048. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shiovitz-Ezra S., Leitsch S., Graber J., Karraker A. Quality of Life and Psychological Health Indicators in the National Social Life, Health, and Aging Project. The Journals of Gerontology: Series B. 2009;64B(1):i30–i37. doi: 10.1093/geronb/gbn020. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smith S., Jaszczak A., Graber J., Lundeen K., Leitsch S., Wargo E., O’Muircheartaigh C. Instrument Development, Study Design Implementation, and Survey Conduct for the National Social Life, Health, and Aging Project. The Journals of Gerontology: Series B. 2009;64B(1):i20–i29. doi: 10.1093/geronb/gbn013. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Straits B.C. Ego-net Diversity: Same- and Cross-Sex Coworker Ties. Social Networks. 1996;18:29–45. doi: 10.1016/0378-8733(95)00254-5. [DOI] [Google Scholar]
- Thoits P.A. Stress, Coping, and Social Support Processes: Where Are We? What Next? Journal of Health and Social Behavior. 1995;35:53–79. doi: 10.2307/2626957. [DOI] [PubMed] [Google Scholar]
- Umberson D. Gender, Marital Status and the Social Control of Health Behavior. Social Science and Medicine. 1992;34:907–17. doi: 10.1016/0277-9536(92)90259-S. [DOI] [PubMed] [Google Scholar]
- Waite L.J., Laumann E.O., Das A. Sexual Activity, Older Age. In: Carr D., Crosnoe R., Hughes M.E., Pienta A., editors. Encyclopedia of the Life Course and Human Development. Farmington Hills, MI: Thomson/Gale; 2008. pp. 362–66. [Google Scholar]
- Waite L.J., Laumann E.O., Das A., Schumm L.P. Sexuality: Measures of Partnerships, Practices, Attitudes, and Problems in the National Social Life, Health, and Aging Study. The Journals of Gerontology: Series B. 2009;64B(1):i56–i66. doi: 10.1093/geronb/gbp038. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Williams S.R., McDade T.W. The Use of Dried Blood Spot Sampling in the National Social Life, Health, and Aging Project. The Journals of Gerontology: Series B. 2009;64B(1):i131–i136. doi: 10.1093/geronb/gbn022. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Williams S.R., Pham-Kanter G., Leitsch S.A. Measures of Chronic Conditions and Diseases Associated With Aging in the National Social Life, Health, and Aging Project. The Journals of Gerontology: Series B. 2009;64B(1):i67–i75. doi: 10.1093/geronb/gbn015. [DOI] [PMC free article] [PubMed] [Google Scholar]