title: Are the salutogenic effects of social supports modified by income? A test of an "added value hypothesis".
abstract: Older adults (54 men, 113 women; M age = 69.5 years) were examined to test the hypothesis that social supports would be more salutogenic (health promoting) for persons with lower incomes than for persons with higher incomes. Interactions of income and social supports (mean of 3 emotional scales of the Interpersonal Support Evaluation List) at study entry predicted changes 15-18 months later in a cardiovascular composite (linear combination of high-density lipoproteins-mean arterial pressure; p < .05), and natural killer cell activity (p < .05). For both outcomes, emotional supports were salutogenic for persons with lower incomes (< or =$29,000/year), but not for persons with higher incomes (>$29,000/year). In contrast, interactions of the Tangible Support Scale with income did not occur. Persons with lower incomes may derive benefits from social supports that go beyond tangible assistance.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle 98195, USA. pvital@u.washington.edu
authors.forename: P P
authors.initials: PP
authors.lastname: Vitaliano
authors.forename: J M
authors.initials: JM
authors.lastname: Scanlan
authors.forename: J
authors.initials: J
authors.lastname: Zhang
authors.forename: M V
authors.initials: MV
authors.lastname: Savage
authors.forename: B
authors.initials: B
authors.lastname: Brummett
authors.forename: J
authors.initials: J
authors.lastname: Barefoot
authors.forename: I C
authors.initials: IC
authors.lastname: Siegler
mesh_terms: D000368:Aged; D000375:Aging / Q000502:physiology; D001794:Blood Pressure / Q000502:physiology; D015992:Body Mass Index; D008076:Cholesterol, HDL / Q000097:blood; D003866:Depressive Disorder / Q000175:diagnosis / Q000276:immunology / Q000523:psychology; D002149:Energy Intake; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D007182:Income; D007398:Interpersonal Relations; D007694:Killer Cells, Natural / Q000276:immunology; D008016:Life Change Events; D008297:Male; D012944:Social Support; D013315:Stress, Psychological / Q000276:immunology / Q000523:psychology
chemical_list: D008076:Cholesterol, HDL