Abstract
Based on a national survey of Icelandic adolescents, this study evaluates the effects of social support on self-assessed health. The study compares four support sources, and distinguishes between direct effects and indirect effects through (1) health-related behaviors and (2) different aspects of mental health. The study indicates that parental support has the largest total effect on self-assessed health, followed by friend support, and other adult support. (Sibling support is unrelated.) The total effect of parents is due to their pervasive indirect impact, i.e., supportive parents encourage positive health behaviors and enhance mental health, which results in favorable assessment of own health. In contrast, friends and other adults affect self-assessed health in a more specific, and sometimes negative manner. Also, friends are the only support source having direct effect on self-assessed health. The implication of these results are discussed.
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Aar, L. E., Wold, B., and Kannas, L. (1986). Health behavior in schoolchildren: A WHO cross national survey.Health Promot. 1: 17–33.
Aar, L. E., and Wold, B. (1987).Health Behavior in Schoolchildren: A WHO Cross National Survey.Report From the 1985–1986 Study in 11 Countries. Research Centre on Health Promotion, Environment and Lifestyles, University of Bergen, Norway.
Andersen, R., and Aday, L. A. (1978). Access to medical care in the U.S.: Realized and potential.Med. Care 16: 533–545.
Andrews, G., Tennant, C., Hewson, D. M., and Vaillant, G. E. (1978). Life event stress, social support, coping style, and the risk of psychological impairment.J. Nerv. Ment. Dis. 166: 307–316.
Barrera, M. (1981). Social support in the adjustment of pregnant adolescents: Assessment issues. In Gotllieb, B. H. (ed.),Social Networks and Social Support. Sage, Beverly Hills, CA.
Berkman, L. (1984). Assessing the physical health effects of social networks and social support.Ann. Rev. Public Health 5: 413–432.
Blaxter, M. (1990).Health and Lifestyles. Tavistock/Routledge, London.
Brown, J. S., and Rawlinson, M. (1975). Relinquishing the sick role following open-health surgery.J. Health Soc. Behav. 16: 12–27.
Calnan, M. (1987).Health and Illness: The Lay Perspective. Tavistock, London.
Charlton, A., and Blair, V. (1989). Predicting the onset of smoking in boys and girls.Social Sci. Med. 29: 813–818.
Cohen, (1955).Delinquent Boys. Free Press, Glencoe, IL.
Coleman, J. (1961).The Adolescent Society. Free Press, New York.
Erikson, E. (1963).Childhood and Society (2nd ed.). Norton, New York.
Fridriksson, H. (1989).Könnun á Lifnadarháttum og Heilsu íslenskra Skólabarna 11–15 ára. [Survey of Lifestyle and Health in 11–15 Year Old Icelandic Schoolchildren]. Skólayfirlaeknir, Heilbrigdis-og tryggingamálarádunetyid, Reykjavík, Iceland.
Garrity, T. F. (1973). Vocational adjustment after first myocardial infarction: Comparative assessment of several variables suggested in the literature.Social Sci. Med. 7: 705–717.
Garrity, T. F., Somes, G. W., and Marx, M. B. (1978). Factors influencing self-assessment of health.Social Sci. Med. 12: 77–81.
Green, K. E., and Bird, J. E. (1986). The structure of children's beliefs about health and illness.J. School Health 56: 325–328.
Hill, J. (1980). The family. In Johnson, M. (ed.),Toward Adolescence: The Middle School Years. University of Chicago Press, Chicago.
Hirschi, T. (196).Causes of Delinquency. University of California Press, Berkeley, CA.
Jöreskog, K., and Sörbom, D. (1988).PRELIS. A Program for Multivariate Data Screening and Data Summarization. Scientific Software, Inc., Mooresville, IN.
Jöreskog, K., and Sörbom, D. (1989).LISREL 7. User's Reference Guide. Scientific Software, Inc., Mooresville, IN.
Kandel, D. B., Kessler, R. C., and Margulies, R. S. (1978). Antecedents of adolescent initiation into stages of drug use: A developmental analysis.J. Youth Adolesc. 7: 13–40.
Kaplan, G. A., and Camacho, T. (1983). Perceived health and mortality: A nine-year follow-up of the Human Population Laboratory Cohort.Am. J. Epidemiol. 117: 291–304.
Kristjansdottir, G., and Vilhjalmsson, R. (1991). Heilbrigdishugmyndir unglinga. [Conceptions of health in adolescence].Curator 15: 18–22.
Krohn, M. D., Massey, J. L., Skinner, W. F., and Lauer, R. M. (1983). Social bonding theory and adolescent cigarette smoking: A longitudinal analysis.J. Health Social Behav. 24: 337–349.
Maddox, G. L., and Douglass, E. B. (1973). Self-assessment of health: A longitudinal study of elderly subjects.J. Health Social Behav. 14: 87–93.
Mechanic, D. (1980).Mental Health and Social Policy (2nd ed.), Prentice-Hall, Englewood Cliffs, NJ.
Mechanic, D., and Hansell, S. (1987). Adolescent competence, psychological well-being and self-assessed physical health.J. Health Social Behav. 28: 364–374.
Mutran, E., and Reitzes, D. C. (1984). Intergenerational support activities and well-being among the elderly: A convergence of exchange and symbolic interaction perspectives.Am. Social. Rev. 49: 117–130.
Nutbeam, D., Aar, L., and Catford, J. (1989). Understanding children's health behavior: The implications for health promotion for young peopleSocial Sci. Med. 29: 317–325.
Palmore, E., and Luikart, C. (1972). Health and social factors related to life satisfaction.J. Health Social Behav. 13: 68–80.
Parsons, T. (1951).The Social System. Free Press, New York.
Parsons, T. (1975). The sick role and the role of the physician reconsideredMilbank Mem. Fund Quar. 53: 257–278.
Pearlin, L. I., and Aneshensel, C. S. (1986). Coping and social supports: Their functions and applications. In Aiken, L. H., and Mechanic, D. (eds.),Applications of Social Science to Clinical Medicine and Health Policy. Rutgers University Press, New Brunswick, NJ.
Raja, S. N., McGee, R., and Stanton, W. R. (1992). Perceived attachments to parents and peers and psychological well-being in adolescence.J. Youth Adolesc. 21: 471–485.
Schaefer, C., Coyne, J. C., and Lazarus, R. S. (1981). The health-related functions of social support.J. Behav. Med. 4: 381–406.
Steinberg, L. (1985).Adolescence. Alfred A. Knopf, New York.
Tanner, J. L., Cockerham, W. C., and Spaeth, J. L. (1983). Predicting physician utilization.Med. Care 21: 360–369.
Tessler, R., and Mechanic, D. (1978). Psychological distress and perceived health status.J. Health Social Behav. 19: 254–262.
Thorlindsson, T., Vilhjalmsson, R., and Valgeirsson, G. (1990). Sport participation and perceived health status: A study of adolescents.Social Sci. Med. 31: 551–556.
Thorlindsson, T., and Vilhjalmsson, R. (1991). Factors related to cigarette smoking and alcohol use among adolescents.Adolescence 26: 399–418.
Turner, R. J. (1981). Social support as a contingency in psychological well-beingJ. Health Social Behav. 22: 357–367.
Vilhjalmsson, R. (1989). Um rannsöknir á edli og thydingu samhjálpar. [Studies on the nature and implications of social support],íslensk felagsrit 1: 7–32.
Vilhjalmsson, R. (1993a).Social Support and Mental Health. Unpublished Ph.D. dissertation. University of Wisconsin — Madison.
Vilhjalmsson, R. (1993b). Edli samhjálpar. [The nature of social support].Tímarit Háskóla íslands 6: 5–12.
Vilhjalmsson, R., and Kristjansdottir, G. (1993). Thaettir tengdir mati unglinga á heilsu sinni. [Factors related to self-assessed health in adolescence].Tímarit Háskóla íslands 6: 57–64.
Wethington, E., and Kessler, R. C. (1986). Perceived support, received support, and adjustment to stressful life events.J. Health Social Behav. 27: 78–89.
Williams, R. (1983). Concepts of health: An analysis of lay logic.Sociology 17: 105–204.
Windle, M. (1991). Temperament and social support in adolescence: Interrelations with depressive symptoms and delinquent behaviors.J. Youth Adolesc. 21: 1–21.
Wolinsky, F. D. (1988).The Sociology of Health (2nd ed.). Wadsworlh, Belmont, CA.
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This research was partially supported by Grant No. 123230-93 from the University of Iceland Research Fund.
Received a Ph.D. in medical sociology from the University of Wisconsin — Madison. Research interests include epidemiology of mental disorder and distress, effects of social support on mental health, and adolescent health-related behaviors and perceptions.
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Vilhjalmsson, R. Effects of social support on self-assessed health in adolescence. J Youth Adolescence 23, 437–452 (1994). https://doi.org/10.1007/BF01538038
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DOI: https://doi.org/10.1007/BF01538038