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Perceived reciprocity in social exchange and health functioning in early old age: prospective findings from the GAZEL study.: social exchange and health functioning

Abstract : OBJECTIVES: To assess prospectively the effects of perceived non-reciprocity of exchange in three different types of social engagement on health functioning in early old age. METHODS: In the frame of the prospective French GAZEL cohort study, data on reciprocity in three types of role-related social engagement (principal regular activity in everyday life, marital role relationship, trusting relationships in civic life) were collected from 8679 men and 2742 women (mean age: 60.4 years) in 2005. Two years later, health functioning was assessed using the SF-36 mental and physical component scores, as well as self-perceived health. Multivariate regressions were calculated, controlling for important confounders including baseline self-perceived health. RESULTS: Consistent effects of perceived non-reciprocity in all three types of social exchange on mental and physical health functioning were observed. After adjustment for relevant confounders including baseline self-perceived, health effects were attenuated, but largely remained significant. CONCLUSIONS: Findings underline the importance of the quality of social exchange (reciprocity vs. non-reciprocity) for health functioning in early old age.
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Morten Wahrendorf, Celine Ribet, Marie Zins, Marcel Goldberg, Johannes Siegrist. Perceived reciprocity in social exchange and health functioning in early old age: prospective findings from the GAZEL study.: social exchange and health functioning. Aging & Mental Health, 2010, 14 (4), pp.425-32. ⟨10.1080/13607860903483102⟩. ⟨inserm-00488848⟩

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