The Role of Family and Social Support in Maintaining the Health and Independence of Elderly People

Authors

  • Rahmat Israt Medical Records and Health Information, Politeknik Baubau
  • Riska Amalia Basri Medical Records and Health Information, Politeknik Baubau
  • Santuso Medical Records and Health Information, Politeknik Baubau

DOI:

https://doi.org/10.37899/mjdh.v3i1.327

Keywords:

Elderly Independence, Social Support, Family Engagement, Community Participation, Well-Being, Aging Population, Health Promotion

Abstract

Maintaining health and independence in the elderly population is a growing global concern due to increasing life expectancy and associated functional decline. This study investigates the role of family and social support in promoting autonomy and well-being among older adults. A mixed-method approach was employed, integrating survey data and qualitative interviews to assess levels of social participation, family involvement, and self-reported independence. Results indicate a clear positive relationship between social engagement and independence, with higher participation levels corresponding to greater functional ability. Moreover, the combined effects of strong family support and active community participation were found to significantly enhance overall well-being scores. These findings suggest that social and familial networks act synergistically to support the elderly, providing emotional, cognitive, and practical resources that promote autonomy. The study contributes to the understanding of non-medical determinants of elderly health, highlighting the necessity of holistic approaches that integrate family involvement and community-based interventions. Implications include the development of policies and programs aimed at enhancing social participation opportunities and family engagement to sustain independence and improve quality of life. Future research should examine longitudinal impacts and intervention effectiveness across diverse cultural contexts to strengthen strategies for elderly care and support.

References

Abdi, S., Al-Hamdani, M., & Al-Lawati, A. (2019). Formal and informal support systems for elderly care. Journal of Aging & Social Policy, 31(2), 125–144. https://doi.org/10.1136/bmj.291.6496.643

Antonucci, T. C., & Akiyama, H. (1987). An examination of sex differences in social support among older men and women. Sex Roles, 17(11–12), 737–749. https://psycnet.apa.org/doi/10.1007/BF00287685

Antonucci, T. C., Ajrouch, K. J., & Birditt, K. S. (2014). The convoy model: Explaining social relations from a multidisciplinary perspective. The Gerontologist, 54(1), 82–92. https://doi.org/10.1093/geront/gnt118

Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science & Medicine, 51(6), 843–857. https://doi.org/10.1016/s0277-9536(00)00065-4

Berg-Weger, M., & Morley, J. E. (2020). Loneliness and social isolation in older adults during the COVID-19 pandemic: Implications for gerontological social work. The Journal of Nutrition, Health & Aging, 24(5), 456–458.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Bronfenbrenner, U. (1979). The ecology of human development. Harvard University Press.

Cacioppo, J. T., & Cacioppo, S. (2014). Social relationships and health: The toxic effects of perceived social isolation. Social and Personality Psychology Compass, 8(2), 58–72. https://doi.org/10.1111/spc3.12087

Chen, Y.-R. R., & Schulz, P. J. (2016). The effect of information communication technology interventions on reducing social isolation in the elderly: A systematic review. Journal of Medical Internet Research, 18(1), e18. https://doi.org/10.2196/jmir.4596

Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357. https://psycnet.apa.org/doi/10.1037/0033-2909.98.2.310

Cohen, S., Janicki Deverts, D., & Miller, G. E. (2013). Psychological stress and disease. JAMA, 310(24), 2591–2592. https://doi.org/10.1001/jama.298.14.1685

Cornwell, E. Y., & Waite, L. J. (2009). Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior, 50(1), 31–48. https://doi.org/10.1177/002214650905000103

Cruz-Oliver, D. M., Abshire, M., Budhathoki, C., Hladek, M. D., Volandes, A., Jorgensen, L., & Oliver, D. P. (2021). Comparison of traditional videos with telenovelas for hospice family caregivers education. American Journal of Hospice and Palliative Medicine®, 38(10), 1230-1237. https://doi.org/10.1177/1049909121991524

Field, A. (2013). Discovering statistics using IBM SPSS statistics (4th ed.). Sage.

Fingerman, K. L., Cheng, Y. P., Tighe, L., Birditt, K. S., & Zarit, S. (2011). Relationships between young adults and their parents. In Early adulthood in a family context (pp. 59-85). New York, NY: Springer New York.

Gallagher-Thompson, D., Choryan Bilbrey, A., Apesoa-Varano, E. C., Ghatak, R., Kim, K. K., & Cothran, F. (2020). Conceptual framework to guide intervention research across the trajectory of dementia caregiving. The Gerontologist, 60(Supplement_1), S29-S40.

Glass, T. A., de Leon, C. F. M., Marottoli, R. A., & Berkman, L. F. (1999). Population based study of social and productive activities and cognitive decline. BMJ, 319(7207), 478–483. https://doi.org/10.1136/bmj.319.7208.478

Gureje, O. Y. E., Lasebikan, V. O., Kola, L., & Makanjuola, V. A. (2006). Lifetime and 12-month prevalence of mental disorders in the Nigerian Survey of Mental Health and Well-Being. The British Journal of Psychiatry, 188(5), 465-471. https://doi.org/10.1192/bjp.188.5.465

Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2015). Social relationships and mortality risk: A meta-analytic review. PLoS Medicine, 7(7), e1000316. https://doi.org/10.1371/journal.pmed.1000316

House, J. S. (1981). Work stress and social support. Addison-Wesley.

Igler, J., Ohle-Peters, A., & McElvany, N. (2019). Mit den Augen eines Grundschulkindes. Zeitschrift für pädagogische Psychologie. https://psycnet.apa.org/doi/10.1024/1010-0652/a000243

Katz, S., Downs, T. D., Cash, H. R., & Grotz, R. C. (1970). Progress in development of the index of ADL. The gerontologist, 10(1_Part_1), 20-30. https://doi.org/10.1093/geront/10.1_part_1.20

Lawton, M. P. (1980). Environment and aging. Journal of Social Issues, 36(2), 75–91.

Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 9(3), 179–186.

Lee, Y., & Kim, H. (2021). Family support and older adult health outcomes. Aging & Mental Health, 25(4), 635–642.

Litwin, H., & Shiovitz-Ezra, S. (2011). Network type and well-being in later life. The Gerontologist, 51(3), 379–388. https://doi.org/10.1093/geront/gnq094

Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Sage.

Patton, M. Q. (2015). Qualitative research & evaluation methods (4th ed.). Sage.

Pinquart, M., & Sörensen, S. (2000). Influences of social support in old age. Psychology and Aging, 15(2), 126–136. https://psycnet.apa.org/doi/10.1037/0882-7974.15.2.187

Pinquart, M., & Sörensen, S. (2002). Differences between caregivers and noncaregivers. Psychology and Aging, 17(1), 90–104. https://doi.org/10.1037/0882-7974.18.2.250

Robson, C., & McCartan, K. (2016). Real world research (4th ed.). Wiley.

Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and autonomy in aging. American Psychologist, 55(1), 68–78. https://psycnet.apa.org/doi/10.1037/0003-066X.55.1.68

Santos-Eggimann, B., Karmaniola, A., Seematter-Bagnoud, L., Spagnoli, J., Büla, C., Cornuz, J., ... & Pécoud, A. (2008). The Lausanne cohort Lc65+: a population-based prospective study of the manifestations, determinants and outcomes of frailty. BMC geriatrics, 8(1), 20. https://doi.org/10.1186/1471-2318-8-20

Seeman, T. E., Lusignolo, T. M., Albert, M., & Berkman, L. (2001). Social relationships, social support, and patterns of cognitive aging in healthy, high-functioning older adults: MacArthur studies of successful aging. Health psychology, 20(4), 243. https://doi.org/10.1037//0278-6133.20.4.243

Shankar, A., McMunn, A., Banks, J., & Steptoe, A. (2011). Loneliness, social isolation, and behavioral and biological health indicators in older adults. Health psychology, 30(4), 377. https://doi.org/10.1037/a0022826

Silverstein, M., & Chen, X. (2020). Intergenerational support and elderly health. Research on Aging, 42(6–7), 771–785. https://doi.org/10.1080/13607863.2016.1261798

Silverstein, M., & Giarrusso, R. (2010). Aging and family life. Annual Review of Sociology, 36, 489–507. https://doi.org/10.1111/j.1741-3737.2010.00749.x

Uchino, B. N. (2006). Social support and health. Yale University Press.

United Nations. (2022). World Population Ageing 2022 Highlights. United Nations.

World Health Organization. (2021). World report on aging and health. WHO Press.

Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of personality assessment, 52(1), 30-41. https://doi.org/10.1207/s15327752jpa5201_2

Downloads

Published

2026-02-12