Volume 26, Issue 4 pp. 293-316
Research Article

Subjective norms toward social support among Japanese American elderly in New York City: Why help does not always help

Tooru Nemoto

Corresponding Author

Tooru Nemoto

Institute for Health Policy Studies, University of California, San Francisco, 1388 Sutter Street, 11th Floor, San Francisco, CA 94109

Institute for Health Policy Studies, University of California, San Francisco, 1388 Sutter Street, 11th Floor, San Francisco, CA 94109Search for more papers by this author

Abstract

This study investigated the interaction effects between social support and subjective norms toward mobilizing and reciprocating social support on the psychological well-being among Japanese American elderly. A sample of 111 Japanese American elderly (mean age: 74 years) who resided in the New York City metropolitan area were interviewed using a structured survey questionnaire. The study revealed several significant interaction effects between norms and social support. Japanese American elderly who had strong norms toward reciprocating support did not receive the full benefit of social support because of the negative impact of norms of reciprocity. Elderly who had received material support from family and had strong norms toward reciprocity were more depressed, showed more symptoms of aging, and were less satisfied with their lives than those elderly who did not have strong norms of reciprocity. These findings suggest that cultural norms toward mobilizing certain types and sources of social support, and norms toward reciprocity of social support must be considered when investigating social support. Interventions to increase social support may have a negative effect on psychological well-being when recipients have strong norms toward reciprocating the support, but lack resources to do so. Future research is needed to identify effective strategies to change norms to maximize the effect of social support, particularly among elderly whose financial resources and social networks are limited. © 1998 John Wiley & Sons, Inc.

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