@article {11598,
	title = {Dyadic Loneliness and Changes to HbA1c Among Older US Couples: The Role of Marital Support as Stress Buffer.},
	journal = {Journal of Aging and Health},
	volume = {33},
	year = {2021},
	pages = {698-708},
	abstract = {<p> Both experiencing loneliness and having a lonely partner can be psychosocial stressors, with implications for health. Yet, marital support may buffer against the cardiometabolic effects of loneliness. This study examines (1) whether own and/or partner{\textquoteright}s loneliness predict changes in HbA1c over 4~years and (2) whether marital support moderates these effects.  Actor-partner interdependence models analyzed data from 1,854 older couples who provided psychosocial and biomarker data at two timepoints (2008/2012 or 2010/2014) of the Health and Retirement Study.  Neither partner{\textquoteright}s loneliness predicted changes in HbA1c overall. However, significant interactions indicated that both own baseline loneliness and partner{\textquoteright}s baseline loneliness predicted significant increases to HbA1c over 4~years among those who reported below-average marital support.  Both the experience of loneliness and loneliness of a dyadic partner may have longitudinal consequences for cardiometabolic health. However, these effects are contingent upon perceived quality of the marriage, specifically marital support.</p>},
	keywords = {Biomarkers, Cardiovascular disease, Marriage, Well-being},
	issn = {1552-6887},
	doi = {10.1177/08982643211006498},
	author = {Jeffrey E Stokes and Barooah, Adrita}
}
@article {11286,
	title = {Loneliness, Marital Quality, and Vascular Health Among Older U.S. Couples: A Longitudinal Dyadic Study},
	journal = {Innovation in Aging},
	volume = {4},
	year = {2020},
	pages = {605 },
	abstract = {Loneliness is a contributor to later life declines in health, including vascular health. Importantly, loneliness is not restricted to those who lack close social ties: More than one-third of married U.S. older adults experience loneliness, and having a lonely spouse increases the likelihood of experiencing loneliness oneself. Thus, over time loneliness in either spouse may lead to worse health for both spouses. Using longitudinal dyadic data from the Health and Retirement Study (2008-2014), we estimated multilevel lagged dependent variable models to examine implications of both partners{\textquoteright} loneliness at baseline for each spouse{\textquoteright}s HbA1c four years later. Findings revealed that effects of both partners{\textquoteright} loneliness were contingent upon marital quality: Own and partner{\textquoteright}s loneliness led to increases in HbA1c when perceived marital support was low, but this was attenuated at higher levels of marital support. These results extend prior research concerning loneliness and vascular health, and loneliness as a relational experience.},
	keywords = {Loneliness, Marital quality, vascular health},
	isbn = {2399-5300},
	doi = {10.1093/geroni/igaa057.2041},
	author = {Jeffrey E Stokes and Barooah, Adrita}
}
