The crossover of perceived health between spouses.

The current study examined the crossover of perceived health between spouses and the mediating roles of self-esteem and undermining in this process. Data were collected from a sample of 2,108 couples from the Russian Longitudinal Monitoring survey. Using structural equation modeling, the authors tested a crossover model that incorporated three mechanisms: bidirectional crossover of perceived health between spouses, common stressors (income), and indirect mediated effects (social undermining). The model showed an acceptable fit to the data and provided support for all three-crossover mechanisms. Furthermore, self-esteem mediated the relationship between economic hardship and perceived health. The authors discuss theoretical aspects of the crossover of perceived health and implications of our findings for the design of preventive interventions to help family members cope more effectively with economic hardship.