Willitts M, Benzeval M, Stansfeld S
Department of Geography, Queen Mary, University of London, London, UK.
J Epidemiol Community Health. 2004 Jan;58(1):53-8. doi: 10.1136/jech.58.1.53.
To describe the mental health of men and women with differing histories of partnership transitions.
Data from nine waves of the British Household Panel Survey, a stratified general population sample, were used to calculate age standardised ratios and 95% confidence intervals for mean General Health Questionnaire scores for groups with different partnership transition histories.
2127 men and 2303 women aged under 65 who provided full interviews at every survey wave.
Enduring first partnerships were associated with good mental health. Partnership splits were associated with poorer mental health, although the reformation of partnerships partially reversed this. Cohabiting was more beneficial to men's mental health, whereas marriage was more beneficial to women's mental health. The more recently a partnership split had occurred the greater the negative outcome for mental health. Women seemed more adversely affected by multiple partnership transitions and to take longer to recover from partnership splits than men. Single women had good mental health relative to other women but the same was not true for single men relative to other male partnership groups.
Partnership was protective of mental health. Mental health was worse immediately after partnership splits, and the negative outcomes for health were longer lasting in women. Future work should consider other factors that may mediate, confound, or jointly determine the relation between partnership change and health.
描述具有不同伴侣关系转变经历的男性和女性的心理健康状况。
来自英国家庭调查小组九轮调查的数据,这是一个分层的普通人群样本,用于计算不同伴侣关系转变经历组的年龄标准化比率和一般健康问卷平均得分的95%置信区间。
2127名年龄在65岁以下的男性和2303名年龄在65岁以下的女性,他们在每次调查波次中都接受了全面访谈。
持久的首次伴侣关系与良好的心理健康相关。伴侣关系破裂与较差的心理健康相关,尽管伴侣关系的重新形成部分扭转了这种情况。同居对男性心理健康更有益,而婚姻对女性心理健康更有益。伴侣关系破裂发生的时间越近,对心理健康的负面影响就越大。女性似乎比男性更容易受到多次伴侣关系转变的不利影响,并且从伴侣关系破裂中恢复所需的时间更长。相对于其他女性,单身女性心理健康状况良好,但相对于其他男性伴侣群体,单身男性并非如此。
伴侣关系对心理健康有保护作用。伴侣关系破裂后心理健康状况立即变差,且女性健康的负面结果持续时间更长。未来的研究应考虑其他可能介导、混淆或共同决定伴侣关系变化与健康之间关系的因素。