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澳大利亚女性健康纵向研究中早育的预测因素与结果

Predictors and outcomes of early motherhood in the Australian Longitudinal Study on Women's Health.

作者信息

Lee Christina, Gramotnev Helen

机构信息

School of Psychology, University of Queensland, St Lucia, QLD, Australia.

出版信息

Psychol Health Med. 2006 Feb;11(1):29-47. doi: 10.1080/13548500500238143.

Abstract

Early motherhood is identified as a social problem, and having children at an early age is assumed to lead to psychological distress, welfare dependence and socioeconomic disadvantage. Analysis of responses from 9,689 young participants in the Australian Longitudinal Study on Women's Health was used to examine predictors and outcomes of early motherhood in Australia. Survey 1 (1996, aged 18 - 23) and Survey 2 (2000, aged 22 - 27), were used to categorize women as Childless, Existing Mothers (before Survey 1) and New Mothers (became mothers before Survey 2). Multivariate logistic regressions provided comparisons on sociodemographics, gynaecological variables, psychological wellbeing and health behaviours. Survey 1 data show that Existing Mothers experience socioeconomic disadvantages and unhealthy lifestyles. However, those who will go on to become mothers earlier than their peers already experience similar disadvantages. Further, the Survey 2 data show that, when these pre-existing disadvantages are controlled for, the additional deficits experienced by early mothers are relatively minor. Social disadvantage predisposes women to become mothers early, and to adopt unhealthy behaviours. However, young Australian women cope well with the challenges of early motherhood. In the longer term, unhealthy lifestyles and low education may lead to ill health and disadvantage, but early motherhood is not the initiator of this trajectory.

摘要

早育被视为一个社会问题,人们认为过早生育会导致心理困扰、依赖福利以及社会经济劣势。对澳大利亚妇女健康纵向研究中9689名年轻参与者的回答进行分析,以检验澳大利亚早育的预测因素和结果。调查1(1996年,年龄18 - 23岁)和调查2(2000年,年龄22 - 27岁)被用于将女性分为未育、已有子女的母亲(在调查1之前)和新妈妈(在调查2之前成为母亲)。多变量逻辑回归对社会人口统计学、妇科变量、心理健康和健康行为进行了比较。调查1的数据显示,已有子女的母亲经历社会经济劣势和不健康的生活方式。然而,那些比同龄人更早成为母亲的人已经经历了类似的劣势。此外,调查2的数据显示,当这些先前存在的劣势得到控制时,早育母亲所经历的额外不足相对较小。社会劣势使女性更容易早育,并采取不健康行为。然而,澳大利亚年轻女性能够很好地应对早育带来的挑战。从长远来看,不健康的生活方式和低教育水平可能导致健康问题和劣势,但早育并不是这条轨迹的起始因素。

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