UCLA Center for Healthier Children, Families, and Communities, 10990 Wilshire Boulevard, Suite 900, Los Angeles, CA 90024, USA.
Int J Public Health. 2013 Feb;58(1):89-97. doi: 10.1007/s00038-012-0373-x. Epub 2012 Jun 7.
Life course research has established associations between adverse childhood events and later life health. We examine the relationship of experiencing parental divorce before the age of 16 and survival across 34 years of adulthood.
Analysis of panel data from a USA-based survey of 6,928 adults residing in Alameda County, California in 1965. Cox regression was used to examine associations between parental divorce and longevity.
Controlling for age, race/ethnicity, gender, and childhood socioeconomic position, respondents who recalled a parental divorce during childhood had increased risk of mortality compared to those with no separation. The association was stronger for premature mortality and deaths due to cardiovascular disease. Divorce in childhood was also associated with lowered adult education, fewer social network ties, more depression, and worse health practices. These factors appeared to explain the association with longevity.
Parental divorce in childhood is associated with lowered well-being in adulthood and long-term survival. Early prevention and health promotion efforts may be warranted for children who experience parental divorce or discord as a means of supporting enhanced trajectories of health and well-being.
生命历程研究已经确立了不良童年经历与晚年健康之间的关联。我们研究了在 16 岁之前经历父母离婚与成年后 34 年期间生存的关系。
对居住在加利福尼亚州阿拉米达县的 6928 名成年人进行的基于美国的调查的面板数据进行分析。使用 Cox 回归来检验父母离婚与长寿之间的关联。
在控制年龄、种族/民族、性别和儿童社会经济地位后,与没有分居的人相比,那些在童年时期回忆起父母离婚的人死亡风险更高。这种关联在早逝和心血管疾病导致的死亡中更为强烈。儿童时期的离婚也与成人教育程度降低、社交网络联系减少、更多的抑郁和更差的健康行为有关。这些因素似乎解释了与长寿的关联。
儿童时期父母离婚与成年后幸福感降低和长期生存有关。对于经历父母离婚或不和的儿童,可能需要早期预防和健康促进措施,以支持增强健康和幸福感的轨迹。