University of California, 3151 Social Science Plaza, Irvine, CA 92697-5100, USA.
Soc Sci Med. 2013 Oct;95:34-42. doi: 10.1016/j.socscimed.2012.08.017. Epub 2012 Aug 31.
A large, venerable literature demonstrates the importance of social relationships and social support for health, though much less research examines whether the benefits of social support to mothers extend to children. This paper examines the relationship between mothers' perceptions of instrumental support and children's health using longitudinal data from the U.S. Fragile Families and Child Wellbeing Study (N = 4342), a cohort of American children born in urban areas to mostly unmarried parents. Results suggest mothers' perceptions of instrumental support is positively associated with children's overall health, and this finding persists despite controlling for a host of individual-level characteristics of mothers and children (including a lagged indicator of children's health) and in fixed-effect models. Mothers' economic security and mothers' wellbeing attenuate some, but not all, of the association between perceived instrumental support and children's overall health. In addition, the link between perceived instrumental support and three specific indicators of health - asthma, overweight/obese, and number of emergency room visits - falls to statistical insignificance after accounting for individual-level characteristics, suggesting these associations result from social selection processes. Taken together, these findings suggest the beneficial health consequences of social support may extend to children across the early life course and demonstrate the need to better understand mothers' reports of children's overall health.
大量的、令人尊敬的文献证明了社会关系和社会支持对健康的重要性,尽管很少有研究考察母亲的社会支持是否对孩子有益。本文使用来自美国脆弱家庭与儿童健康研究(N=4342)的纵向数据,考察了母亲对工具性支持的感知与儿童健康之间的关系。该研究是对城市地区出生的主要由未婚父母抚养的美国儿童的一个队列研究。结果表明,母亲对工具性支持的感知与孩子的整体健康呈正相关,这一发现是在控制了母亲和孩子的许多个体特征(包括孩子健康的滞后指标)以及固定效应模型之后得出的。母亲的经济保障和母亲的幸福感在一定程度上减轻了感知工具性支持与儿童整体健康之间的关联,但并非全部。此外,在考虑了个体层面的特征后,感知工具性支持与儿童健康的三个特定指标(哮喘、超重/肥胖和急诊室就诊次数)之间的联系变得没有统计学意义,这表明这些关联是由于社会选择过程造成的。综上所述,这些发现表明社会支持的有益健康后果可能会延伸到整个儿童早期生命过程,并表明需要更好地理解母亲对孩子整体健康的报告。