Department of Sociology, The Ohio State University, 238 Townshend Hall, 1885 Neil Ave. Mall, Columbus, OH 43210, USA.
Soc Sci Med. 2013 Oct;95:16-23. doi: 10.1016/j.socscimed.2012.10.028. Epub 2012 Dec 8.
Utilizing longitudinal data from the nationally-representative Mexico Family Life Survey, this study assesses the association between family structure and iron-deficient anemia among children ages 3-12 in Mexico. The longitudinal models (n = 4649), which control for baseline anemia status and allow for consideration of family structure transitions, suggest that children living in stable-cohabiting and single-mother families and those who have recently experienced a parental union dissolution have higher odds of anemia than those in stable-married, father-present family structures. Interaction effects indicate that unmarried family contexts have stronger associations with anemia in older children (over age five); and, that the negative effects of parental union dissolution are exacerbated in poorer households. Resident maternal grandparents have a significant beneficial effect on child anemia independent of parental family structure. These results highlight the importance of family structure for child micronutrient deficiencies and suggest that understanding social processes within households may be critical to preventing child anemia in Mexico.
利用来自具有全国代表性的墨西哥家庭生活调查的纵向数据，本研究评估了墨西哥 3-12 岁儿童的家庭结构与缺铁性贫血之间的关系。这些纵向模型（n=4649）控制了基线贫血状况，并允许考虑家庭结构的转变，表明与稳定婚姻、父亲在场的家庭结构相比，生活在稳定同居和单身母亲家庭中的儿童以及最近经历父母离异的儿童患贫血的几率更高。交互效应表明，未婚家庭环境与年龄较大的儿童（五岁以上）的贫血症之间的关联更强；而且，父母离异的负面影响在贫困家庭中更为严重。外祖父母居住在儿童家中对儿童贫血症有显著的有益影响，而与父母的家庭结构无关。这些结果强调了家庭结构对儿童微量营养素缺乏的重要性，并表明了解家庭内部的社会过程对于预防墨西哥儿童贫血症可能至关重要。
