Wu Chi-Fang, Wang Ming-Sheng, Eamon Mary Keegan
a School of Social Work , University of Illinois at Urbana-Champaign , Urbana , Illinois , USA.
Soc Work Health Care. 2014;53(5):478-502. doi: 10.1080/00981389.2014.896846.
Using a national sample of single mothers from the 2007 and 2009 waves of the Panel Study of Income Dynamics, this study examined the effects of multiple employment statuses on the selfrated health of single mothers during the recent economic recession. Unlike other studies, the current study minimized selection bias by controlling for prior self-rated health, in addition to other predisposing factors, enabling factors, and need factors. We found that underemployment, but not unemployment, is associated with lower levels of self-rated health of single mothers. Results further indicate that the 25-39 age range (compared to the 18-24 age range), lower family income, prior lower self-rated health, more chronic diseases, and binge drinking place single mothers at an increased risk of lower levels of self-rated health. In contrast, strength-building physical activity is significantly associated with higher levels of self-rated health. Implications for health care policy and social work practice are drawn from the results.
本研究使用了来自2007年和2009年《收入动态面板研究》的全国单亲母亲样本,考察了近期经济衰退期间多种就业状况对单亲母亲自评健康的影响。与其他研究不同,本研究除了控制其他易患因素、促成因素和需求因素外,还通过控制先前的自评健康状况,将选择偏差降至最低。我们发现,就业不足而非失业,与单亲母亲较低的自评健康水平相关。结果还表明,25 - 39岁年龄组(与18 - 24岁年龄组相比)、较低的家庭收入、先前较低的自评健康水平、更多的慢性病以及酗酒,使单亲母亲自评健康水平较低的风险增加。相比之下,增强体力的体育活动与较高的自评健康水平显著相关。研究结果对医疗保健政策和社会工作实践具有启示意义。