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女性在其整个生命周期中没有孩子会对其健康和幸福有害吗?

Is being childless detrimental to a woman's health and well-being across her life course?

机构信息

Centre for Health through Action on Social Exclusion (CHASE), School of Health and Social Development, Deakin University, Burwood, Victoria, Australia.

出版信息

Womens Health Issues. 2015 Mar-Apr;25(2):176-84. doi: 10.1016/j.whi.2014.12.002. Epub 2015 Feb 7.

Abstract

BACKGROUND

Childlessness is a growing phenomenon. Previous research examining health and well-being differentials between women with and without children has produced conflicting results. Most of this research has been conducted in the United States or parts of Europe. There has been limited research in Australia that has examined the health and well-being of women with and without children across the life course. The aim of the current study was to examine the association between motherhood status and general physical and mental health and well-being over a 10-year time period.

METHODS

Using 10 waves of data from the Household, Income and Labour Dynamics in Australia study, longitudinal linear mixed models with time varying variables (both dependent and independent) were constructed to assess the effect of childlessness on health and well-being based on the Short Form-36 Health Survey Version 1 (n=52,381 observations).

FINDINGS

Findings suggest that childless women experience poorer physical and mental health and well-being during the peak reproductive years; however, this trend is reversed for women aged 65 years or more. Although never-married, childless women experienced better health and well-being compared with mothers, this was not the case for childless women who were divorced, separated, or widowed or in a relationship.

CONCLUSION

The findings support the notion that whether or not a woman has children does have consequences for her health and well-being; however, this differs across the life course.

摘要

背景

不孕不育是一个日益严重的现象。先前研究生育和不生育女性之间的健康和幸福差异的结果相互矛盾。这项研究大多在美国或欧洲部分地区进行。在澳大利亚,针对整个生命过程中生育和不生育女性的健康和幸福的研究有限。本研究旨在探讨生育状况与一般身心健康和幸福感之间在 10 年时间内的关联。

方法

本研究使用澳大利亚家庭、收入和劳动力动态调查(Household, Income and Labour Dynamics in Australia study)的 10 个波次数据,构建了具有时间变化变量(包括依赖和独立变量)的纵向线性混合模型,以评估生育状况对健康和幸福感的影响,该研究基于健康调查短表 36 版本 1(n=52,381 次观察)。

结果

研究结果表明,在生育高峰期,不孕不育女性经历了更差的身心健康和幸福感;然而,对于 65 岁或以上的女性来说,这种趋势是相反的。尽管从未结婚,不孕不育女性的健康和幸福感比母亲好,但对于离婚、分居、丧偶或有伴侣的不孕不育女性来说,情况并非如此。

结论

这些发现支持了这样一种观点,即无论女性是否有孩子,都会对她的健康和幸福感产生影响;然而,这在整个生命过程中是不同的。

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