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中老年时期的婚姻质量与健康:二元关联

Marital Quality and Health in Middle and Later Adulthood: Dyadic Associations.

作者信息

Choi Heejeong, Yorgason Jeremy B, Johnson David R

机构信息

Department of Consumer and Family Sciences, Sungkyunkwan University, Seoul, Republic of Korea.

Department of Family Life, Brigham Young University, Provo, Utah.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2016 Jan;71(1):154-64. doi: 10.1093/geronb/gbu222. Epub 2015 Mar 16.

DOI:10.1093/geronb/gbu222
PMID:25779382
Abstract

OBJECTIVES

We investigated associations between positive marital quality and health among married persons aged 50 or older and their spouses. Prior research using data from married individuals has yielded inconsistent findings regarding the association between positive marital quality and global health outcomes. The present study involved married couples to examine how spouses' positive marital quality affect their own and each other's health, and whether these effects vary by age.

METHODS

Using data from 3 waves of the Health and Retirement Study (2006, 2008, 2010), we estimated a series of actor-partner interdependence models using mixed linear models.

RESULTS

Analyses found that over the 4-year period (2006-2010) increases in positive marital quality of both spouses were independently associated with increases in their self-rated health in midlife and old age as well as with declines in disability in old age. Increases in positive marital quality were also linked with declines in functional limitations for middle-aged and older adults.

DISCUSSION

Being perceived as a supportive spouse, as well as perceiving one's partner as such, has significant health implications. Overall, positive marital quality of both spouses contributes to health protection for middle-aged and older spouses.

摘要

目的

我们调查了50岁及以上已婚人士及其配偶的积极婚姻质量与健康之间的关联。此前使用已婚个体数据的研究,在积极婚姻质量与整体健康结果之间的关联方面得出了不一致的结果。本研究纳入已婚夫妇,以考察配偶的积极婚姻质量如何影响他们自身及彼此的健康,以及这些影响是否因年龄而异。

方法

利用健康与退休研究(2006年、2008年、2010年)三轮的数据,我们使用混合线性模型估计了一系列行为者-伴侣相互依赖模型。

结果

分析发现,在4年期间(2006 - 2010年),夫妻双方积极婚姻质量的提升均与他们中年和老年时自评健康状况的改善以及老年时残疾情况的减少独立相关。积极婚姻质量的提升还与中老年成年人功能受限情况的减少有关。

讨论

被视为支持性的配偶,以及将自己的伴侣视为支持性的配偶,对健康有重大影响。总体而言,夫妻双方积极的婚姻质量有助于中老年配偶的健康保护。

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