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加国母亲的家庭结构、社会资本与心理健康差异。

Family structure, social capital, and mental health disparities among Canadian mothers.

机构信息

Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.

Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.

出版信息

Public Health. 2015 Jun;129(6):639-47. doi: 10.1016/j.puhe.2015.03.023. Epub 2015 Apr 30.

DOI:10.1016/j.puhe.2015.03.023
PMID:25936975
Abstract

OBJECTIVES

To examine the extent to which inequities in mental health between single and partnered mothers can be explained by social capital, independently and in concert with socio-economic circumstances.

STUDY DESIGN

Cross-sectional study.

METHODS

The sample consisted of 2920 mothers participating in Statistics Canada's 2010 General Social Survey. Chi-square and logistic regression analyses were used to investigate the extent to which family structure differences in self-rated mental health, if observed, were mediated by various dimensions of social capital.

RESULTS

Compared with partnered mothers, fair/poor self-rated mental health was more common among previously married mothers (OR = 3.14; 95% CI 2.15-4.59) and never married mothers (OR = 3.01; 95% CI 1.95-4.65). After adjustment for socio-economic and social capital variables, the odds ratio between single mother family structure and fair/poor mental health decreased but remained significant (ORpreviously married = 1.90, 95% CI 1.22-2.98; ORnever married = 1.90, 95% CI 1.14-3.16).

CONCLUSION

Single mothers' more limited access to economic and social capital resources partially explain their compromised self-rated mental health. Longitudinal research with multi-item measures of mental health is needed to corroborate these findings and extend their understanding of the relationship between family structure, social capital, and mothers' mental health.

摘要

目的

考察社会资本在多大程度上可以独立于社会经济状况,共同解释单身母亲和有伴侣母亲之间心理健康的不平等。

研究设计

横断面研究。

方法

样本由参加 2010 年加拿大统计局综合社会调查的 2920 名母亲组成。使用卡方检验和逻辑回归分析来调查如果观察到家庭结构在自评心理健康方面的差异,各种社会资本维度在多大程度上起到了中介作用。

结果

与有伴侣的母亲相比,以前离异的母亲(OR=3.14;95%CI 2.15-4.59)和从未结婚的母亲(OR=3.01;95%CI 1.95-4.65)自评心理健康状况较差/差更为常见。在调整了社会经济和社会资本变量后,单身母亲家庭结构与较差/差心理健康之间的优势比有所下降,但仍具有统计学意义(离异母亲的 OR=1.90,95%CI 1.22-2.98;从未结婚的 OR=1.90,95%CI 1.14-3.16)。

结论

单身母亲获得经济和社会资本资源的机会有限,这部分解释了她们自评心理健康状况较差。需要进行纵向研究,使用多项心理健康指标来验证这些发现,并进一步了解家庭结构、社会资本和母亲心理健康之间的关系。

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