Rowlands Ingrid J, Dobson Annette J, Mishra Gita D
Centre for Longitudinal and Life Course Research, The University of Queensland, School of Public Health, Herston, QLD, 4006, Australia.
PLoS One. 2015 Nov 3;10(11):e0142088. doi: 10.1371/journal.pone.0142088. eCollection 2015.
Very little is known about the extent of physical health issues among young women in early adulthood and whether this is changing over time.
We used data from two national samples of young women aged 18-23 years, surveyed 17 years apart, who participated in the Australian Longitudinal Study on Women's Health. We used multinomial logistic regression to compare the women's physical health (i.e., self-rated health, common symptoms and conditions) and identify whether sociodemographic factors, health behaviours and stress explained any physical health differences between the samples.
Women aged 18-23 years in 2013 (N = 17,069) were more likely to report poor self-rated health and physical symptoms (particularly urogenital and bowel symptoms) than women aged 18-23 years in 1996 (N = 14,247). Stress accounted for a large proportion of the physical health differences between the cohorts, particularly for allergies, headaches, self-rated health, severe tiredness, skin problems, severe period pain and hypertension.
Women's health appears to be changing, with young women born in more recent decades reporting greater physical symptom levels. Changing socio-cultural and economic conditions may place pressure on young adults, negatively affecting their health and wellbeing. Assessing the extent to which social structures and health care policies are offering adequate support to young women may offer avenues for promoting positive health and wellbeing.
对于成年早期年轻女性身体健康问题的程度以及这是否随时间变化,我们知之甚少。
我们使用了来自两个全国性样本的数据,样本为年龄在18 - 23岁的年轻女性,两次调查相隔17年,她们参与了澳大利亚妇女健康纵向研究。我们使用多项逻辑回归来比较这些女性的身体健康状况(即自我评估的健康状况、常见症状和疾病),并确定社会人口统计学因素、健康行为和压力是否能解释样本之间的任何身体健康差异。
2013年年龄在18 - 23岁的女性(N = 17,069)比1996年年龄在18 - 23岁的女性(N = 14,247)更有可能报告自我评估的健康状况较差和身体症状(特别是泌尿生殖系统和肠道症状)。压力在不同队列之间的身体健康差异中占很大比例,尤其是对于过敏、头痛、自我评估的健康状况、严重疲劳、皮肤问题、严重痛经和高血压。
女性健康状况似乎在发生变化,近几十年来出生的年轻女性报告的身体症状水平更高。不断变化的社会文化和经济状况可能给年轻人带来压力,对他们的健康和幸福产生负面影响。评估社会结构和医疗保健政策为年轻女性提供充分支持的程度,可能为促进积极的健康和幸福提供途径。