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婚姻变迁与老年人抑郁症状:教育差异的审视。

Marital Transitions and Depressive Symptoms among Older Adults: Examining Educational Differences.

机构信息

Department for Social Monitoring and Methodology, German Youth Institute, Munich, Germany,

NCCR LIVES, Chavannes-près-Renens, Switzerland,

出版信息

Gerontology. 2019;65(4):407-418. doi: 10.1159/000493681. Epub 2018 Nov 27.

Abstract

BACKGROUND

Later decades of the life course have undergone rapid transformations due to demographic changes in ageing societies, such as more frequent occurrences of later-life marital transitions. Adaption to these transitions, even when welcomed, brings novel chances and challenges in negotiating new social roles in old age, which could reinforce preexisting disparities in the acquisition and mastery of resources, social ties, and coping strategies.

OBJECTIVES

Because the ability to weather later-life marital transitions may depend on the long arm of education acquired earlier in the life course, the present study aims to identify and track trends in the prevalence of marriage, divorce/separation, and widowhood among sociodemographic subgroups; link the occurrence of those transitions with mental health; and test the influence of educational attainment on these associations.

METHODS

We employ an intraindividual, within-person approach to quantify the occurrence of marital transitions and their impact using data from the Health and Retirement Study (n = 22,013; 1992-2010). Measures of transition occurrence, depressive symptoms, and educational attainment were available across up to 10 biennial assessments.

RESULTS

Individuals with less than a high school diploma displayed the highest likelihood of losing their significant other through divorce/separation or death. Marital loss was associated with increasing, and marital gain with decreasing, depressive symptoms. Compared to those with less than a high school diploma, individuals with a high school or general equivalency diploma exhibited larger increases in depressive symptoms associated with widowhood, even though their average levels of depressive symptoms were lower in the absence of this transition.

CONCLUSIONS

Our findings revealed a predictable educational gradient for the occurrence of marital transitions and later-life mental health. Yet higher, formalized education did not protect the participants from increased depression in the presence of a loss-related transition, which could suggest that the strains of spousal loss may to some degree function as a leveler of the preexisting social inequalities of stratified life courses. We conclude that the benefits conferred by education are not necessarily ubiquitous, and its impact on the adaptation to spousal loss may be more complex and nuanced depending on the range of prior experiences and available coping strategies.

摘要

背景

由于老龄化社会人口结构的变化,如晚年婚姻过渡更加频繁,生命历程的后几十年经历了快速转型。即使这些过渡受到欢迎,适应这些过渡也会给老年人在新的社会角色中协商带来新的机遇和挑战,这可能会加剧资源、社会关系和应对策略获取和掌握方面已经存在的差异。

目的

由于在晚年婚姻过渡中生存的能力可能取决于在生命历程早期获得的教育的长期影响,本研究旨在确定和追踪社会人口亚组中婚姻、离婚/分居和丧偶的流行趋势;将这些过渡的发生与心理健康联系起来;并测试教育程度对这些关联的影响。

方法

我们采用个体内、个体内的方法,使用来自健康与退休研究(n = 22013;1992-2010 年)的数据来量化婚姻过渡的发生及其影响。过渡发生、抑郁症状和教育程度的测量结果在多达 10 次两年一次的评估中是可用的。

结果

没有高中以下学历的个体通过离婚/分居或死亡失去重要伴侣的可能性最高。婚姻丧失与抑郁症状的增加有关,而婚姻获得与抑郁症状的减少有关。与没有高中以下学历的个体相比,具有高中或普通同等学历证书的个体丧偶后与抑郁症状相关的增加幅度更大,尽管在没有这种过渡的情况下,他们的平均抑郁症状水平较低。

结论

我们的研究结果揭示了婚姻过渡和晚年心理健康的可预测教育梯度。然而,更高的、正规的教育并不能保护参与者在失去相关过渡时不增加抑郁,这可能表明配偶丧失的压力在某种程度上是分层生活轨迹中预先存在的社会不平等的平衡者。我们的结论是,教育赋予的好处不一定是普遍的,其对配偶丧失适应的影响可能更复杂和微妙,具体取决于先前的经验范围和可用的应对策略。

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