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欧洲的生育史与晚年慢性病

Fertility histories and chronic conditions later in life in Europe.

作者信息

Sironi Maria

机构信息

Department of Social Science, University College London, 20 Bedford Way, London, WC1H 0AL UK.

出版信息

Eur J Ageing. 2018 Nov 29;16(3):259-272. doi: 10.1007/s10433-018-0494-z. eCollection 2019 Sep.

Abstract

Understanding the association between fertility histories and health later in life is necessary in the context of ageing societies. Past literature has generally found a U-shaped relationship between parity, age at first birth, and several health-related outcomes. However, these findings differed to some extent depending on the country under analysis and on the measures of health considered. As such, using wave 3 (2008-2009) and 5 (2013) of the Survey of Health, Ageing and Retirement in Europe (SHARE), this work aimed to answer the question: "Are fertility histories associated with the presence of chronic conditions later in life in Europe?" The analysis included 11 European countries and compared results using two different measures of chronic conditions: self-reported chronic or long-term illness and chronic diseases diagnosed by a doctor. Results showed that age at first birth is more relevant than parity for health outcomes at older ages. Moreover, in socio-democratic and continental countries, the association between fertility and chronic conditions-in particular between age at first birth and long-term illnesses-is statistically significant among women, but not among men. Finally, the association between fertility history and health was similar when using self-reported measures and chronic diseases diagnosed by a doctor.

摘要

在老龄化社会的背景下,了解生育史与晚年健康之间的关联十分必要。过去的文献普遍发现,生育胎次、初育年龄与一些健康相关结果之间呈U形关系。然而,这些研究结果在一定程度上因所分析的国家以及所考虑的健康衡量指标的不同而有所差异。因此,本研究利用欧洲健康、老龄化与退休调查(SHARE)的第3轮(2008 - 2009年)和第5轮(2013年)数据,旨在回答以下问题:“在欧洲,生育史与晚年慢性病的存在有关联吗?”该分析涵盖了11个欧洲国家,并使用两种不同的慢性病衡量指标比较结果:自我报告的慢性或长期疾病以及医生诊断的慢性病。结果表明,对于老年人群的健康结果而言,初育年龄比生育胎次更为重要。此外,在社会民主国家和欧洲大陆国家,生育与慢性病之间的关联——尤其是初育年龄与长期疾病之间的关联——在女性中具有统计学意义,但在男性中则不然。最后,使用自我报告指标和医生诊断的慢性病时,生育史与健康之间的关联相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8c5/6728403/aa0edc4cbadd/10433_2018_494_Fig1_HTML.jpg

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