寡居健康:社会资本和经济资源的作用。

Health in widowhood: The roles of social capital and economic resources.

机构信息

Centre for Health Economics, Monash Business School, Monash University, Level 5, Building H, Caulfield Campus, 900 Dandenong Road, Caulfield East, VIC, 3145, Australia.

出版信息

Soc Sci Med. 2020 May;253:112965. doi: 10.1016/j.socscimed.2020.112965. Epub 2020 Mar 29.

Abstract

A sizeable literature has demonstrated strong negative associations between widowhood and health, but longitudinal evidence on moderating factors has been mixed. This study assesses the roles of pre-existing social capital and wealth in moderating changes in health in the event of spousal death. Samples of widowed individuals (n = 796) and matched married controls (n = 8233) are employed from 17 consecutive waves of the Household, Income and Labour Dynamics in Australia Survey (2001-2017). Individual-level fixed-effects models are used to estimate changes in physical and mental health before and after spousal death, in reference to one's own health more than two years before widowhood. Results show a temporary physical health improvement in the year of spousal death, and a decline in mental health beginning up to two years before spousal death, lasting up to two years after spousal death. Using social capital-from children, club membership or volunteering status, and social connections-observed earlier than two years before spousal death, this study finds that widowed individuals with higher social capital show poorer mental health than those with less capital. This negative moderating role is more marked among widowed males than females. In contrast, greater wealth, particularly from non-financial assets, is associated with earlier psychological adjustment among males. For females, mental health in widowhood shows little difference by wealth. These findings suggest that social capital may not be sufficient to protect deteriorations in mental health among widowed individuals, and that the pursuit of alternative avenues may be especially important among the less wealthy.

摘要

大量文献表明丧偶与健康之间存在强烈的负相关关系,但关于调节因素的纵向证据一直存在分歧。本研究评估了在配偶死亡的情况下,预先存在的社会资本和财富在调节健康变化方面的作用。本研究从澳大利亚家庭、收入和劳动力动态调查(2001-2017 年)的 17 个连续波中选取了丧偶个体(n=796)和匹配的已婚对照组(n=8233)。采用个体层面固定效应模型,根据丧偶前两年以上的个人健康状况,估计丧偶前后的身体和心理健康变化。结果表明,在配偶死亡的当年,身体健康状况暂时得到改善,而心理健康状况在配偶死亡前两年开始下降,并持续两年以上。本研究发现,与资本较少的个体相比,丧偶前两年以上观察到的社会资本(来自子女、俱乐部会员或志愿服务状况和社会联系)较高的丧偶个体心理健康状况较差。丧偶男性的这种负向调节作用比女性更为明显。相比之下,更多的财富,尤其是非金融资产,与男性的早期心理调整有关。对于女性来说,丧偶后的心理健康状况在财富方面差异不大。这些发现表明,社会资本可能不足以保护丧偶个体的心理健康恶化,对于不太富裕的人来说,寻求其他途径可能尤为重要。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索