Lamidi Esther O
Department of Sociology, University of Colorado Colorado Springs, 1420 Austin Bluffs Parkway, Colorado Springs, CO, 80918, USA.
SSM Popul Health. 2020 Jun 21;11:100616. doi: 10.1016/j.ssmph.2020.100616. eCollection 2020 Aug.
Previous research has documented changes in health differentials by marital status over time. However, recent shifts in family patterns and continuing socioeconomic changes necessitate analyses of more recent changes in union status and self-rated health. Using pooled data from the 2000-2018 National Health Interview Survey (n = 788,829), this study examines educational differences in trends in self-rated health among married, cohabiting, previously-married, and never-married adults. The results of a series of logistic regression models show increasing divergence in self-rated health by union status and by education, driven mostly by declining self-assessed health in middle educational strata (high school graduate and some college), and among single adults, particularly never-married adults. The findings add to the growing evidence of increasing social class divide in family and health outcomes. Evolving trends in self-rated health by union status and education have important implications for programs promoting health and wellbeing across families.
以往的研究记录了健康差异随时间在婚姻状况方面的变化。然而，家庭模式的近期转变以及持续的社会经济变化使得有必要分析婚姻状况和自评健康方面的最新变化。本研究使用2000 - 2018年全国健康访谈调查的汇总数据（n = 788,829），考察已婚、同居、曾婚和未婚成年人在自评健康趋势方面的教育差异。一系列逻辑回归模型的结果显示，自评健康在婚姻状况和教育程度方面的差异日益增大，这主要是由中等教育层次（高中毕业生和部分大学学历）以及单身成年人，特别是未婚成年人的自我评估健康状况下降所驱动的。这些发现进一步证明了在家庭和健康结果方面社会阶层分化加剧的证据不断增加。婚姻状况和教育程度导致的自评健康的演变趋势对促进全家庭健康和福祉的项目具有重要意义。
