Umberson Debra, Thomeer Mieke Beth
Population Research Center, University of Texas at Austin, 305 E 23 Street, Austin TX.
Department of Sociology, University of Alabama at Birmingham.
J Marriage Fam. 2020 Feb;82(1):404-419. doi: 10.1111/jomf.12640. Epub 2020 Jan 5.
Family ties have wide-ranging consequences for health, for better and for worse. This decade review uses a life course perspective to frame significant advances in research on the effects of family structure and transitions (e.g., marital status), and family dynamics and quality (e.g., emotional support from family members), on health across the life course. Significant advances include the linking of childhood family experiences to health at older ages, identification of biosocial processes that explain how family ties influence health throughout life, research on social contagion showing how family members influence one another's health, and attention to diversity in family and health dynamics, including gender, sexuality, socioeconomic, and racial diversity. Significant innovations in methods include dyadic and family-level analysis and causal inference strategies. The review concludes by identifying directions for future research on families and health, advocating for a "family biography" framework to guide future research, and calling for more research specifically designed to assess policies that affect families and their health from childhood into later life.
家庭关系对健康有着广泛的影响，既有好的一面，也有坏的一面。这十年回顾从生命历程的角度，梳理了关于家庭结构与转变（如婚姻状况）以及家庭动态与质量（如家庭成员的情感支持）对整个生命历程健康影响的研究取得的重大进展。重大进展包括将童年家庭经历与老年健康联系起来，确定解释家庭关系如何在一生中影响健康的生物社会过程，关于社会传染的研究表明家庭成员如何相互影响彼此的健康，以及关注家庭和健康动态中的多样性，包括性别、性取向、社会经济和种族多样性。方法上的重大创新包括二元和家庭层面的分析以及因果推断策略。综述最后确定了家庭与健康未来研究的方向，倡导采用“家庭传记”框架来指导未来研究，并呼吁开展更多专门设计用于评估从童年到晚年影响家庭及其健康政策的研究。
