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德国和欧盟的伙伴关系、为人父母状况、就业及自评健康状况——欧洲健康访谈调查(EHIS)2的结果

Partnership, parenthood, employment and self-rated health in Germany and the EU - Results from the European Health Interview Survey (EHIS) 2.

作者信息

Rattay Petra, Müters Stephan, Borgmann Lea-Sophie, von der Lippe Elena, Poethko-Müller Christina, Lampert Thomas

机构信息

Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.

出版信息

J Health Monit. 2019 Dec 11;4(4):7-28. doi: 10.25646/6224. eCollection 2019 Dec.

Abstract

Partnership, parenthood and employment constitute three main social roles that people adopt in middle adulthood. Against the background of the discussion about multiple roles and the reconciliation of family and work, this article analyses the association between the combination of social roles and self-rated health in Germany and the European Union (EU). The analysis is based on data from the second wave of the European Health Interview Survey (EHIS 2), which was conducted in all EU Member States between 2013 and 2015. The final sample included 62,111 women and 50,719 men aged between 25 and 59. Using logistic regression models, predictive margins for fair to very bad health in different family and employment constellations were calculated for the EU and Germany (in the case of men only for the EU in total). A difference was identified according to employment status in all family groups for women and men at the EU level: non-employed people rated their health as fair or bad more often, followed by part-time and full-time workers. Smaller differences by employment status were found for mothers with a partner in terms of the proportion of mothers who self-rated their health as bad compared to women in other family groups. No differences in health by employment status were found in Germany among mothers. This applies also to single parents. Different patterns of associations were identified between groups of EU Member States with diverse welfare systems.

摘要

伴侣关系、为人父母和就业构成了人们在中年时所承担的三个主要社会角色。在关于多重角色以及家庭与工作协调的讨论背景下,本文分析了德国和欧盟(EU)社会角色组合与自评健康之间的关联。该分析基于欧洲健康访谈调查(EHIS 2)第二轮的数据,该调查于2013年至2015年在所有欧盟成员国开展。最终样本包括62111名年龄在25岁至59岁之间的女性和50719名男性。使用逻辑回归模型,计算了欧盟和德国不同家庭和就业组合中健康状况为中等至非常差的预测边际(仅针对男性计算了欧盟整体的情况)。在欧盟层面,所有家庭群体中的女性和男性根据就业状况存在差异:未就业者更常将自己的健康状况评为中等或较差,其次是兼职和全职工作者。与其他家庭群体中的女性相比,有伴侣的母亲中自评健康状况较差的母亲比例在就业状况方面的差异较小。在德国,母亲群体中未发现就业状况与健康之间存在差异。单亲家庭情况也是如此。在具有不同福利体系的欧盟成员国群体之间,发现了不同的关联模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddd7/8790791/92830309a221/johm-4-4-07-g001.jpg

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