Liu J, Guo C
Institute of Population Research, Peking University, Beijing 100871, China.
Institute of Population Research, Peking University, Beijing 100871, China APEC Health Science Academy (HeSAY), Peking University, Beijing 100871, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2022 Jul 6;56(7):960-965. doi: 10.3760/cma.j.cn112150-20210810-00773.
To explore the influence of differential parenting in early life on the physical and mental health of middle-aged and elderly women, and analyze the mediating effect of early life health. Based on 8 204 women aged 45-84 years from the China Health and Retirement Longitudinal Study (CHARLS) in 2018, the life course survey data of CHARLS 2014 were matched by ID number. Logistic regression analysis models were used to analyze the direct impact of differential parenting in early life on chronic diseases and depression of middle-aged and elderly women, and the KHB method was used to analyze the mediating effect of early life health. The prevalence of chronic diseases in middle-aged and elderly women was 81.05% and the detection rate of depression among them was 41.46%. After adjusting for other confounding factors, parents' preference for boys in early life increased the possibility of chronic diseases of middle-aged and elderly women by 18.2% (=1.182, 95%: 1.013-1.381). Compared with the women whose parents had no differential upbringing in early life, the parents' preference for boys or brothers/sisters in early life increased the possibility of depression in middle-aged and elderly women by 16.1% (=1.161, 95%:1.030-1.309) and 17.4% (=1.174, 95%:1.032-1.336),respectly. Early life health was one of the mediating factors that parents' preference for brothers and sisters could affect the mental health status of middle-aged and elderly women, and the mediating effect accounted for 8.603% of the total effect. Differential parenting in early life may have an impact on the physical and mental health of middle-aged and elderly women. Differential parenting could affect the early life health status of women, and then affect the mental health in their middle and old age.
为探讨生命早期差异化养育对中老年女性身心健康的影响，并分析生命早期健康的中介作用。基于2018年中国健康与养老追踪调查（CHARLS）中8204名45 - 84岁女性的数据，通过身份证号码匹配CHARLS 2014年的生命历程调查数据。采用逻辑回归分析模型分析生命早期差异化养育对中老年女性慢性病和抑郁的直接影响，并运用KHB方法分析生命早期健康的中介作用。中老年女性慢性病患病率为81.05%，抑郁检出率为41.46%。在调整其他混杂因素后，生命早期父母重男轻女使中老年女性患慢性病的可能性增加18.2%（=1.182，95%：1.013 - 1.381）。与生命早期父母无差异化养育的女性相比，生命早期父母重男轻女或重兄弟/姐妹分别使中老年女性患抑郁症的可能性增加16.1%（=1.161，95%：1.030 - 1.309）和17.4%（=1.174，95%：1.032 - 1.336）。生命早期健康是父母重兄弟/姐妹影响中老年女性心理健康状况的中介因素之一，中介效应占总效应的8.603%。生命早期的差异化养育可能对中老年女性的身心健康产生影响。差异化养育会影响女性生命早期的健康状况，进而影响其中老年时期的心理健康。
