Balbo Nicoletta, Bolano Danilo
Department of Social and Political Sciences, Bocconi University, Milan, Italy.
Dondena Centre, Bocconi University, Milan, Italy.
Eur J Public Health. 2024 Feb 5;34(1):79-84. doi: 10.1093/eurpub/ckad168.
Disability does not simply affect the health status of the individual who directly experiences that condition, but it has important consequences on the health and well-being of the other family members as well. Focusing on Italy, an extremely interesting test-bed due to its strong familialist welfare regime, we show significant spillover effects of children's disability on parental health and well-being.
We use data from a nationally representative household survey on almost 13 000 mothers and fathers and adopt a multivariate regression setting providing evidence that the disability of a child is negatively associated with parents' health and life satisfaction.
Parents of a disabled child report lower levels of general and mental health, as well as lower levels of well-being compared with parents with a healthy child. Strong heterogeneity by gender and socio-economic characteristics is observed, with mothers being more affected by the disability status of the child than fathers. The estimated coefficients suggest that education remains an important protective factor even for parents of a disabled child.
This study claims and documents that child disability is an overlooked source of health disadvantage for parents. Such disadvantage is especially relevant for mothers and lower-educated parents, evidence that suggests the importance of taking an intersectional approach to study health disparities.
残疾不仅会影响直接经历这种状况的个体的健康状况,还会对其他家庭成员的健康和幸福产生重要影响。以意大利为例,由于其强大的家庭主义福利制度,它成为了一个极具吸引力的试验场,我们发现儿童残疾对父母的健康和幸福有显著的溢出效应。
我们使用了一项全国代表性家庭调查的数据,该调查涵盖了近13000名父母,并采用多元回归分析方法,证明了孩子的残疾与父母的健康和生活满意度呈负相关。
与健康孩子的父母相比,残疾孩子的父母报告的总体健康和心理健康水平较低,幸福感也较低。我们观察到了性别和社会经济特征方面的强烈异质性,母亲比父亲更容易受到孩子残疾状况的影响。估计系数表明,即使对于残疾孩子的父母来说,教育仍然是一个重要的保护因素。
本研究表明并证明,儿童残疾是父母健康劣势的一个被忽视的来源。这种劣势对母亲和受教育程度较低的父母尤为重要,这一证据表明采用交叉性方法研究健康差距的重要性。