Kington R, Lillard L, Rogowski J
RAND, Santa Monica, Calif 90407, USA.
Am J Public Health. 1997 Jan;87(1):33-7. doi: 10.2105/ajph.87.1.33.
This paper describes the relationship between self-reported general health status and several facets of reproductive history.
We analyzed survey data on a national probability sample of 1341 women aged 50 and older from the Panel Study of Income Dynamics. We used multivariate regression techniques to control for differences in health indices that assessed health status and functioning.
Women with a history of six or more completed pregnancies were found to be disadvantaged in educational attainment, financial resources, and health status compared with women with no or fewer pregnancies. When current sociodemographic factors were controlled, six or more pregnancies were associated with worse general health and worse physical role functioning. When sociodemographic factors and number of births were controlled, among women with at least one delivery, women who had experienced an infant's death reported worse health as measured by all three indices. Women with a first delivery before the age of 18 were more likely to report a functional limitation.
Women with high parity status, a history of an infant's death, and an early first pregnancy may be at greater risk of poor health in later life.
本文描述了自我报告的总体健康状况与生殖史若干方面之间的关系。
我们分析了收入动态面板研究中1341名50岁及以上女性的全国概率样本的调查数据。我们使用多元回归技术来控制评估健康状况和功能的健康指标差异。
与未怀孕或怀孕次数较少的女性相比，有六次或更多次完整怀孕史的女性在教育程度、财务资源和健康状况方面处于劣势。当控制当前社会人口学因素时，六次或更多次怀孕与较差的总体健康状况和较差的身体角色功能相关。当控制社会人口学因素和生育次数时，在至少分娩一次的女性中，经历过婴儿死亡的女性在所有三项指标上的健康状况都较差。首次分娩年龄在18岁之前的女性更有可能报告功能受限。
高生育状态、有婴儿死亡史和首次怀孕较早的女性在晚年健康状况不佳的风险可能更大。
