Benzeval M
King's Fund, London, UK.
Soc Sci Med. 1998 May;46(10):1337-53. doi: 10.1016/s0277-9536(97)10083-1.
A number of studies have shown that lone parents have poorer health status than the general population. However, what is missing from the existing literature is any systematic assessment of the contribution that lone parents' relatively poor socioeconomic circumstances make to their relative health disadvantage. This paper aims to fill this gap. It employs a large national dataset based on three consecutive years of the British General Household Survey (1992/1993 to 1994/1995) to assess the relative health status of lone parents in comparison to couple parents, and to evaluate the importance of different explanations for their health differences. The results confirm that lone parents, particularly lone mothers, have poor health status relative to parents living as couples. The observed health differences mirror variations in socioeconomic circumstances. However, even when a wide range of demographic and socioeconomic circumstances are included in multivariate models, lone mothers still have significantly poorer health than couple mothers for four out of five health variables. The paper concludes by discussing alternative explanations for the health differences between lone and couple parents--such as the absence of an intimate/confiding relationship, the stress and stigma associated with becoming a lone parent and health selection--and by highlighting future options for policy and research in this area.
多项研究表明,单亲父母的健康状况比普通人群更差。然而,现有文献中缺少对单亲父母相对较差的社会经济状况对其相对健康劣势所起作用的任何系统评估。本文旨在填补这一空白。它采用了一个基于连续三年英国综合住户调查(1992/1993至1994/1995)的大型全国数据集,以评估单亲父母与双亲父母相比的相对健康状况,并评估对他们健康差异的不同解释的重要性。结果证实,单亲父母,尤其是单身母亲,相对于以夫妻形式生活的父母,健康状况较差。观察到的健康差异反映了社会经济状况的差异。然而,即使在多变量模型中纳入了广泛的人口和社会经济状况,单身母亲在五项健康变量中的四项上,健康状况仍显著差于双亲母亲。本文最后讨论了单亲父母与双亲父母健康差异的其他解释——比如缺乏亲密/可倾诉的关系、成为单亲父母所带来的压力和污名以及健康选择——并强调了该领域未来政策和研究的选择。