Do work and family care histories predict health in older women?
Do work and family care histories predict health in older women?
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DOI：
10.1093/eurpub/ckx128
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发表时间：
2017-12-01
影响因子：
4.4
通讯作者：
Sacker A
中科院分区：
文献类型：
--
作者：
Benson R;Glaser K;Corna LM;Platts LG;Di Gessa G;Worts D;Price D;McDonough P;Sacker A
过去几十年的社会和政策变化增加了妇女将有偿工作与家庭照料相结合的选择。我们探讨了工作和家庭护理的特定组合是否与女性晚年健康的变化有关。 我们使用序列分析，分组妇女在英国纵向研究老龄化根据他们的工作历史和生育能力。使用logistic回归，我们测试了晚年残疾，抑郁症和死亡率的组间差异，同时控制了儿童健康和社会经济地位以及一系列成年社会经济情况和健康行为。 与大多数全职工作的有子女妇女参照组相比，从家庭护理过渡到短期休息后从事兼职工作或全职工作的妇女报告残疾的几率较低。在长期职业中断后从家庭护理转向兼职工作的女性死亡率低于参考组。抑郁症状与女性的工作和家庭护理史无关。 妇女的工作经历预示着她们晚年的残疾和死亡率。这种关系可能有助于针对旨在改善晚年健康的干预措施。有必要进一步研究，以探索某些工作历史与晚年健康状况较差之间的联系机制，并为受影响的人设计干预措施。
Social and policy changes in the last several decades have increased women’s options for combining paid work with family care. We explored whether specific combinations of work and family care over the lifecourse are associated with variations in women’s later life health. We used sequence analysis to group women in the English Longitudinal Study of Ageing according to their work histories and fertility. Using logistic regression, we tested for group differences in later life disability, depressive symptomology and mortality, while controlling for childhood health and socioeconomic position and a range of adult socio-economic circumstances and health behaviours. Women who transitioned from family care to either part-time work after a short break from the labour force, or to full-time work, reported lower odds of having a disability compared with the reference group of women with children who were mostly employed full-time throughout. Women who shifted from family care to part-time work after a long career break had lower odds of mortality than the reference group. Depressive symptoms were not associated with women’s work and family care histories. Women’s work histories are predictive of their later life disability and mortality. This relationship may be useful in targeting interventions aimed at improving later life health. Further research is necessary to explore the mechanisms linking certain work histories to poorer later life health and to design interventions for those affected.
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影响因子：
2.1
作者：
Grundy, Emily;Read, Sanna
通讯作者：
Read, Sanna
影响因子：
12.7
作者：
Guralnik, JM;Alecxih, L;Wiener, JM
通讯作者：
Wiener, JM
影响因子：
3.7
作者：
Fouarge, Didier;Manzoni, Anna;Luijkx, Ruud
通讯作者：
Luijkx, Ruud
影响因子：
6.9
作者：
Nelson, T;Fernandez, JL;Katona, C
通讯作者：
Katona, C
影响因子：
1.7
作者：
Nordenmark, M
通讯作者：
Nordenmark, M