Marital Power and Depressive Symptoms among Older Mexican Adults.
Marital Power and Depressive Symptoms among Older Mexican Adults.
复制标题
墨西哥老年人的婚姻权力和抑郁症状。
DOI：
10.1017/s0144686x18000612
复制
发表时间：
2019
影响因子：
2.5
通讯作者：
Rote,Sunshine
中科院分区：
文献类型：
--
作者：
Saenz,JosephL;Rote,Sunshine
大量的研究资料表明，老年人的婚姻状况在健康方面存在差异。然而，很少有研究调查生活在发展中国家的老年已婚成年人抑郁症状的异质性。我们的研究调查了性别和婚姻权力动态对墨西哥老年人心理健康的相互作用。我们的样本包括2015年墨西哥健康和老龄化研究浪潮中的老年已婚夫妇(N=3621对偶)。我们使用看似不相关的回归来模拟婚姻中自我报告的决策权分配与丈夫和妻子抑郁症状之间的关联。对于大约41%的夫妇来说，丈夫和妻子都报告在婚姻中平等分配权力。与那些报告权力分配均等的人相比，报告权力不平衡(权力比配偶更大或更小)的丈夫和妻子报告了更多的抑郁症状。在以权力不平等为特征的婚姻中，抑郁症状的水平更高。权力平等和抑郁症状之间的关系不能用卫生保健需求或生活安排来解释。婚姻质量是了解墨西哥老年人抑郁症状的重要因素。
An extensive body of research documents marital status differences in health among older adults. However, few studies have investigated the heterogeneity in depressive symptomatology among older married adults living in developing countries. Our study investigates the interplay of gender and marital power dynamics for mental health among older Mexican adults. Our sample includes older married couples in the 2015 Wave of the Mexican Health and Aging Study (N = 3,621 dyads). We use seemingly unrelated regression to model the association between self-reported distributions of decision-making power within marriages and depressive symptoms for husbands and wives. For approximately 41 per cent of couples, the husband and wife both reported an equal distribution of power in the marriage. Compared to those who reported an equal power distribution, husbands and wives who reported an imbalance of power (having more power or less power than their spouse) reported more depressive symptoms. Levels of depressive symptoms were higher in marriages characterised by power inequality. The relationship between equality in power and depressive symptoms is not explained by health-care needs or living arrangements. Marital quality is an important factor for understanding depressive symptoms among older Mexican adults.