A life course model of self-rated health through adolescence and young adulthood.

A life course model of self-rated health through adolescence and young adulthood.
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DOI:
10.1016/j.socscimed.2012.05.017
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发表时间:
2012-10
影响因子:
5.4
通讯作者:
Macmillan, Ross
Macmillan, Ross
中科院分区:
医学2区
文献类型:
--
作者:
Bauldry, Shawn;Shanahan, Michael J.;Boardman, Jason D.;Miech, Richard A.;Macmillan, Ross

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本文提出并测试了一个自我评价健康(SRH)的生命历程模型,从童年晚期到成年早期,从美国国家青少年健康纵向研究(Add Health)的三波面板数据。在最初的几十年里,很少有研究审查性健康和生殖健康,或者这些自我评估是否以及如何反映原籍家庭的经历。背景特征(父母教育、收入和家庭结构)、父母健康状况(哮喘、糖尿病、肥胖、偏头痛)和早期健康挑战(身体虐待、残疾、父母酗酒和吸烟)可预测青春期至青年期的SRH。这些经历在家庭中的起源是基本上介导的年轻人的健康和健康行为(如肥胖,抑郁症,吸烟,饮酒和不活动),虽然直接影响仍然存在(特别是对早期的健康挑战)。SRH和这些介质(特别是肥胖)之间的联系随着年龄的增长而加强。反过来,在中学毕业后的青年时期努力促进健康的行为,对于促进成年后期的健康可能特别具有战略意义。
This paper proposes and tests a life course model of self-rated health (SRH) extending from late childhood to young adulthood, drawing on three waves of panel data from the U.S. National Longitudinal Study of Adolescent Health (Add Health). Very little research has examined SRH during the early decades, or whether and how these self-assessments reflect experiences in the family of origin. Background characteristics (parental education, income, and family structure), parental health conditions (asthma, diabetes, obesity, migraines), and early health challenges (physical abuse, presence of a disability, and parental alcoholism and smoking) predict SRH from adolescence to young adulthood. These experiences in the family-of-origin are substantially mediated by the young person’s health and health behaviors (as indicated by obesity, depression, smoking, drinking, and inactivity), although direct effects remain (especially for early health challenges). Associations between SRH and these mediators (especially obesity) strengthen with age. In turn, efforts to promote healthy behaviors in young adulthood, after the completion of secondary school, may be especially strategic in the promotion of health in later adulthood.
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