Women's health Australia: On the progress of the main cohort studies
Women's health Australia: On the progress of the main cohort studies
复制标题
DOI：
10.1089/jwh.1.1999.8.681
复制
发表时间：
1999-06-01
期刊：
影响因子：
--
通讯作者：
Byles, JE
中科院分区：
文献类型：
--
作者：
Brown, WJ;Dobson, AJ;Byles, JE
1996年，41 000多名年龄在18-23岁、45-50岁和70-75岁的妇女参加了澳大利亚妇女健康纵向研究（澳大利亚妇女健康）。在1996年对所有三个组别进行了基线调查，并在1998年对中年组别进行了第一次随访调查，反应率超过90%。到目前为止，主要的发现反映了这三组人在生活经历上的巨大差异。这些年轻女性表示压力很大。有年幼子女的人的身心健康状况比没有子女的人差，但社会人口特征的混淆可能是造成这种差异的原因。在健康体重或体重过轻范围内，三分之二的年轻女性希望减轻体重，而过早开始节食与较差的身心健康有关。大多数中年妇女都扮演着多重角色——有报酬的工作、家务、照顾孩子和其他家属。这项研究调查这种忙碌生活对健康结果的长期影响的潜力是相当大的。在这个阶段，这些女性的主要健康问题与疲劳、体重增加和更年期有关。年龄较大的队列呈现出积极衰老的画面。这些妇女比中年妇女和年轻妇女更多地使用保健服务，她们对这些服务也更满意。尽管她们的身体健康状况较差，但她们的心理健康状况较好，而且与其他两组女性相比，她们的压力更小。计划于1999年对这一群体进行的后续调查将集中于这些妇女使用的应付策略。该项目的总目标是了解社会角色、生活事件和妇女健康之间的相互作用，以便为改进保健政策和服务提供基础。对这些相互作用的分析依赖于定量和定性数据，提出了许多挑战，这些挑战将随着纵向数据的获得而得到解决。
More than 41,000 women aged 18-23, 45-50, and 70-75 years in 1996 are participating in the Australian Longitudinal Study on Women's Health (Women's Health Australia). Baseline surveys were conducted for all three cohorts in 1996, and the first follow-up survey of the mid-age group in 1998 has achieved a response rate exceeding 90%. The main findings so far reflect the large differences in the life experiences of the three cohorts. The young women report high levels of stress. The physical and mental health of those with young children is worse than for those without children, but confounding by sociodemographic characteristics may account for the differences. Two thirds of young women in the healthy weight or underweight range would like to weigh less, and early onset of dieting is associated with poorer physical and mental health. Most of the women in the mid-age group have multiple roles-in paid work, home duties, and caring for children and other dependents. The potential of the study to investigate the long-term impact of such busy lives on health outcomes is considerable. At this stage, the main health issues for these women relate to tiredness, weight gain, and menopause. The older cohort presents a picture of positive aging. These women are heavier users of health services than the mid-age and younger women, and they are also more satisfied with these services. Although their physical health is poorer, their mental health is better, and they report less stress than women in the other two cohorts. The follow-up survey of this group, planned for 1999, will focus on the coping strategies used by these women. An overall goal of the project is to understand the interactions among social roles, life events, and women's health in order to provide a basis for improved health policies and services. Analysis of these interactions, which relies on both quantitative and qualitative data, poses many challenges that will be addressed as the longitudinal data become available.