Reproductive history, socioeconomic status, and self-reported health status of women aged 50 years or older
Reproductive history, socioeconomic status, and self-reported health status of women aged 50 years or older
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DOI：
10.2105/ajph.87.1.33
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发表时间：
1997-01-01
影响因子：
12.7
通讯作者：
Rogowski, J
中科院分区：
文献类型：
--
作者：
Kington, R;Lillard, L;Rogowski, J
目标.本文介绍了自我报告的一般方法之间的关系。我们分析了来自收入动态小组研究的1341名50岁及以上女性的全国概率样本的调查数据。我们使用多元回归技术来控制评估健康状况和功能的健康指数的差异。与没有或较少怀孕的妇女相比，有六倍以上完整怀孕史的妇女在教育程度、财务资源和健康状况方面处于不利地位。当控制当前的社会人口因素时，六次或六次以上的怀孕与更差的一般健康状况和更差的身体角色功能相关。在社会人口因素和生育数量得到控制的情况下，在至少生产过一次的妇女中，经历过婴儿死亡的妇女报告说，按所有三个指数衡量，健康状况较差。在18岁之前第一次分娩的妇女更有可能报告功能限制。产次较高、有婴儿死亡史和初次怀孕较早的妇女在以后的生活中健康状况不佳的风险更大。
Objectives. This paper describes the relationship between self-reported generaMethods. We analyzed survey data on a national probability sample of 1341 women aged 50 and older from the Panel Study of Income Dynamics. We used multivariate regression techniques to control for differences in health indices that assessed health status and functioning.Results. Women with a history of sixer more completed pregnancies were found to be disadvantaged in educational attainment, financial resources, and health status compared with women with no or fewer pregnancies. When current sociodemographic factors were controlled, six or more pregnancies were associated with worse general health and worse physical role functioning. When sociodemographic factors and number of births were controlled, among women with at least one delivery, women who had experienced an infant's death reported worse health as measured by all three indices. Women with a first delivery before the age of 18 were more likely to report a functional limitation.Conclusions. Women with high parity status, a history of an infant's death, and an early first pregnancy may be at greater risk of poor health in later life.