Motherhood Biographies and Midlife Women's Health

摘要 母亲传记和中年妇女健康R 01项目描绘了母亲身份的差异 经验导致中年健康差距日益扩大。今天大约85%的中年妇女都是母亲， 但通往母性的道路--我们称之为母性传记--在许多方面都越来越多样化 与健康有关的问题，包括第一次生育的年龄和生育间隔。家长项目测试母性如何 传记对中年妇女的健康很重要，特别关注种族/民族和社会经济地位。我们 比较母亲和非母亲以及母亲与不同的母亲传记使用全国 来自1979-2018年国家青年纵向研究（NLSY 79; N= 4，951名女性）的代表性数据。 我们正在测试以下目标与此多样性补充和布兰特利的努力集中在目标2和3： 目标1：确定如何母亲传记，包括无子女与中年健康。我们正在使用 关于孕产状况、子女人数/间隔、每次生育的年龄和婚姻状况、生育率 期望和怀孕损失，以确定1957年至1964年出生的妇女中的母亲传记，使用潜在 类别分析和替代方法（例如，序列分析）。我们正在研究母性与 传记和身体，心理和认知健康和健康行为在中年。 目的2：确定母亲传记对健康的影响如何取决于儿童-母亲的特征 中年的关系使用中介和适度分析，我们正在研究孩子-母亲如何联系在一起。 母亲的中年生活既解释又塑造了母性传记与中年健康之间的关联。 目的3：通过母亲传记的教育程度和种族/民族来确定异质性效应 关于中年健康考虑到教育-母亲和教育-健康的联系以及种族/族裔- 母亲和种族/民族-健康的联系，我们正在使用适度分析，以测试是否母亲的地位， 和母亲传记协会对中年健康有不同的影响， 种族/民族。 考虑到布兰特利的兴趣，拟议的补充项目将侧重于目标2的种族/族裔组成部分， 3.这样做，该子项目直接有助于实现与种族/民族和健康差异有关的母项目目标 在女性中。在整个行政补充期间，布兰特利将与托梅尔（MPI）， Reczek（MPI）和其他团队成员和导师进行出版物，演示文稿和其他研究 研究激活。布兰特利将进行分析，研究动态和往往复杂的关系， 种族/族裔群体之间和内部的母性传记和健康，特别是黑人母亲。整个 导师团队还将协助Brantley在研究期间开发NIH K 01应用程序，以及 在会议上展示研究成果，并在同行评议的期刊上发表。

Abstract The Motherhood Biographies and Midlife Women’s Health R01 project maps how divergence in motherhood experiences contributes to growing midlife health disparities. About 85 percent of midlife women today are mothers, but pathways to motherhood—what we call motherhood biographies—are increasingly diverse across many dimensions relevant to health, including age at first birth and spacing of children. The parent project tests how motherhood biographies matter for midlife women’s health with a specific focus on race/ethnicity and socioeconomic status. We compare mothers and non-mothers as well as mothers with differing motherhood biography profiles using nationally representative data from the 1979-2018 waves of the National Longitudinal Study of Youth (NLSY79; N=4,951 women). We are testing the following aims with this diversity supplement and Brantley’s efforts focused on Aims 2 and 3: AIM 1: Identify how motherhood biographies—including childlessness—relate to midlife health. We are using information on motherhood status, number/spacing of children, age and marital status at each birth, fertility expectations, and pregnancy loss to identify motherhood biographies among women born 1957 to 1964 using Latent Class Analysis and alternative methods (e.g., Sequence Analysis). We are examining associations between motherhood biographies and physical, mental, and cognitive health and health behaviors at midlife. AIM 2: Identify how the impact of motherhood biographies on health depends on characteristics of child-mother relationship at midlife. Using mediation and moderation analysis, we are examining how child-mother ties in the mother’s midlife both explain and shape associations between the motherhood biography and midlife health. AIM 3: Identify the heterogeneous effects by educational attainment and race/ethnicity of motherhood biographies on midlife health. Given the education-motherhood and education-health linkages as well as the race/ethnicity- motherhood and race/ethnicity-health linkages, we are using moderation analysis to test whether motherhood status and motherhood biography associations have heterogeneous impacts on midlife health by educational attainment and race/ethnicity. Given Brantley’s interest, the proposed supplemental project will focus on the race/ethnicity components of Aims 2 and 3. In doing so, this sub-project directly contributes to parent project aims related to race/ethnicity and health disparities among women. Throughout the duration of the administrative supplement, Brantley will work with Thomeer (MPI), Reczek (MPI), and the other team members and mentors to conduct research for publications, presentations, and other research activates. Brantley will conduct analyses examining the dynamic and often complex relationship between motherhood biographies and health across and within racial/ethnic groups, specifically among Black mothers. The entire mentorship team will also assist Brantley in developing an NIH K01 application during the study period, as well as present research at conferences and publish in peer-reviewed journals.