Motherhood Biographies and Midlife Women's Health

摘要 母亲传记和中年妇女健康R01项目描绘了母亲身份的差异 经历导致了越来越大的中年健康差距。如今，大约85%的中年女性都是母亲， 但是，成为母亲的途径--我们称之为母亲传记--在许多维度上越来越多样化 与健康相关的数据，包括第一次出生的年龄和生育间隔。家长项目测试了母亲的身份 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不同的母亲传记档案使用国家 来自1979年至2018年全国青年纵向研究浪潮的代表性数据(NLSY79；N=4951名妇女)。 我们正在用这个多样性补充来测试以下目标，以及布兰特利专注于目标2和目标3的努力： 目标1：确定母亲传记--包括无子女--与中年健康有何关系。我们正在使用 关于母亲状况、子女数量/间隔、每次生育时的年龄和婚姻状况、生育率的信息 期望，和怀孕损失，以确定1957年至1964年出生的女性的母亲传记使用潜伏期 类分析和替代方法(例如，序列分析)。我们正在研究为人母之间的联系 传记和中年时的身体、心理和认知健康及健康行为。 目标2：确定母亲传记对健康的影响如何取决于孩子-母亲的特征 中年时的恋情。使用调解和缓和分析，我们正在研究孩子和母亲是如何在 母亲的中年生活解释并塑造了母亲传记与中年健康之间的联系。 目标3：通过母亲传记的教育程度和种族/民族确定不同的影响 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/民族-- 母性和种族/民族-健康之间的联系，我们正在使用适度分析来测试母性状态 母亲传记协会对中年健康的影响因受教育程度和 种族/民族。 鉴于布兰特利的兴趣，拟议的补充项目将侧重于AIMS 2和 3.在这样做时，这一分项目直接有助于实现与种族/族裔和健康差距有关的父项目目标 在女性中。在行政补充的整个期间，布兰特利将与托梅尔(MPI)合作， Reczek(MPI)，以及其他团队成员和导师，为出版物、演示文稿和其他 研究被激活。布兰特利将进行分析，研究动态的、往往是复杂的 跨种族/民族群体，特别是黑人母亲的母亲传记和健康。整个 指导小组还将在研究期间协助布兰特利开发NIH K01应用程序，以及 在会议上发表研究，并在同行评议的期刊上发表文章。

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.