Motherhood Biographies and Midlife Women's Health

母亲传记和中年女性健康

基本信息

批准号：
10320466
负责人：
Rin Reczek
金额：
$ 19.18万
依托单位：
UNIVERSITY OF ALABAMA AT BIRMINGHAM
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-01-01 至 2025-12-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10320466
关键词：
Address Adolescence Adult Children Age Aging Attention Biography Birth Birth Intervals Black race Categories Characteristics Child Cognitive Collection Data Dimensions Disadvantaged Education Elderly Ethnic Origin Evidence based intervention Family health status Fertility expectation First Births Generations Goals Gold Health Health behavior Hispanic Home Individual Lead Life Cycle Stages Light Literature Longitudinal Studies Maps Marital Status Maternal Health Mediating Mediation Methods Minor Mother-Child Relations Mothers Not Hispanic or Latino Outcome Pathway interactions Play Population Pregnancy loss Psyche structure Public Health Public Policy Race Reduce health disparities Research Risk Factors Role Science Sequence Analysis Shapes Techniques Testing Variant Woman Women&apos s Health Youth base cohort design experience health disparity improved innovation insight longitudinal dataset middle age motherhood nonmarital childbearing parity physical conditioning prospective racial and ethnic social

项目摘要

Abstract Research shows widening health disparities among midlife women since the mid-1980s. However, the mechanisms through which these health gradients operate are not fully known. Although about 85 percent of midlife (ages 40-50) women today are mothers, the pathways to and contexts of motherhood—what we call motherhood biographies—have become increasingly diverse across many dimensions relevant to health, including age at first birth, parity, spacing of children, and relationship status. Despite evidence that each of these individual dimensions of the motherhood biography shape maternal health early in the life course, their longer- term consequences for maternal health at midlife have been largely ignored. Additionally, research to date has failed to examine whether midlife mother-child relationship characteristics (e.g., coresidence, relationship quality) either explain or condition the impact of motherhood biographies on midlife women's health. What is unknown in the scientific literature is how motherhood biographies and midlife motherhood contexts are related to health and health disparities among midlife women and how these effects vary by education and race-ethnicity. The proposed R01 study, Motherhood Biographies and Midlife Women's Health, will be the first to comprehensively determine how motherhood biographies and midlife motherhood contexts matter for midlife women's health by education and race-ethnicity. We use nationally-representative data from the 1979-2016 waves of the National Longitudinal Study of Youth (NLSY79; N=4,271 women). The data are unmatched in their ability to address our research aims as they include nationally representative longitudinal data—the gold standard in research on family and health—and allow us to follow women from adolescence to their 50s, tracking key moments in motherhood and health. We examine a comprehensive collection of health variables in order to capture the critical heath disparities found at midlife including related to a) health behaviors, b) physical health, and c) mental and cognitive health. This project is innovative in that it presents new solutions to the perplexing puzzle of the midlife health gradient by theorizing and examining motherhood biographies and contexts as key pathways though which health outcomes are stratified at midlife. This proposal will have a significant impact in demonstrating risk factors and mechanisms for midlife health disparities. Additionally, given that education and race-ethnicity are also associated with health disparities and motherhood, this study is significant in testing how diversifying motherhood biographies by education and race- ethnicity play a role in the widening of midlife health disparities. Examining motherhood biographies at this life course juncture helps us to better understand health disparities as this generation ages into later-life. Because health disparities widen with age, it is both possible and imperative to identify the social causes of what may be small health issues in midlife in order to ameliorate larger health issues in later life.

抽象的研究表明，自 20 世纪 80 年代中期以来，中年女性的健康差距不断扩大。尽管大约 85% 的健康梯度的运作机制尚不完全清楚。今天的中年（40-50岁）女性是母亲，成为母亲的途径和背景——我们称之为母亲母亲的传记——在与健康相关的许多方面变得越来越多样化，包括第一胎年龄、胎次、生育间隔和关系状况，尽管有证据表明这些因素都存在。母性传记的个体维度在生命历程的早期塑造孕产妇健康，其长期此外，迄今为止的研究在很大程度上忽略了对中年产妇健康的长期影响。未能检查中年母子关系特征（例如，同居、关系质量）解释或调节母性传记对中年妇女健康的影响。科学文献中介绍了母亲传记和中年母亲背景与健康的关系中年妇女之间的健康差异以及这些影响如何因教育和种族而异。拟议的 R01 研究“母亲传记和中年妇女健康”将是第一个全面确定母亲的传记和中年母亲的背景如何影响我们使用来自教育和种族的全国代表性数据。 1979-2016 年全国青年纵向研究（NLSY79；N=4,271 名女性）的数据为。他们解决我们研究目标的能力无与伦比，因为它们包括具有全国代表性的纵向研究数据——家庭和健康研究的黄金标准——让我们能够从青春期开始追踪女性我们研究了 50 多岁的母亲和健康的关键时刻。健康变量，以捕捉中年发现的关键健康差异，包括与a）健康相关的行为，b) 身体健康，以及 c) 心理和认知健康该项目的创新之处在于。通过理论分析和检验，为中年健康梯度这一令人困惑的难题提供了新的解决方案母亲的传记和背景是中年健康结果分层的关键途径。该提案将对展示中年健康的危险因素和机制产生重大影响此外，考虑到教育和种族也与健康差异有关，母亲身份，这项研究对于测试如何通过教育和种族使母亲传记多样化具有重要意义。种族在中年健康差异的扩大中发挥着作用。检查这一生的母亲传记。当然，随着这一代人步入晚年，这一课程有助于我们更好地了解健康差异。健康差距随着年龄的增长而扩大，找出造成健康差距的社会原因既是可能的，也是势在必行的。中年时期的小健康问题，以改善晚年更大的健康问题。