Marriage and Health in Malawi

马拉维的婚姻与健康

• 批准号: 10643462
• 负责人: Philip Anthony Anglewicz
• 金额: $ 8.44万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-09 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10643462
• 关键词: Address; Affect; Africa South of the Sahara; African; Age; Anxiety; Area; Attitude; Behavior; Cessation of life; Characteristics; Communicable Diseases; Couples; Custom; Data; Data Set; Dimensions; Disease; Divorce; Eastern Africa; Epidemic; Europe; Family; Future; Gender; HIV; HIV Infections; HIV Seropositivity; HIV/AIDS; Health; Health Status; Husband; Individual; Infection; Left; Life; Life Cycle Stages; Link; Longitudinal Surveys; Malawi; Marital Status; Marriage; Marriage Pattern; Measures; Mediating; Mental Depression; Mental Health; Methodology; Migrant; North America; Outcome; Perception; Physical Function; Polygyny; Recording of previous events; Research; Role; Rural; SF-12; Sex Differences; Southern Africa; Spouses; Surveys; Testing; Widow; Widowhood; Wife; Woman; age difference; aged; divorce/separation; experience; instrument; longitudinal dataset; male health; migration; neglect; physical conditioning; population based; sex; social; social norm; stem

PROJECT SUMMARY To date, the vast majority of research on marriage and health has almost exclusively focused on Europe or North America. Despite the centrality of marriage to social life in sub-Saharan Africa (SSA), research on its relationship with health is still in its nascent stages in this context. While these early studies have documented that marriage and health are indeed interrelated, there has been little consideration of the implications of other key features of the African context, such as different marriage patterns and customs (e.g., early marriage, polygyny), persistence of traditional gender norms, and the HIV/AIDS epidemic, for the link between marriage and health. The limited body of research in sub-Saharan Africa suggests that it is a unique and important setting to study the relationship between marriage and health, with social norms, infectious diseases, and marital practices that differ from contexts where most research on marriage and health have been set. In this proposed study, we intend to use a rich, longitudinal dataset to examine the link between marriage and health in Malawi. In doing so, we address several methodological challenges that have affected research on this relationship. We use longitudinal data and statistical approaches to reduce common biases in examining the connection between marriage and mental and physical health, such as unobserved characteristics associated with both marriage and heath, and the selection of individuals with different health status into marital change (mainly remarriage and dissolution). We take advantage of detailed retrospective marriage histories to identify union start and end dates, status of marriage (still married, divorced/separated, and widowed), reasons for divorce/separation, and polygynous unions. We also combine data from husbands and wives to produce a couple-level dataset that is used to conduct dyadic analyses. We use a validated instrument (the SF-12) that measures multiple dimensions of mental and physical health, as well as specific subscales of each (e.g., depression, anxiety, physical functioning). We analyze data from individuals aged 15 to over 80 years, which allows us to account for differences in the marriage-health relationship across the life course. Finally, we take advantage of data collected from migrants who have left the study area to minimize attrition bias and account for the connection between marriage and migration.

项目概要 迄今为止，绝大多数关于婚姻与健康的研究几乎完全集中在 欧洲或北美。尽管婚姻在撒哈拉以南非洲的社会生活中占据中心地位 （SSA），在这方面，对其与健康关系的研究仍处于起步阶段。尽管 这些早期研究证明婚姻和健康确实是相互关联的， 很少考虑非洲背景的其他关键特征的影响，例如 由于不同的婚姻模式和习俗（例如早婚、一夫多妻制）， 传统的性别规范以及艾滋病毒/艾滋病的流行，探讨了婚姻与健康之间的联系。 撒哈拉以南非洲地区的有限研究表明，这是一个独特且重要的研究领域。 研究婚姻与健康之间的关系、社会规范、传染性 疾病和婚姻实践与大多数婚姻研究的背景不同 健康状况已定。在这项拟议的研究中，我们打算使用丰富的纵向数据集来 研究马拉维婚姻与健康之间的联系。在此过程中，我们解决了几个问题 影响这种关系研究的方法论挑战。我们使用纵向 数据和统计方法，以减少在检查之间的联系时的常见偏见 婚姻和身心健康，例如与以下方面相关的未观察到的特征 婚姻与健康兼顾，选择不同健康状况的个体进入婚姻 变更（主要是再婚和解散）。我们利用详细的回顾 婚姻历史，以确定结合的开始和结束日期、婚姻状况（仍然结婚、 离婚/分居和丧偶）、离婚/分居的原因以及一夫多妻制婚姻。我们 还结合丈夫和妻子的数据来生成夫妻级别的数据集，用于 进行二元分析。我们使用经过验证的仪器（SF-12）来测量多个 心理和身体健康的维度，以及每个维度的具体分量表（例如， 抑郁、焦虑、身体机能）。我们分析 15 岁至 80 岁以上个体的数据 年，这使我们能够解释不同国家之间婚姻与健康关系的差异 生命历程。最后，我们利用从已离开研究的移民那里收集的数据 最大限度地减少消耗偏差并解释婚姻与移民之间的联系的领域。