Women's fertility and allostatic load in the post-reproductive years: An analysis of the Indonesian Family Life Survey.

IF 2.5 2区 社会学 Q1 DEMOGRAPHY Population Studies-A Journal of Demography Pub Date : 2024-03-01 Epub Date: 2023-01-25 DOI:10.1080/00324728.2022.2160004
Tiziana Leone, Heini Väisänen, Firman Witoelar
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Abstract

We know little about the effects of the reproductive health burden in contexts where unsafe abortions, miscarriages, stillbirths, and low-quality maternal care are common. The aim of this study is to investigate the use of allostatic load to understand the impact of reproductive histories on later-life health. We applied path models to the Indonesian Family Life Survey with a sample of 2,001 women aged 40+. Although number of children was not associated with allostatic load, pregnancies not ending in live birth and parenthood before age 18 were both negatively associated with health. We also identified clear cohort and educational effects and a possible rural advantage. Our contribution is twofold: we highlight the importance of reproductive histories beyond live births on women's later-life health in a context of increasing population ageing, and we demonstrate the applicability of using allostatic load to measure health outside the Global North.

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生育后妇女的生育率和异重负荷:印度尼西亚家庭生活调查分析。
在不安全堕胎、流产、死胎和低质量孕产妇护理普遍存在的情况下,我们对生殖健康负担的影响知之甚少。本研究旨在探讨如何利用异质负荷来了解生育史对后半生健康的影响。我们将路径模型应用于印度尼西亚家庭生活调查,样本为 2,001 名 40 岁以上的妇女。虽然子女数量与异能负荷无关,但非活产妊娠和 18 岁前生育均与健康呈负相关。我们还发现了明显的队列和教育效应以及可能的农村优势。我们的贡献有两个方面:我们强调了在人口老龄化日益加剧的背景下,活产以外的生育史对妇女晚年健康的重要性;我们还证明了在全球北方以外地区使用全静态负荷来衡量健康状况的适用性。
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来源期刊
CiteScore
5.00
自引率
4.20%
发文量
30
期刊介绍: For over half a century, Population Studies has reported significant advances in methods of demographic analysis, conceptual and mathematical theories of demographic dynamics and behaviour, and the use of these theories and methods to extend scientific knowledge and to inform policy and practice. The Journal"s coverage of this field is comprehensive: applications in developed and developing countries; historical and contemporary studies; quantitative and qualitative studies; analytical essays and reviews. The subjects of papers range from classical concerns, such as the determinants and consequences of population change, to such topics as family demography and evolutionary and genetic influences on demographic behaviour.
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