Health of single mothers and fathers in Germany. Results of the GEDA studies 2019 - 2023.

Journal of health monitoring Pub Date : 2024-07-03 eCollection Date: 2024-09-01 DOI:10.25646/12193
Petra Rattay, Yasmin Öztürk, Raimund Geene, Stefanie Sperlich, Ronny Kuhnert, Hannelore Neuhauser, Ulfert Hapke, Anne Starker, Claudia Hövener
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Abstract

Background: The living situation of single parents is often characterised by sole responsibility for family and household, problems in reconciling work and family life, and a high risk of poverty. In a comparative perspective with parents in partner households, the health of single mothers and fathers was analysed, considering differences in their social status.

Methods: The analyses are based on data from the GEDA studies 2019 - 2023 (7,999 women, 6,402 men). Prevalences for single mothers and fathers and mothers and fathers living in partner households were calculated for self-rated health, chronic diseases, depressive symptoms, smoking and utilisation of professional help for mental health problems. In multivariate models, adjustments were made for income, education, employment status and social support, and interactions with family type were included.

Results: Single mothers and fathers show higher prevalences for all health indicators in comparison to parents living in partner households. Also after adjustment, the differences between family types remain significant. The health of single mothers also varies partially with income, employment status and social support.

Conclusions: Health promotion measures have to consider that single parents are a heterogeneous group. In addition to strengthening personal skills, policy and setting-based interventions aim to reduce health inequalities.

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德国单身母亲和父亲的健康状况。GEDA 2019 - 2023 年研究结果。
背景:单亲家庭的生活状况通常以独自承担家庭和家务责任、难以兼顾工作和家庭生活以及极易陷入贫困为特征。从与伴侣家庭中的父母进行比较的角度,分析了单亲母亲和父亲的健康状况,并考虑了他们社会地位的差异:分析基于 2019 - 2023 年 GEDA 研究的数据(7999 名女性,6402 名男性)。计算了单身母亲和父亲以及生活在伴侣家庭中的母亲和父亲在自评健康、慢性病、抑郁症状、吸烟和因精神健康问题而利用专业帮助方面的患病率。在多变量模型中,对收入、教育、就业状况和社会支持进行了调整,并纳入了与家庭类型的交互作用:结果:与生活在伴侣家庭中的父母相比,单身母亲和父亲在所有健康指标上的患病率都较高。经调整后,不同家庭类型之间的差异仍然显著。单亲母亲的健康状况还与收入、就业状况和社会支持有部分差异:促进健康的措施必须考虑到单亲父母是一个异质群体。除了加强个人技能外,基于政策和环境的干预措施旨在减少健康不平等现象。
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