美国妇女的社会角色和健康趋势。

L. Verbrugge, J. Madans
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引用次数: 69

摘要

统计结果与前面提出的描述性结果密切一致,表明后者不是随机变化的结果。就业的主要影响,父母的偶然影响,以及这里建模的时间趋势与前面报道的相同。(只有两点不同。首先,在白人已婚女性中,有母亲的情况比没有母亲的情况更严重。我们在未婚已婚女性身上看到了这种为人父母的影响,但在有工作的已婚女性身上没有(结果不一致)。统计分析平滑了这些不一致之处,并揭示了有工作的母亲也比没有母亲的同龄人经历了更严重的疾病。其次,在白人已婚妇女中,年龄较大的家庭主妇随着时间的推移显示出越来越多的慢性限制。早些时候,我们看到没有孩子的家庭主妇人数有所增加。后一种父母关系的影响在统计上小于年龄的影响。)统计分析的唯一优势是它能够突出变量之间的相互作用,其中一些在描述部分没有考虑到。比较这些模型,注意到短期和长期残疾的模型彼此非常相似,但与急性状态模型有明显不同。这意味着社会角色和年龄以同样的方式影响短期和长期残疾。具体来说,这两种情况在老年和失业妇女中都更严重,尤其是在老年失业妇女和没有孩子的家庭主妇中。相比之下,影响急性疾病发病率和影响的最一致的因素是儿童的存在。孩子增加了母亲对急性疾病的经验,但减少了母亲的休养时间和医疗护理。
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Social roles and health trends of American women.
The statistical results concur closely with descriptive ones presented earlier, indicating that the latter are not results of random variations. The main effects of employment, the contingent effects of parenthood, and the time trends modeled here are the same as reported earlier. (Only two differences occur. First, among white married women, mothers have statistically more acute conditions than nonmothers. We saw this parenthood effect earlier for nonemployed married women, but not for employed ones [results were inconsistent]. The statistical analysis smooths those inconsistencies and reveals that employed mothers also experience more acute conditions than their nonmother peers. Second, among white married women, older housewives show statistically increased chronic limitation over time. Earlier we saw a rise for housewives without children. The latter parenthood effect is statistically smaller than the age effect.) The singular advantage of the statistical analysis has been its ability to highlight interaction effects among the variables, some of which were not considered in the descriptive section. Comparing the models, note how those for short- and long-term disability are very similar to each other but distinctly different from the acute-condition models. This means that social roles and age influence short- and long-term disability in the same way. Specifically, both are greater for older and nonemployed women, being especially high for older nonemployed women and housewives without children. By contrast, the most consistent factor affecting acute-condition incidence and impact is presence of children. Children increase their mothers' experience of acute problems but reduce the amount of recuperative time and medical care taken for them.
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Age and dependency: children and the aged in American social policy. Values and structure in the German health care systems. Formula funding and regional planning of health services in Australia. Recalling pain and other symptoms. Cost containment and the quality of medical care: rationing strategies in an era of constrained resources.
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