婚姻对个体精神健康的影响——基于中国健康与养老追踪调查的实证分析

文章利用中国健康与养老追踪调查数据实证研究发现,已婚者比离婚、丧偶和未婚者的抑郁水平更低;从未结婚者抑郁程度最高,离婚者抑郁程度次之,再次是丧偶者的抑郁程度;并且婚姻对男性精神健康保护效应大于女性.分居会降低个体精神健康水平,这种作用对农村男性更加显著,说明婚姻对精神健康的保护效应受到婚姻质量的影响.婚姻匹配方式会显著影响女性精神健康:女性与受教育程度相当或者低于自己的男性结婚,其抑郁水平会增加,在农村地区尤为明显.高质量的婚姻对个体精神健康具有保护效应,家庭和婚姻能有效改善个体精神健康.     

The Association between Health Workforce and Health Outcomes: A Cross-Country Econometric Study

This study investigates the strength and significance of the associations of health workforce with multiple health outcomes and COVID-19 excess deaths across countries, using the latest WHO dataset. Multiple log-linear regression analyses, counterfactual scenarios analyses, and Pearson correlation analyses were performed. The average density of health workforce and the average levels of health outcomes were strongly associated with country income level. A higher density of the health workforce, especially the aggregate density of skilled health workers and density of nursing and midwifery personnel, was significantly associated with better levels of several health outcomes, including maternal mortality ratio, under-five mortality rate, infant mortality rate, and neonatal mortality rate, and was significantly correlated with a lower level of COVID-19 excess deaths per 100 K people, though not robust to weighting by population. The low density of the health workforce, especially in relatively low-income countries, can be a major barrier to improving these health outcomes and achieving health-related SDGs; however, improving the density of the health workforce alone is far from enough to achieve these goals. Our study suggests that investment in health workforce should be an integral part of strategies to achieve health-related SDGs, and achieving non-health SDGs related to poverty alleviation and expansion of female education are complementary to achieving both sets of goals, especially for those low- and middle-income countries. In light of the strains on the health workforce during the current COVID-19 pandemic, more attention should be paid to health workforce to strengthen health system resilience and long-term improvement in health outcomes.

     

An Examination of the Dual Model of Perfectionism and Adolescent Athlete Burnout: A Short-Term Longitudinal Research

The dual model of perfectionism (Slade and Owens, Behav Modificat 22(3):372–390, 1998) is adopted to examine the influence of adaptive and maladaptive perfectionism on adolescent athlete burnout in Taiwan. Participants were 188 high school adolescent student-athletes (M = 16.48, SD = .59). They were administered the Multidimensional Inventory of Perfectionism in Sport (Stoeber et al., Pers Individ Dif 43(1):131–141, 2007) and the Chinese Athlete Burnout Questionnaire (ABQ) (Lu et al., Phys Educ J 39(3):83–94, 2006). A field longitudinal design was used. In cross-sectional analyses, hierarchical multiple regressions indicated that adaptive perfectionism negatively predicted athlete burnout while maladaptive perfectionism had an inverse relationship with burnout. However, after controlling for the initial scores of burnout, neither adaptive nor maladaptive perfectionism significantly predicted athlete burnout after a three month interval. Possible mechanisms of this relation, limitations, and practical implications are discussed.     

The Longitudinal Relationships Between Basic Psychological Needs Satisfaction at School and School-Related Subjective Well-Being in Adolescents

Situated within a positive psychology perspective, this study aimed at examining the nature and directionality of longitudinal relationships between basic psychological needs satisfaction at school and adolescents’ school-related subjective well-being. A total of 576 students (40.5 male and 36.8 % students in junior high school) completed measures of adolescent students’ basic psychological needs at school and school-related subjective well-being at two time points, 6 weeks apart. Cross-lagged structural equation modeling showed significant bidirectional longitudinal relationships between autonomy, relatedness, and competence needs satisfaction and school satisfaction. Furthermore, significant bidirectional relationships were observed between competence need satisfaction and positive affect in school. The findings provided important evidence of the roles of adolescents’ different types of needs satisfaction, experienced specifically during school, in adolescents’ school-related subjective well-being. The findings also helped extend the positive psychology perspective to the relatively neglected context of education.     

Determinants of Self-Rated Health Among Canadian Seniors Over Time: A Longitudinal Population-Based Study

Self-rated health has been found to be an effective and inexpensive measure of people’s overall health. Although cross-sectional studies have identified determinants of self-rated health (SRH), there is a limited insight into the determinants of SHR overtime and their impact on the change of SRH overtime. This present study compares determinants of SRH among a large community-dwelling cohort of Canadian seniors (N = 3255) at three points in time (1991, 1996, and 2001), and examines the effects of determinants on change in SRH over a 10-year period. Data analyzed were from the Canadian Study of Health and Aging—a large-scale longitudinal population-based study conducted between 1991 and 2001. The results showed that most seniors (over 80 %) rated their health as good, and their SRH remained surprisingly constant over time. Only a person’s physical and instrumental functioning and the number of chronic diseases were consistently associated with SRH at each point in time (1991, 1996, and 2001). Factors including cognition, daily functioning, chronic disease, and availability of help were significantly linked to self-rated health over time. These determinants should be considered important stimuli for improving health among seniors.     

Cultural Access and Mental Health: An Exploratory Study

Loss of well-being, rising rates of depression and various psychological illnesses are a public health concern. This study aims to explore the associations between cultural access and mental illness. Applying a panel methodology to the 20 Italian regions (2002–2007 period) the relationship between public health expenditure per-capita (the dependent variable) and hospital discharge rates for different illnesses (the regressors) has been estimated. Then the impact of the private spending in culture (the regressors) on the mental illness—as approximated by the discharge rate for mental illness—(the dependent variable), has been verified via generalised method of moments (GMM) approach. Data came from the National Census of the Italian Institute of Statistics (ISTAT). The results of empirical analysis have highlighted how the discharge rate for mental illness is substantially improved by some forms of cultural consumptions. The coefficients associated with unemployment rates (the control variables) have a positive impact on mental illness, thus suggesting that unemployment has an impact on the discharge rate for mental illness; the greatest impact is observed for the long-term unemployment rate. The results are beneficial for designing and implementing preventive strategies to reduce mental illness and public health expenditure by considering the impact of cultural access.     

Nonpolitical Versus Political Participation: Longitudinal Associations with Mental Health and Social Well-Being in Different Age Groups

Social Indicators Research - Drawing on public opinion and empirical research, one may advise people to participate in voluntary organizations because voluntary participation can improve their...     

Health Outcomes and Volunteering: The Moderating Role of Religiosity

In this paper, we examine whether and what extent public and private forms of religiosity act as moderators of the volunteering and well-being relationship in mid- to later-life. We use data from the second wave of the National Survey of Midlife Development in the United States (n = 1,805). We analyzed the relationships between volunteering and indicators of well-being (self-rated physical and mental health), and tested the moderating effects of public and private religiosity on the volunteering and well-being relationship. Our findings suggest that salubrious effects of volunteering on the self-perceived physical and mental health of middle- aged and older- aged adults varied by their participation in different forms of religiosity. In particular, volunteers who engaged in more public forms of religiosity reported significantly better physical and mental health than non-volunteers who engaged in these forms of religiosity. In other words, individuals who were actively engaged public forms of religious practices and who volunteered, maximized the associated health benefits.     

退休对男性老年人健康的影响--基于断点回归的实证研究

退休是个体从过去工作生涯中抽身出来的转折点，退休后个人福利的变化是老龄化社会值得关注的问题。基于中国家庭追踪调查（ CFPS）2012年数据，以男性为例采用模糊断点回归的方法识别退休对个体心理、生理健康的因果影响。结果显示，退休对个体的生理健康并没有显著影响，但对其心理健康有显著的正向效应。从影响渠道来看，退休后个体压力减少，认知功能、记忆力以及对生活满意程度提升是导致健康（尤其是心理健康）改善的主要原因。本文的研究为未来退休政策的制定提供参考。     

Examining the Reciprocity Between Perceived Discrimination and Health: A Longitudinal Perspective

Population Research and Policy Review - This study aims to fill two interrelated knowledge gaps in the extant literature on the association between perceived discrimination and health. First,...     

Mental Health Concerns of Gay and Bisexual Men Seeking Mental Health Services

ABSTRACT

Little data exist about the mental health needs of gay and bisexual men. This is due to limitations of existing studies such as small and nonrepresentative samples, failure to assess sexual orientation, and concerns about stigmatization, possibly causing sexual minority individuals to be reluctant to disclose their sexual orientation to researchers. Fenway Community Health is a large urban health center that serves the LGBT community. The large number of gay and bisexual men who present for mental health treatment allows for a unique opportunity to gain insight into mental health, prevention, and intervention needs for this group. The current study is a review of the mental health information from all of the gay and bisexual men who reported that they were HIV-negative during their mental health intake over a six-month period at Fenway Community Health (January to June 2000; N = 92). The most frequent presenting problems were depression, anxiety, and relationship issues. Additionally, presenting problems included current or past abuse, substance abuse, finance and employment, recent loss, and family issues. The most frequent diagnoses were depression, anxiety disorders, and adjustment disorders. These findings support the notion that presenting problems and mental health concerns among gay and bisexual men are similar to those frequently reported by individuals in other mental health facilities, however, specific psychosocial stressors are unique to this population.     

Religion and Mental Health Among Israeli Jews: Findings from the SHARE-Israel Study

This study investigates the impact of religiousness on mental health indicators in a population sample of Israeli Jews aged 50 or older. Data are from the Israel sample of the Survey of Health, Ageing and Retirement in Europe (SHARE-Israel), collected from 2005 to 2006. Of the 1,287 Jewish respondents, 473 (36.8 %) were native-born Israelis and 814 (63.2 %) were diaspora-born. Religious measures included past-month synagogue activities, current prayer, and having received a religious education. Mental health outcomes included single-item measures of lifetime depression and life satisfaction, along with the CES-D and EURO-D depression scales, the CASP-12 quality of life scale, and the LOT-R optimism scale. Participation in synagogue activities was found to be significantly associated with less depression, better quality of life, and more optimism, even after adjusting for effects of the other religious measures, for sociodemographic covariates, for the possibly confounding effect of age-related activity limitation, and for nativity. Findings for prayer were less consistent, including inverse associations with mental health, perhaps reflecting prayer’s use as a coping response. Finally, religious education was associated with greater optimism. These results underscore a modest contribution of religious participation to well-being among middle-aged and older adults, extending this research to the Israeli and Jewish populations.     

Mental Health of Elderly Women

No abstract available for this article.     

Adolescent Same-Sex Attraction and Mental Health: The Role of Stress and Support

This study draws on the social stress model from the sociology of mental health to examine the impact of same-sex attraction on depressed mood and suicidal tendencies. Specifically, we hypothesize that across multiple contexts, adolescents with same-sex attractions are likely to experience more social stress and less social support than heterosexual adolescents. In turn, these experiences increase the likelihood of negative mental health outcomes. Using data from the National Longitudinal Study of Adolescent Health (n = 11,911), we find that adolescents with same-sex attraction are more likely than their heterosexual counterparts to report depressed mood and suicidal tendencies. Moreover, stress and social support were found to mediate a substantial part of the relationship between same-sex attraction and depressed mood. In addition, stress and social support mediated about one third of the relationship between same-sex attraction and suicidal tendencies. These findings give strong support for the social stress model. We conclude with a discussion of the role that alienation plays in same-sex-attracted adolescent mental health.     

Home Front: Post-Deployment Mental Health and Divorces

Since 2003, about 14 % of U.S. Army soldiers have reported symptoms of posttraumatic stress disorder (PTSD) following deployments. In this article, we examine how post-deployment symptoms of PTSD and of other mental health conditions are related to the probability of divorce among married active-duty U.S. Army soldiers. For this purpose, we combine Army administrative individual-level longitudinal data on soldiers’ deployments, marital history, and sociodemographic characteristics with their self-reported post-deployment health information. Our estimates indicate that time spent in deployment increases the divorce risk among Army enlisted personnel and that PTSD symptoms are associated with further increases in the odds of divorce. Although officers are generally less likely to screen positive for PTSD than enlisted personnel, we find a stronger relationship between PTSD symptoms and divorces among Army officers who are PTSD-symptomatic than among enlisted personnel. We estimate a larger impact of deployments on the divorce risk among female soldiers, but we do not find a differential impact of PTSD symptoms by gender. Also, we find that most of the effect of PTSD symptoms occurs early in the career of soldiers who deploy multiple times.     

老年人心理压力、应对方式与心理健康关系的研究

为了探讨心理压力和应对方式对老年人心理健康的影响,本研究采用社会再适应量表、应对方式量表和心理健康症状自评量表,对武汉市随机抽取的442位60岁以上老年人进行了问卷调查。研究结果表明:心理压力对老年人心理健康有直接影响,心理压力越大,老年人心理健康水平越低;解决问题、自责和幻想三种应对方式在心理压力与心理健康之间起中介作用,采用解决问题的应对方式,有利于调节压力对老年人心理健康的影响;反之,采用自责和幻想的应对方式则不利于老年人心理健康。     

Outcomes of Orphanhood in Ethiopia: A Mixed Methods Study

The paper addresses the question of whether parental death always has a strongly negative effect on children’s outcomes using quantitative and qualitative data from Young Lives, a longitudinal study of childhood poverty in Ethiopia. It investigates the validity of potential mediating factors identified by other studies in Sub-Saharan Africa using data from the whole sample (n = 973) and explores these processes in-depth through the experiences of three orphans in one community in Addis Ababa. The paper concludes that the outcomes of orphans and non-orphans in poor communities are not significantly different, supporting the need to address vulnerability at a societal level. Nonetheless, specific groups, for example, older female children who have lost their mothers, may face particular risks that should be addressed with targeted interventions.     

Adult Materialism/Postmaterialism And Later Mental Health: The Role Of Self-Efficacy

This study used data from the British National Child Development Study (NCDS) to examine the relationship between materialism/postmaterialism and later mental health. Materialism/postmaterialism was assessed (using Inglehart’s 4-item index) at age 33 and mental health (measured by the GHQ-12) was assessed at age 42. It was found that after controlling for socio-economic status at birth, father and mother involvement in early childhood, parental family structure throughout childhood, psychological maladjustment in adolescence, educational attainment and contemporaneous factors (labour force participation, self-reported physical health, belonging to a religion, and being partnered) materialism was negatively related to ill mental health in men. The relationship between materialism and later mental health became insignificant, however, once self-efficacy was entered in the model, suggesting that materialism was positively associated with self-efficacy which was positively related to mental health. Postmaterialism was insignificantly related to mental health in both men and women.     

The Mexican Drug War and Early-Life Health: The Impact of Violent Crime on Birth Outcomes

This study examines the relationship between exposure to violent crime in utero and birth weight using longitudinal data from a household survey conducted in Mexico. Controlling for selective migration and fertility, the results suggest that early gestational exposure to the recent escalation of the Mexican Drug War is associated with a substantial decrease in birth weight. This association is especially pronounced among children born to mothers of low socioeconomic status and among children born to mothers who score poorly on a mental health index.     

The Gendered Division of Household Labor over Parenthood Transitions: A Longitudinal Study in South Korea

Population Research and Policy Review - Recent research from the gender revolution perspective suggests that men’s increasing involvement in the family domain accounts for the positive...