Getting Better or Getting Worse? A Population-Based Study on Trends in Self-Rated Health among Single Mothers in Germany between 1994 and 2018.
health inequalities
public health
self-rated health
single motherhood
single parenthood
trend
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
26 02 2022
26 02 2022
Historique:
received:
30
01
2022
revised:
20
02
2022
accepted:
22
02
2022
entrez:
10
3
2022
pubmed:
11
3
2022
medline:
15
4
2022
Statut:
epublish
Résumé
While numerous studies suggest that single motherhood is associated with socioeconomic disadvantages and poor health, few studies have analyzed how these conditions have evolved over time. Addressing this gap, we examined the temporal development of self-rated health (SRH) among single compared to partnered mothers, and the role of socioeconomic factors that may have influenced this trend. We used representative longitudinal data from the German Socioeconomic Panel Survey (G-SOEP) between 1994 and 2018, consisting of 83,843 women with children, aged 30-49 years (13,664 single and 70,179 partnered mothers). Time trends in SRH and socioeconomic factors were analyzed by means of logistic regression analyses. We applied the Karlson-Holm-Breen (KHB) method for decomposing the total time effect into direct and indirect parts via socioeconomic mediators. The predicted probabilities of good SRH decreased in single mothers from 57.0% to 48.4%, while they increased in partnered mothers from 54.8% to 61.3%. Similarly, predicted probabilities of poor SRH rose from 15.0% to 22.7% in single mothers while decreasing slightly from 12.0% to 11.4% in partnered mothers. Moreover, socioeconomic factors worsened over time for single mothers, while they mostly improved for partnered mothers. Decomposing the time trend revealed that the deterioration of single mothers' health was partly explained by the worsening of socioeconomic disadvantages, of which the decline in full-time employment, the rise in low incomes, and in unemployment contributed most. The alarming rise in socioeconomic and health disadvantages among single mothers in Germany shows that action is needed to counter this trend.
Sections du résumé
BACKGROUND
While numerous studies suggest that single motherhood is associated with socioeconomic disadvantages and poor health, few studies have analyzed how these conditions have evolved over time. Addressing this gap, we examined the temporal development of self-rated health (SRH) among single compared to partnered mothers, and the role of socioeconomic factors that may have influenced this trend.
METHODS
We used representative longitudinal data from the German Socioeconomic Panel Survey (G-SOEP) between 1994 and 2018, consisting of 83,843 women with children, aged 30-49 years (13,664 single and 70,179 partnered mothers). Time trends in SRH and socioeconomic factors were analyzed by means of logistic regression analyses. We applied the Karlson-Holm-Breen (KHB) method for decomposing the total time effect into direct and indirect parts via socioeconomic mediators.
RESULTS
The predicted probabilities of good SRH decreased in single mothers from 57.0% to 48.4%, while they increased in partnered mothers from 54.8% to 61.3%. Similarly, predicted probabilities of poor SRH rose from 15.0% to 22.7% in single mothers while decreasing slightly from 12.0% to 11.4% in partnered mothers. Moreover, socioeconomic factors worsened over time for single mothers, while they mostly improved for partnered mothers. Decomposing the time trend revealed that the deterioration of single mothers' health was partly explained by the worsening of socioeconomic disadvantages, of which the decline in full-time employment, the rise in low incomes, and in unemployment contributed most.
CONCLUSIONS
The alarming rise in socioeconomic and health disadvantages among single mothers in Germany shows that action is needed to counter this trend.
Identifiants
pubmed: 35270418
pii: ijerph19052727
doi: 10.3390/ijerph19052727
pmc: PMC8909933
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Références
Health Policy. 2006 Dec;79(2-3):253-64
pubmed: 16473438
BMC Geriatr. 2020 Mar 30;20(1):120
pubmed: 32228464
Am Heart J Plus. 2021 Mar;3:
pubmed: 34458881
Int J Environ Res Public Health. 2021 May 21;18(11):
pubmed: 34063905
Int Nurs Rev. 2013 Dec;60(4):425-34
pubmed: 24251936
Soc Psychiatry Psychiatr Epidemiol. 2003 Feb;38(2):59-68
pubmed: 12563547
J Epidemiol Community Health. 2015 Sep;69(9):865-72
pubmed: 25977123
Can J Psychiatry. 2011 Sep;56(9):567-73
pubmed: 21959032
BMC Public Health. 2016 Feb 25;16:188
pubmed: 26911510
Soc Psychiatry Psychiatr Epidemiol. 2014 May;49(5):811-21
pubmed: 24292714
Demography. 2016 Jun;53(3):649-74
pubmed: 27150964
Sociol Health Illn. 2014 Nov;36(8):1220-42
pubmed: 25470323
Int J Public Health. 2011 Aug;56(4):385-96
pubmed: 21713457
BMC Nurs. 2016 Mar 01;15:15
pubmed: 26937221
Int J Public Health. 2019 Jul;64(6):921-933
pubmed: 30918976
Int J Epidemiol. 2002 Jun;31(3):573-80
pubmed: 12055157
J Health Soc Behav. 1997 Mar;38(1):21-37
pubmed: 9097506
Gesundheitswesen. 2019 Dec;81(12):977-985
pubmed: 30321874
Soc Sci Med. 2007 Dec;65(12):2474-88
pubmed: 17764795
BMJ. 2007 Oct 20;335(7624):806-8
pubmed: 17947786
SSM Popul Health. 2020 Jun 30;11:100626
pubmed: 32671178
Health Care Women Int. 2005 Aug;26(7):604-21
pubmed: 16126603
Int J Health Serv. 2017 Apr;47(2):298-311
pubmed: 28024453
Child Dev. 2020 Sep;91(5):1762-1785
pubmed: 31745985
BMC Psychiatry. 2020 Apr 15;20(1):169
pubmed: 32295559
BMJ Open. 2021 Mar 4;11(3):e042017
pubmed: 33664070
SSM Popul Health. 2019 Jan 30;7:100367
pubmed: 30809584
Soc Psychiatry Psychiatr Epidemiol. 2003 Aug;38(8):442-9
pubmed: 12910340
Sci Rep. 2021 Mar 17;11(1):6139
pubmed: 33731775
J Affect Disord. 2019 Jan 1;242:255-264
pubmed: 30218920
Soc Psychiatry Psychiatr Epidemiol. 2004 Jan;39(1):26-32
pubmed: 15022043
J Epidemiol Community Health. 1999 Dec;53(12):750-6
pubmed: 10656083