Fertility History and Physical and Mental Health Changes in European Older Adults

European Journal of Population = Revue Européenne De Démographie
Katherine Keenan, Emily Grundy

Abstract

Previous studies have shown that aspects of reproductive history, such as earlier parenthood and high parity, are associated with poorer health in mid and later life. However, it is unclear which dimensions of health are most affected by reproductive history, and whether the pattern of associations varies for measures of physical, psychological and cognitive health. Such variation might provide more insight into possible underlying mechanisms. We use longitudinal data for men and women aged 50-79 years in ten European countries from the Survey of Health, Ageing and Retirement in Europe to analyse associations between completed fertility history and self-reported and observed health indicators measured 2-3 years apart (functional limitations, chronic diseases, grip strength, depression and cognition), adjusting for socio-demographic, and health factors at baseline. Using multiple imputation and pattern mixture modelling, we tested the robustness of estimates to missing data mechanisms. The results are partly consistent with previous studies and show that women who became mothers before age 20 had worse functional health at baseline and were more likely to suffer functional health declines. Parents of 4 or more children had worse...Continue Reading

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Citations

Oct 12, 2019·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Joseph L SaenzEileen M Crimmins
Jan 17, 2020·European Journal of Public Health·Øystein KravdalEmily Grundy
Sep 13, 2019·Spine·Jeannie F BaileyPatricia A Kramer
Nov 27, 2019·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Nekehia T QuashieChristine A Mair

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