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1.
Arch Gerontol Geriatr ; 120: 105329, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38237378

RESUMO

PURPOSES: This study aims to examine the moderating role of psychological resilience in the association between two common marital relationship stressors (poor spousal health and low marital satisfaction) and sleep (sleep quality and sleep duration) among older adults in China. METHODS: This study used four waves of data from the Chinese Longitudinal Healthy Longevity Survey (2008-2018) (N = 8769), and mixed-effects logistic models were used. RESULTS: Poor spousal health and low marital satisfaction were independently associated with increased odds of poor sleep quality and short sleep duration, and decreased odds of long sleep duration. Greater psychological resilience was associated with increased odds of good sleep quality and decreased odds of short sleep duration, but had no significant effect on long sleep duration. In addition, psychological resilience moderated the odds of poor spousal health and low marital satisfaction on the risk of short sleep duration among older Chinese adults. CONCLUSION: The findings provide novel evidence for the increased importance of marital stress and psychological resilience on sleep health in later life. Policy interventions are needed to support vulnerable older adults who experience poor spousal health and/or low marital satisfaction.


Assuntos
Casamento , Resiliência Psicológica , Humanos , Pessoa de Meia-Idade , Idoso , Casamento/psicologia , Cônjuges/psicologia , Sono , China/epidemiologia , Satisfação Pessoal
2.
Int J Aging Hum Dev ; 98(2): 243-262, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37849274

RESUMO

The current study examined associations between marital quality, loneliness, and sleep within a nationally representative sample of older adults who participated in Wave 2 of the National Social Life, Health, and Aging Project (NSHAP). Participants (N = 559) had a spouse or partner and completed a novel sleep module that included subjective (i.e., insomnia symptoms) and objective (i.e., wake after sleep onset;WASO) markers of sleep. Upon controlling for demographics and markers of mental and physical health, a distinct pattern of findings emerged for subjective versus objective markers of sleep. Regarding subjective sleep, older adults who experienced greater loneliness reported more insomnia symptoms, but only when spousal emotional support was low-moderate. Regarding objective sleep, older adults who reported more affectionate touch from their spouse experienced less WASO. Collectively, these findings identify specific aspects of marital quality that may have unique implications for partnered older adults' subjective and objective sleep quality.


Assuntos
Distúrbios do Início e da Manutenção do Sono , Humanos , Idoso , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Solidão/psicologia , Sono , Envelhecimento/psicologia , Casamento/psicologia
3.
Artigo em Inglês | MEDLINE | ID: mdl-37880839

RESUMO

OBJECTIVES: Drawing on emerging evidence that the pandemic appears to have impeded both the divorce process and actual divorces, we examined whether the gray divorce rate (i.e., divorce among adults aged 50+) declined following the onset of the COVID-19 pandemic. METHODS: Data from the 2019 and 2021 American Community Survey (ACS) were used to track changes in gray divorce. With the 2021 ACS, we estimated pandemic-era gray divorce rates across sociodemographic subgroups for middle-aged and older adults. We then pooled the 2019 (N = 892,700) and 2021 (N = 898,828) data to examine whether the risk of divorce changed with the onset of the pandemic net of sociodemographic characteristics, distinguishing trends for middle-aged versus older adults. RESULTS: The gray divorce rate dropped following the onset of the pandemic. This drop was more pronounced among middle-aged than older adults. For older adults, the divorce rate essentially stalled. DISCUSSION: The gray divorce rate now mirrors the overall trend of modest decline in U.S. divorce patterns. Whether the gray divorce rate continues to shrink as society transitions to a postpandemic environment awaits future research.


Assuntos
COVID-19 , Divórcio , Humanos , Pessoa de Meia-Idade , Idoso , Pandemias , COVID-19/epidemiologia , Casamento
4.
Psicol Reflex Crit ; 36(1): 36, 2023 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-38010592

RESUMO

BACKGROUND: Researchers have demonstrated that various measurement concepts and dimensions depend on context and timing. OBJECTIVES: The current study aimed to determine the psychometric properties of the Javanese couples' marital quality scale based on validity and reliability METHODS: In total 840 participants or 420 marital dyad from Java, Indonesia, were involved in this study. The psychometrics properties scale was analyzed using exploratory and confirmatory factor analysis, convergent and discriminant analysis, and composite reliability. RESULTS: The exploratory factor analysis found relationship quality to consist of support, physical proximity, warmth, communication, acceptance and respect, role sharing, and responsibility factors. Well-being quality consists of happiness, harmony, and problem-solving. The fit of the measurement model was obtained using confirmatory factor analysis. The fit model was also found in the husband's and wife's groups, with no differences between them. The high correlations between wife-husband factors also proved the validity based on convergent and discriminant evidence. The reliability coefficient was high for each dimension and construct. DISCUSSION: This analysis shows that the marital quality scale developed has information on psychometric properties that can be useful for researchers and the practicians using the marital quality instrument of Javanese couples in particular.

5.
Clin Gerontol ; : 1-15, 2023 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-37888842

RESUMO

OBJECTIVES: We examined links between marital quality and loneliness among aging veterans and explored whether veterans' PTSD symptom severity moderated these associations. METHODS: Data came from 269 Vietnam-Era combat veterans who had a spouse/partner (M age = 60.50). Utilizing two waves of data spanning six years, we estimated multiple regression models that included positive and negative marital quality, PTSD symptom severity, and loneliness in 2010 as predictors of loneliness in 2016. RESULTS: Facets of positive (but not negative) marital quality were associated with veterans' loneliness. Companionship - spousal affection and understanding - was associated with lower subsequent loneliness among veterans with low/moderate - but not high - PTSD symptom severity. Conversely, sociability - the degree to which one's marriage promotes socializing with others - was associated with lower subsequent loneliness regardless of PTSD symptom severity. CONCLUSIONS: Companionship and sociability were each associated with veterans' subsequent loneliness. Whereas benefits of companionship were attenuated at higher levels of PTSD symptom severity, benefits of sociability were not. CLINICAL IMPLICATIONS: For veterans with higher PTSD symptoms, recommending mental health treatment to decrease symptom severity may help them to reap the benefits of close/intimate relationships. However, bolstering veterans' social participation more broadly may provide an additional means of reducing their loneliness.

6.
Chin Clin Oncol ; 12(5): 51, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37872116

RESUMO

BACKGROUND: Some evidence has revealed that marital status is an important predictor of breast cancer (BC) prognosis. However, what role marital quality plays in the effect of marital status on BC prognosis remains unclear. METHODS: We conducted a prospective cohort study of women aged 20-50 years with stage I-III BC treated in accordance with a standard treatment protocol. The following three categories of marital quality were assessed: marital satisfaction, sexual relationship, and couple communication. The log-rank test was used to compare survival. Cox proportional hazards models were used to estimate hazard ratio (HR) and 95% confidence interval (CI) for recurrence and metastasis, BC-specific mortality, and overall mortality, adjusting for clinical variables. RESULTS: A total of 1,043 married women were initially recruited in the study. Forty-five (4.3%) patients refused to participate in this study and 141 (13.5%) were excluded from the analysis. Among 857 participants, there were 59 deaths, including 57 from BC. Multivariate Cox regression analysis showed that patients with poor marital satisfaction had significantly higher risks of recurrence and metastasis (HR 3.942, 95% CI: 1.903-8.167), BC-specific mortality (HR 3.931, 95% CI: 1.896-8.150), and overall mortality (HR 3.916, 95% CI: 1.936-7.924). Those with poor sexual relationship had significantly higher risks of recurrence and metastasis (HR 5.763, 95% CI: 3.012-11.027), BC-specific mortality (HR 5.724, 95% CI: 2.992-10.949), and overall mortality (HR 5.653, 95% CI: 2.993-10.680). CONCLUSIONS: Our results identified a subset of BC patients who have a poor prognosis, namely, those with poor marital quality. Early screening for marital quality and applying necessary social support interventions are helpful in improving the prognosis of patients with poor marital quality.


Assuntos
Neoplasias da Mama , Feminino , Humanos , População do Leste Asiático , Seguimentos , Prognóstico , Modelos de Riscos Proporcionais , Estudos Prospectivos , Adulto Jovem , Adulto , Pessoa de Meia-Idade
7.
Psychol Health Med ; : 1-9, 2023 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-37735804

RESUMO

This mixed-methods study explores an innovative online group intervention for new fathers. The specific aims were to investigate attendance rates, fathers' participation experiences, and the effects on their psychological well-being and marital quality. The research design included a randomized controlled trial with 122 participants split into intervention (n = 62) and comparison groups (n = 60). The study measured post-partum depression symptoms (PPD) using the Edinburgh Post-Natal Depression Scale (EPDS) and spousal relationship quality using the Israeli Marital Quality Scale (IMQS). Qualitative data were collected through session transcripts and feedback questionnaires that were completed two years post- intervention. Results reveal an 86.47% average attendance rate in the intervention groups and positive outcomes at both individual and spousal levels. Participants reported feeling a sense of normalcy, decreased loneliness, increased awareness of fatherhood transition, and becoming active co-parents. Marital quality also showed better results for the intervention group. Further research is recommended to explore online group interventions among additional groups of post-partum fathers.

8.
Attach Hum Dev ; 25(5): 524-543, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37728542

RESUMO

This longitudinal study uncovered prenatal marital antecedents of infants' attachment configurations with both mother and father at 12-15 months (n = 125). We also examined the contribution of both marital quality and infants' attachment configurations (secure with both parents, insecure with both parents, secure with mother-insecure with father, and insecure with mother-secure with father) to the quality of triadic (mother-father-toddler) interactions observed two years post-birth. Couples who displayed less negative affectivity and were more emotionally attuned were more likely to have infants securely attached with father and insecurely attached with mother (vs. insecure with both parents) and they engaged in more adaptive family interactions at two years. Also, a secure infant-father attachment relationship forecast more balanced triadic family interactions, regardless of whether the infant-mother attachment was secure or insecure. In contrast, a secure infant-mother attachment relationship was related to less controlling behavior during triadic interactions, regardless of infant-father attachment security.


Assuntos
Mães , Apego ao Objeto , Gravidez , Feminino , Humanos , Lactente , Masculino , Estudos Longitudinais , Casamento/psicologia , Pai , Relações Mãe-Filho
9.
J Pers ; 2023 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-37170058

RESUMO

BACKGROUND: Psychopathy is closely related to many negative interpersonal outcomes in daily life, including violence. Therefore, psychopathy intervention in subclinical individuals has significant application value. OBJECTIVE: Guided by the personality-relationship transaction model and social investment theory, this study examined how marital quality affects self- and partner-rated psychopathy. We also used the actor-partner interdependence mediation model to explore the mediating effect of communication. METHODS: We examined self-reports and partner reports of psychopathy, marital quality, and communication among 260 married Chinese couples. RESULTS: The results indicated that marital quality directly influenced couples' self-rated psychopathy, with both actor and partner effects on husbands' psychopathy and actor effects on wives' psychopathy. Moreover, verbal communication had mediating effects at time 2 between marital quality at time 1 and partner-reported psychopathy at time 3. Meanwhile, the mediating effect of nonverbal communication was not significant. CONCLUSION: Our investigation of relationship effects on psychopathy revealed that the underlying mechanisms differed between self- and partner-rated psychopathy. The findings can highlight directions for exploring potential intervention strategies for subclinical psychopathy.

10.
Child Abuse Negl ; 141: 106189, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-37163970

RESUMO

BACKGROUND: Childhood maltreatment is known to influence adult physical health among midlife adults. Evidence suggests that depressive symptoms mediate the association. However, research has discounted the role of marital quality in understanding health outcomes among adults maltreated in childhood. OBJECTIVE: To advance this line of inquiry, we examined the relationship between marital quality and depressive symptoms in a sequential mediation model linking childhood maltreatment to adult physical health over ten years. PARTICIPANTS AND SETTING: Our sample consisted of midlife adults (n = 550) from three waves of the Midlife Development in the United States (MIDUS) study. The majority (n = 91.4 %) were white. At MIDUS 2, the mean age was 54.84 (SD = 10.78) and the mean age at MIDUS 3 was 63.96 (SD = 10.81). METHODS: Structural equation modeling was used to examine the degree to which marital quality and depressive symptoms mediated the relationship between childhood maltreatment and adult physical outcomes. Bootstrapping procedures were used to estimate the indirect effects. RESULTS: The serial mediation effects from maltreatment to adult physical health through marital quality and depressive symptoms were significant. Likewise, the simple indirect effects from maltreatment to subjective evaluations and the number of chronic health conditions through depressive symptoms were also significant. CONCLUSIONS: Childhood maltreatment is linked to adult physical health problems through marital quality and depressive symptoms, suggesting that the quality of adult marriages may play a critical role in health outcomes. Improving the quality of marriages may reduce risk factors, such as depression, that potentate future physical health problems.


Assuntos
Maus-Tratos Infantis , Depressão , Humanos , Adulto , Estados Unidos/epidemiologia , Pessoa de Meia-Idade , Criança , Depressão/epidemiologia , Casamento , Fatores de Risco
11.
World J Clin Cases ; 11(12): 2729-2739, 2023 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-37214570

RESUMO

BACKGROUND: Postpartum depression refers to a depressive episode or depressive symptoms up to 12 mo after delivery. Trait mindfulness has presented a protective factor for postpartum depressive symptoms and proved efficient in improving relationship satisfaction among couples. AIM: To investigate the correlations among mindfulness, marital quality, anxiety, and depression in a large city in western China during the post-corona virus infectious disease-2019 era and determine whether trait mindfulness mediates the relationship between marital quality and postpartum anxiety and depression among primiparas. METHODS: A cross-sectional study was conducted. The self-administered questionnaire was submitted online through smartphones. The levels of mindfulness, anxiety, depression, and marital quality were respectively investigated by the mindful attention awareness scale (MAAS), the self-rating anxiety scale (SAS), the self-rating depression scale (SDS), and the marriage perception scale (MPS) in these enrolled Han and Tujia primiparas. RESULTS: No statistical significance was observed in the prevalence of postpartum anxiety and depression, nor scores of MAAS and MPS-Total in different regions or ethnicities (P > 0.05). However, MPS-Marital interaction (P < 0.05), MPS-Family relationship (MPS-FR) (P < 0.01), and MPS-Marital conflict (MPS-MC) (P < 0.01) scores of urban primiparas were higher than those of rural primiparas. The MPS-MC score of Han primiparas was higher than that of Tujia primiparas (P < 0.05). Negative correlations were observed between MAAS and SAS (r = -0.457, P < 0.01), and MAAS and SDS (r = -0.439, P < 0.01). SAS has revealed a highly positive correlation with SDS (r = 0.720, P < 0.01) and a weak negative correlation with MPS (r = -0.200, P < 0.05). Besides, a weak negative correlation was observed between MAAS and MPS-MC (r = -0.184, P < 0.05), and a weak positive correlation was noticed between SAS and MPS-MC (r = -0.225, P < 0.01). Mediation analysis demonstrated a full mediation effect of mindfulness level on the relationship between MPS-FR and postpartum anxiety (P < 0.05, 95%CI: -0.384 to 0.033), MPS-MC and postpartum anxiety (P < 0.01, 95%CI: 0.027-0.193), MPS-FR and postpartum depression (P < 0.05, 95%CI: -0.365 to 0.031), and MPS-MC and postpartum depression (P < 0.01, 95%CI: 0.022-0.206). CONCLUSION: Mindfulness demonstrates negative correlations with marital conflict, postpartum anxiety and depression, and it may have cross-ethnic and trans-regional characteristics. Although the mindfulness levels have revealed no significant mediating effect between the total score of marital quality and postpartum depression in this study, it demonstrates a full mediation effect on the relationships between family relationships, marital conflict, and postpartum anxiety and depression.

12.
Front Hum Neurosci ; 17: 1050164, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36959907

RESUMO

The extant theories on the quality and stability of marital relationships have some difficulties in explaining some of the complexities of marital behaviors. The present article is an initial attempt to explain the complexities of marital behaviors based on the science of complexity and neuroscience. This article proposes a new theoretical framework relying on this simple argument that marital behaviors, as one of the most complex human behaviors, are the product of one's brain's complex adaptive system (CAS). Hence, to understand the complexities of marital behaviors, a movement toward familiarity with the brain's CAS involved in marital behaviors needs to be started. The article presents the theory of brain complexity and marital behaviors (BCM) and outlines its assumptions, concepts, and propositions. Then, BCM is compared with the extant theories on happy and stable marriage, and finally, it was concluded by discussing the testability and the potential application of the theory. This article might inspire interdisciplinary studies of marital relationships, complex systems, and neuroscience and may have considerable practical implications.

13.
Health Sci Rep ; 6(2): e1106, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36789401

RESUMO

Background and Aims: Marital relationship and its quality are among the major psychological factors affecting the multiple aspects of a person's health status. Chronic diseases are also among the factors that affect various aspects of the lives of millions of people including their marital quality status. One of the most important underlying chronic diseases is diabetes. Since the correlation between diabetes mellitus and marital quality has been neglected, this systematic review, as the first one, aims to investigate the association between marital quality and diabetes mellitus. Methods: A comprehensive search was conducted among three databases (Medline, Scopus, and Web of Science) until September 2021, which resulted in 189 articles. After assessing the studies based on the inclusion criteria, 14 studies were included. Results: The included studies were divided into two general groups. The first group consisted of 3 articles examining the effect of factors related to diabetes on marital quality, and the second group included 11 articles studying the effect of marital quality on diabetes and its factors. In general, the articles investigating the impact of diabetes-related factors on marital quality showed that diabetes has negative impacts on levels of marital quality. Also, the articles investigating the impact of marital quality on diabetes-related factors, showed that higher marital quality is associated with a lower risk of developing diabetes, a better quality of life in patients with diabetes, and better adherence to diabetes care regimen. The results regarding diabetes management were conflicting. Gender was mentioned as an important modulator in some of the investigated relationships. Conclusion: Marital quality remarkably influences diabetes-related factors and is itself affected by the condition resulting from diabetes in individuals with diabetes mellitus. However, further studies are required due to the limited number of studies investigating this correlation.

14.
J Fam Issues ; 44(2): 538-559, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36683860

RESUMO

Marital quality has been declining among recent cohorts, but whether this pattern characterizes middle-aged and older married adults is largely unknown. The doubling of the divorce rate among persons over the age of 50 years foretells poorer quality marriages for today's midlife adults than a generation ago. Combining data on married individuals aged 50-65 years from the 1987-88 National Survey of Families and Households (NSFH) and the 2013 Families and Relationships Study, we conduct a cohort comparison of five dimensions of midlife marital quality. Today's older adults report more marital disagreement and instability as well as less fairness and interaction with their spouses than their counterparts did a generation ago. The two cohorts report comparable levels of marital happiness. Consistent with the upward trend in divorce during the second half of life, the quality of midlife marriages appears to have declined over the past quarter century.

15.
Psych J ; 12(2): 263-271, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36657774

RESUMO

Previous studies have shown that psychopathy, one of the Dark Triad personality traits, is associated with relationship dissatisfaction. However, the similarity of psychopathy among romantic couples remains uncertain with regard to relationship outcomes. This study examined the effect of the perceptual similarity of psychopathy on marital quality in a sample of 245 heterosexual married couples, using intraclass correlation coefficients as the method for assessing couples' similarity. This study also explored the possible mediating role of couple communication based on the Actor-Partner Interdependence model. The results reveal that husbands' self-rating and wives' partner-rating of psychopathy showed negative effects on marital quality, whereas wives' perceptual similarity of psychopathy exerted both actor and partner effects on marital quality via couple communication. The current study enriches the theoretical framework of personality and relationship outcomes and emphasizes the importance of communication in a close relationship.


Assuntos
População do Leste Asiático , Cônjuges , Humanos , Casamento , Emoções , Comunicação , Satisfação Pessoal
16.
Int J Aging Hum Dev ; 97(1): 18-34, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-36172628

RESUMO

The current study included an examination of social factors that mitigate or exacerbate insomnia symptoms among older adults who are married or living with a partner. We first examined the unique effects of spousal support and strain on insomnia symptoms and then evaluated the degree to which extramarital social factors (e.g., friend support) moderated spousal influences. Data came from Waves 2 and 3 of the National Social Life, Health, and Aging Project. Our sample consisted of 495 participants who were either married or cohabitating with a partner (M age in years = 69.84, SD = 8.08). Spousal strain-but not support-predicted higher insomnia symptoms 5 years later. Spousal influences on sleep, however, were moderated by extramarital factors in nuanced ways. Findings highlight the importance of taking into account older adults' wider social context when examining the ways in which sleep is sensitive to positive and negative aspects of marital quality.


Assuntos
Distúrbios do Início e da Manutenção do Sono , Humanos , Idoso , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Casamento , Estado Civil , Envelhecimento , Meio Social
17.
Psicol. (Univ. Brasília, Online) ; 39: e39510, 2023. tab, graf
Artigo em Inglês | LILACS-Express | LILACS, Index Psicologia - Periódicos | ID: biblio-1521373

RESUMO

Abstract This study sought evidence of construct validity for the Brazilian versions of the Dyadic Adjustment Scale and Revised Dyadic Adjustment Scale. A total of 448 individuals participated in the research, 253 women and 195 men from several regions of Brazil who had been cohabiting with their marital partners for an average of 14.7 years. Several proposed models for the measure were tested in Structural Equation Modeling. In the Confirmatory Factor Analysis, the four-factor and hierarchical models of the Revised Dyadic Adjustment Scale showed good overall adjustments. Evidence of factor, convergent, and discriminant validity were also found. Composite reliability revealed adequate levels of internal consistency. The Multigroup Confirmatory Factor Analysis demonstrated a strong measurement invariance model for men and women.


Resumo Este estudo verificou evidências de validade de construto para as versões brasileiras da Dyadic Adjustment Scale e da Revised Dyadic Adjustment Scale. Participaram da pesquisa 448 indivíduos, 253 mulheres e 195 homens de diversas regiões nacionais que coabitavam com seus parceiros conjugais há 14,7 anos, em média. Na Análise Fatorial Confirmatória, foram testados seis modelos anteriormente propostos para a medida. Entre eles, quatro fatores correlacionados e hierárquico multidimensional da Revised Dyadic Adjustment Scale apresentaram os melhores ajustes gerais. Foram encontradas evidências de validades fatorial, convergente e discriminante e níveis adequados de consistência interna por meio da confiabilidade composta. Também foi demonstrada a invariância de medida forte do modelo da RDAS entre homens e mulheres.

18.
Psicol. reflex. crit ; 36: 36, 2023. tab, graf
Artigo em Inglês | LILACS-Express | LILACS, Index Psicologia - Periódicos | ID: biblio-1529269

RESUMO

Abstract Background Researchers have demonstrated that various measurement concepts and dimensions depend on context and timing. Objectives The current study aimed to determine the psychometric properties of the Javanese couples' marital quality scale based on validity and reliability Methods In total 840 participants or 420 marital dyad from Java, Indonesia, were involved in this study. The psychometrics properties scale was analyzed using exploratory and confirmatory factor analysis, convergent and discriminant analysis, and composite reliability. Results The exploratory factor analysis found relationship quality to consist of support, physical proximity, warmth, communication, acceptance and respect, role sharing, and responsibility factors. Well-being quality consists of happiness, harmony, and problem-solving. The fit of the measurement model was obtained using confirmatory factor analysis. The fit model was also found in the husband's and wife's groups, with no differences between them. The high correlations between wife-husband factors also proved the validity based on convergent and discriminant evidence. The reliability coefficient was high for each dimension and construct. Discussion This analysis shows that the marital quality scale developed has information on psychometric properties that can be useful for researchers and the practicians using the marital quality instrument of Javanese couples in particular.

19.
Reprod Health ; 19(1): 219, 2022 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-36457034

RESUMO

BACKGROUND: This study aimed to investigate the associations between parental marital quality, divorce, and sexual and reproductive health outcomes among Chinese young people. METHODS: The study included 51,124 students from a large-scale cross-sectional study in China from 2019 to 2020. The exposures were parental marital quality and legal marital status reported by students. The dichotomous outcomes included sexual experiences, high-risk sexual behaviors, unintended health outcomes, and sexual abuse. Multivariate logistic regression models adjusting for socio-demographic factors were used to assess the relationship between parental marital quality, divorce, and sexual and reproductive health outcomes, stratified by sex. RESULTS: A total of 10.72% of the surveyed students' parents had divorced. Participants from divorced family rated perceived parental marital quality less than half of the ratings on a 10-point scale of those from intact family (3.22 vs. 7.44). Parental divorce was associated with a higher likelihood of sexual abuse, high-risk sexual behaviors, and unintended health outcomes. A higher perceived parental marital quality was associated with a lower probability of adverse sexual and reproductive health experiences and outcomes, such as forced penetrative vaginal or anal intercourse (male: OR: 0.73, 95% CI: 0.64-0.83; female: OR:0.71, 95% CI: 0.65-0.77), casual sexual intercourse (male: OR: 0.78, 95% CI: 0.73-0.83; female: OR: 0.77, 95% CI: 0.72-0.83), and sexually transmitted infections (male: OR: 0.79, 95% CI: 0.70-0.89; female: OR: 0.82, 95% CI: 0.73-0.91). CONCLUSIONS: Parental marital quality and status are associated with poorer sexual and reproductive health outcomes among young adults, suggesting that specific intervention programs should be implemented for children from unharmonious families or divorced families to prevent adverse sexual and reproductive health outcomes.


Marital relationships in China have undergone significant transformations with the rapid industrialization and modernization of the society. The prevalence of divorce in China and worldwide has shown an upward trend in recent years. Divorce and parental marital quality often affect youth health, but its association with youth sexual and reproductive health requires more discussion. This study aimed to investigate the associations between parental marital quality and parental divorce status (marriage or divorce) and a range of youth sexual and reproductive health indicators. Participants included 51,124 students from universities or vocational colleges across all 31 provinces in mainland China. A total of 10.72% of the surveyed students' parents had divorced. Participants from divorced family rated perceived parental marital quality less than half of the ratings on a 10-point scale of those from intact family (3.22 vs. 7.44). Divorce and lower parental marital quality were separately associated with a higher likelihood of experiencing sexual abuse, high-risk sexual behaviors, and unintended health outcomes among youth. These findings highlight the importance of implementing specific intervention programs to protect children from unharmonious families or divorced families.


Assuntos
Divórcio , Saúde Reprodutiva , Criança , Adulto Jovem , Adolescente , Feminino , Masculino , Humanos , Estudos Transversais , Estudantes , Pais , China
20.
Front Psychol ; 13: 964167, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36267074

RESUMO

Based on the actor-partner interdependence model, this paper studied the relationship between marital commitment, sacrifice behavior and marital quality of military couples. A convenience sample of 171 Chinese military couples from Guangdong, Jiangsu and Sichuan province was used. All participants completed the self-report questionnaires independently including the Dimension of Commitment Inventory (DCI), the Couples Sacrifice Behavior Scale (CSBS) and the Evaluation and Nurturing Relationship Issues, Communication and Happiness (ENRICH). Results showed that the scores of marital commitment and marital quality of male soldiers were significantly higher than that of their spouses. Compared to their spouses, male soldiers reported higher frequency of sacrifice behaviors and perceiving sacrifice behaviors of spouses. Furthermore, the marital commitment of military couples had significant influence on their own marital quality and frequency of perceiving each other's sacrifice behavior Military couples' perception of the frequency of each other's sacrifice behavior partially mediated the effect of marital commitment on their marital quality. Male soldiers' perception of spouse's sacrifice behavior frequency significantly predicted the marital quality of their spouses.

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