Female fertility history and mid-late-life health: Findings from China

J Women Aging. 2018 Jan-Feb;30(1):62-74. doi: 10.1080/08952841.2016.1259445. Epub 2017 Feb 2.

Abstract

China's middle-aged and older women suffer from poorer health than men. Using national baseline data from the China Health and Retirement Longitudinal Study (CHARLS), a survey conducted from 2011 to 2012, this article applies logistic models to investigate the association between female fertility history (parity, early childbearing, late childbearing) and middle-aged and late-life health. We find that parity is related to the mid-late-life health of women. Women with four children or more are more likely to suffer from activities of daily living (ADL) impairment and poorer self-rated health than those with one to three children. Early childbearing is associated with ADL impairment; however, the correlation is mediated by socioeconomic status. Early childbearing is related to self-rated health in later life by an indirect-only mediation effect via educational attainment and personal income.

Keywords: ADL impairment; early childbearing; fertility history; late childbearing; parity; self-rated health.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Aging / pathology*
  • China
  • Diagnostic Self Evaluation
  • Female
  • Fertility*
  • Health Surveys
  • Humans
  • Logistic Models
  • Longitudinal Studies
  • Middle Aged
  • Parity*
  • Pregnancy
  • Reproductive Behavior / statistics & numerical data*
  • Reproductive History
  • Socioeconomic Factors
  • Women's Health / statistics & numerical data*