Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-10T23:06:39.899Z Has data issue: false hasContentIssue false

Fertility history and quality of life in older women and men

Published online by Cambridge University Press:  17 September 2010

SANNA READ
Affiliation:
Department of Population Studies, London School of Hygiene and Tropical Medicine, London, UK.
EMILY GRUNDY*
Affiliation:
Department of Population Studies, London School of Hygiene and Tropical Medicine, London, UK.
*
Address for correspondence: Emily Grundy, Department of Population Studies, London School of Hygiene and Tropical Medicine, 50 Bedford Square, London WC1B 3DP, UK. E-mail: emily.grundy@lshtm.ac.uk

Abstract

In this paper we examine associations between the fertility histories of older British women and men and their quality of life using data on a sample of 6,374 men and women born between 1923 and 1949 drawn from the British Household Panel Survey (BHPS). Quality of life in 2001 was measured using scores from the four subscales of the CASP-19 questionnaire: control, autonomy, pleasure and self-realisation. Fertility histories were derived using information on the births of children collected in all waves of the BHPS. The aspects of fertility history investigated were number of children born and parents' ages at birth of first and last child. Age, education, marital status, tenure status, smoking, co-residence with one or more children, perceived social support and health limitations were included as covariates. The results suggested that early entry to parenthood and to some extent high parity were related to poorer quality of life. These associations were mostly mediated by socio-economic, social support and health factors. Compared to women with two children, nulliparous women expressed a higher level of autonomy, and both nulliparous women and those with four or more children a higher level of self-realisation. Low parity was related to a lower level of pleasure, especially among men, but this relationship appeared weaker and among women was not significant when background factors were controlled.

Type
Articles
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bowling, A., Gabriel, Z., Dykes, J., Marriott-Dowling, L., Evans, O., Fleissig, A., Banister, D. and Sutton, S. 2003. Let's ask them: definitions of quality of life and its enhancements among people aged 65 and over. International Journal of Aging and Human Development, 56, 4, 269306.Google Scholar
Buber, I. and Engelhardt, H. 2008. Children's impact on the mental health of their older mothers and fathers: findings from the Survey of Health, Ageing and Retirement in Europe. European Journal of Ageing, 5, 1, 3145.CrossRefGoogle ScholarPubMed
Chase-Lansdale, P. L. and Kiernan, K. E. 2004. Human Development Across Lives and Generations. Cambridge University Press, Cambridge.Google Scholar
Chou, K. L. and Chi, I. 2004. Childlessness and psychological well-being in Chinese older adults. International Journal of Geriatric Psychiatry, 19, 5, 449–57.Google Scholar
Cwikel, J., Gramotnev, H. and Lee, C. 2006. Never-married childless women in Australia: health and social circumstances in old age. Social Science and Medicine, 62, 8, 19912001.Google Scholar
Dijkers, M. 2005. Quality of life of individuals with spinal cord injury: a review of conceptualization, measurements and research findings. Journal of Rehabilitation Research and Development, 42, supplement 1, S87–110.CrossRefGoogle ScholarPubMed
Dykstra, P. A. 2006. Off the beaten track: childlessness and social integration in late life. Research on Aging, 28, 6, 749–67.Google Scholar
Erikson, E. H. 1950. Childhood and Society. Norton, New York.Google Scholar
Evenson, R. J. and Simon, R. W. 2005. Clarifying the relationship between parenthood and depression. Journal of Health and Social Behavior, 46, 4, 341–58.CrossRefGoogle ScholarPubMed
Furstenberg, F. F. 2005. Banking on families: how families generate and distribute social capital. Journal of Marriage and Family, 67, 4, 809–21.CrossRefGoogle Scholar
Gallanger, S. K. and Gerstel, N. 2001. Connections and constraints: the effects of children on caregiving. Journal of Marriage and Family, 63, 1, 262–75.Google Scholar
Greene, M. E. and Biddlecom, A. E. 2000. Absent and problematic men: demographic accounts of male reproductive roles. Population and Development Review, 26, 1, 81–155.Google Scholar
Grundy, E. 2009. Women's fertility and mortality in late mid life: a comparison of three contemporary populations. American Journal of Human Biology, 21, 4, 541–7.CrossRefGoogle ScholarPubMed
Grundy, E. and Holt, G. 2000. Adult life experiences and health in early old age in Britain. Social Science and Medicine, 51, 7, 1061–74.CrossRefGoogle ScholarPubMed
Grundy, E. and Kravdal, Ø. 2008. Reproductive history and mortality in late middle age among Norwegian men and women. American Journal of Epidemiology, 167, 3, 271–9.Google Scholar
Grundy, E. and Shelton, N. 2001. Contact between adult children and their parents in Great Britain 1986–1999. Environment and Planning A, 33, 4, 685–97.CrossRefGoogle Scholar
Grundy, E. and Tomassini, C. 2005. Fertility history and health in later life: a record linkage study in England and Wales. Social Science and Medicine, 61, 1, 217–28.CrossRefGoogle ScholarPubMed
Guralnik, J. M., Butterworth, S., Patel, K., Mishra, G. and Kuh, D. 2009. Reduced midlife physical functioning among never married and childless men: evidence from the 1946 British Birth Cohort Study. Aging Clinical and Experimental Research, 21, 2, 174–81.CrossRefGoogle ScholarPubMed
Hansen, T., Slagsvold, B. and Moum, T. 2009. Childlessness and psychological well-being in midlife and old age: an examination of parental status effects across a range of outcomes. Social Indicators Research, 94, 2, 343–62.Google Scholar
Heath, D., McKenry, P. C. and Jeigh, G. K. 1995. The consequences of adolescent parenthood on men's depression, parental satisfaction and fertility in adulthood. Journal of Social Service Research, 20, 3–4, 127–48.Google Scholar
Helbig, S., Lampert, T., Klose, M. and Jacobi, F. 2006. Is parenthood associated with mental health? Findings from an epidemiological community survey. Social Psychiatry and Psychiatric Epidemiology, 41, 11, 889–96.CrossRefGoogle ScholarPubMed
Henretta, J. C. 2007. Early childbearing, marital status and women's health and mortality after age 50. Journal of Health and Social Behavior, 48, 3, 254–66.CrossRefGoogle ScholarPubMed
Henretta, J. C., Grundy, E. M. D., Okell, L. C. and Wadsworth, M. E. J. 2008. Early motherhood and mental health in midlife: a study of British and American cohorts. Aging and Mental Health, 12, 5, 605–14.CrossRefGoogle ScholarPubMed
Higgs, P., Hyde, M., Wiggins, R. and Blane, D. 2003. Researching quality of life in early old age: the importance of the sociological dimension. Social Policy and Administration, 37, 3, 239–52.Google Scholar
Hinkula, M., Kauppila, A., Näyhä, S. and Pukkala, E. 2006. Cause-specific mortality of grand multiparous women in Finland. American Journal of Epidemiology, 163, 4, 367–73.Google Scholar
Hurt, L. S., Ronsmans, C. and Thomas, S. L. 2006. The effect of number of births on women's mortality: systematic review of evidence for women who have completed their childbearing. Population Studies, 60, 1, 5571.Google Scholar
Hyde, M., Wiggins, R. D., Higgs, P. and Blane, D. B. 2003. A measure of quality of life in early old age: the theory, development, and properties of a needs satisfaction model (CASP-19). Aging and Mental Health, 7, 3, 186–94.CrossRefGoogle ScholarPubMed
Joshi, H. 2002. Production, reproduction and education: women, children and work. Population and Development Review, 28, 3, 445–74.Google Scholar
Kalil, A. and Kunz, J. 2002. Teenage childbearing, marital status and depressive symptoms in later life. Child Development, 73, 6, 1748–60.Google Scholar
Kington, R., Lillard, L. and Rogowski, J. 1997. Reproductive history, socioeconomic status, and self-reported health status of women aged 50 years and older. American Journal of Public Health, 87, 1, 33–7.Google Scholar
Kohler, H.-P., Behrman, J. R. and Skytthe, A. 2005. Partner+children=happiness? The effects of partnerships and fertility on well-being. Population and Development Review, 31, 3, 407–45.Google Scholar
Koropeckyj-Cox, T., Pienta, A. M. and Brown, T. H. 2007. Women of the 1950s and the ‘normative’ life course: the implications of childlessness, fertility timing and marital status for psychological well-being in late midlife. International Journal of Aging and Human Development, 64, 2, 299330.Google Scholar
Krause, N. 2007. Longitudinal study of social support and meaning in life. Journal of Gerontology: Psychological Sciences, 48B, 6, P282–91.Google Scholar
Lawton, M., Winter, L., Kleban, M. H. and Ruckdeschel, K. 1999. Affect and quality of life: objective and subjective. Journal of Aging and Health, 11, 2, 169–98.CrossRefGoogle ScholarPubMed
Maughan, B. and Lindelow, M. 1997. Secular change in psychosocial risks: the case of teenage motherhood. Psychological Medicine, 27, 5, 1129–44.CrossRefGoogle ScholarPubMed
Mirowsky, J. 2005. Age at first birth, health, and mortality. Journal of Health and Social Behavior, 46, 1, 3250.Google Scholar
Mirowsky, J. and Ross, C. E. 2002. Depression, parenthood, and age at first birth. Social Science and Medicine, 54, 8, 1281–98.Google Scholar
Moen, P., Dempster-McClain, D. and Williams, R. W. Jr. 1992. Successful aging: a life-course perspective on women's multiple roles and health. American Journal of Sociology, 97, 6, 1612–38.Google Scholar
Moffitt, T. E. and the E-Risk Study, Team. 2002. Teen-aged mothers in contemporary Britain. Journal of Child Psychology and Psychiatry, 43, 6, 727–42.CrossRefGoogle ScholarPubMed
Muthén, L. K. and Muthén, B. O. 2007. Mplus User's Guide. Fifth edition, Muthén and Muthén, Los Angeles.Google Scholar
Netuveli, G. and Blane, D. 2008. Quality of life in older ages. British Medical Bulletin, 85, 1, 113–26.Google Scholar
Offer, S. and Schneider, B. 2007. Children's role in generating social capital. Social Forces, 85, 3, 1125–42.Google Scholar
Plaisier, I., de Bruijn, J. G. M., Smit, J. H., de Graaf, R., ten Have, M., Beenman, A. T. F., van Dyck, R. and Penninx, B. W. J. H. 2008. Work and family roles and the association with depressive and anxiety disorders: differences between men and women. Journal of Affective Disorders, 105, 1, 6372.Google Scholar
Salmela-Aro, K., Read, S., Nurmi, J.-E., Koskenvuo, M., Kaprio, J. and Rantanen, T. 2009. Personal goals of elderly female twins: genetic and environmental effects. European Psychologist, 14, 2, 160–7.Google Scholar
Silverstein, M., Cong, Z. and Li, S. 2006. Intergenerational transfers and living arrangements of older people in rural China: consequences for psychological well-being. Journals of Gerontology: Social Sciences, 61B, 5, S256–66.Google Scholar
Spence, N. J. 2008. The long-term consequences of childbearing: physical and psychological well-being of mothers in later life. Research on Aging, 30, 6, 722–51.CrossRefGoogle ScholarPubMed
Sudha, S., Mutran, E. J., Williams, I. C. and Suchindran, C. 2006. Childbearing history and self-reported well-being in later life: contrasting older African American and White women. Research on Aging, 28, 5, 599621.CrossRefGoogle Scholar
Taylor, J. L. 2009. Midlife impacts of adolescence parenthood. Journal of Family Issues, 30, 4, 484510.CrossRefGoogle ScholarPubMed
Taylor, M. F., Brice, J., Buck, N. and Prentice-Lane, E. (eds)2006. British Household Panel Survey User Manual Volume A: Introduction, Technical Report and Appendices. University of Essex, Colchester, UK.Google Scholar
Tomassini, C., Glaser, K., Wolf, D. A., Broese van Groenou, M. I. and Grundy, E. 2004. Living arrangements among older people: an overview of trends in Europe and the USA. Population Trends, 115, 2434.Google Scholar
Wiggins, R. D., Netuveli, G., Hyde, M., Higgs, P. and Blane, D. 2008. The evaluation of a self-enumerated scale of quality of life (CASP-19) in the context of research on ageing: a combination of exploratory and confirmatory approaches. Social Indicators Research, 89, 1, 6177.CrossRefGoogle Scholar
Yi, Z. and Vaupel, J. W. 2004. Association of late childbearing with healthy longevity among the oldest-old in China. Population Studies, 58, 1, 3753.CrossRefGoogle ScholarPubMed
Zhang, W. and Liu, G. 2007. Childlessness, psychological well-being and life satisfaction among the elderly in China. Journal of Cross Cultural Gerontology, 22, 2, 185203.Google Scholar
Zhang, Z. and Hayward, M. D. 2001. Childlessness and psychological well-being of older persons. Journal of Gerontology: Social Sciences, 56B, 5, S311–20.Google Scholar
Zunzunegui, M. V., Béland, F. and Otero, A. 2001. Support from children, living arrangements, self-rated health and depressive symptoms of older people in Spain. International Journal of Epidemiology, 30, 5, 1090–9.CrossRefGoogle ScholarPubMed