Low-educated Women Research Articles

Education differences in women's body weight trajectories: The role of motherhood.

Studies have found that education differences in women’s body weight increase until middle adulthood. The explanatory mechanisms behind this increase are not well-understood. This study examined the role of education differences in the prevalence of motherhood as a risk factor for weight gain and in vulnerability to its effects on weight gain. We used longitudinal data from the German Socio-economic Panel Study. Our sample included 2,668 women aged between 17 and 45 and observed at least twice between 2002 and 2016 (n = 13,899 panel observations). We used OLS regression models to estimate initial education differences in body weight and fixed-effects panel regression models to estimate education differences in body-weight trajectories. Motherhood was associated with increasing body weight, and the effects of motherhood on weight gain varied by education. Motherhood partially accounted for the increase of education differences during reproductive age. Until the age of 30, differences in the prevalence of motherhood accounted for about 20% of the bodyweight gap between lower and higher educated women. From age 35 until 45, differential vulnerability to the effects of motherhood on body weight explained about 15% of the education gap in body weight.

Intersectional equity in health care: assessing complex inequities in primary and secondary care utilization by gender and education in northern Sweden

BackgroundKnowledge remains scarce about inequities in health care utilization between groups defined, not only by single, but by multiple and intersecting social categories. This study aims to estimate intersectional horizontal inequities in health care utilization by gender and educational level in Northern Sweden, applying a novel methodological approach.MethodsData on participants (N = 22,997) aged 16–84 years from Northern Sweden came from the 2014 Health on Equal Terms cross sectional survey. Primary (general practitioner) and secondary (specialist doctor) health care utilization and health care needs indicators were self-reported, and sociodemographic information came from registers. Four intersectional categories representing high and low educated men, and high and low educated women, were created, to estimate intersectional (joint, referent, and excess) inequalities, and needs-adjusted horizontal inequities in utilization.ResultsJoint inequalities in primary care were large; 8.20 percentage points difference (95%CI: 6.40–9.99) higher utilization among low-educated women than high-educated men. Only the gender referent inequity remained after needs adjustment, with high- (but not low-) educated women utilizing care more frequently than high-educated men (3.66 percentage points difference (95%CI: 2.67–5.25)). In contrast, inequalities in specialist visits were dominated by referent educational inequalities, (5.69 percentage points difference (95%CI: 2.56–6.19), but with no significant horizontal inequity – by gender, education, or their combination – remaining after needs adjustment.ConclusionThis study suggests a complex interaction of gender and educational inequities in access to care in Northern Sweden, with horizontal equity observable for secondary but not primary care. The study thereby illustrates the unique knowledge gained from an intersectional perspective to equity in health care.

The association of positive mental health indicators and normal body weight, Belgian HIS 2018

Abstract Background An important health promotion goal is to maintain a normal body weight. However, knowledge about positive mental health indicators that might be associated with normal weight is scarce. The aim is to study positive mental health indicators and normal weight in a cross-sectional national representative population sample. Methods Study participants included adults aged ≥ 18 year (n = 6643) of the Belgian Health Interview Survey (HIS) 2018. Mental health indicators were having no psychological distress (GHQ-12<2), no self-reported anxiety or depression (EQ_5D), medium to high vitality (SF-36 vitality scale) and high to medium level of life satisfaction. BMI was calculated on self-declared height and weight. The associations were assessed through logistic regression taking into account confounding and effect modification by age, gender, educational level, health status, physical activity, daily eating of fruit and vegetables and daily consuming sugared soft drinks or sweet/salty snacks. Results 50.1% had a BMI≥25. In the crude models, all indicators were negatively associated with being obese, but there was no association between having a normal weight (versus overweight and obesity) and absence of psychological distress, absence of anxiety and depression, and medium to high vitality. Medium to high level of life satisfaction was associated with normal weight in the fully adjusted model (OR 1.3; 95%CI 1.0-1.6) but when stratified, medium to high life satisfaction was associated with normal weight only among high educated women (OR 1.8; 95%CI 1.1-2.9), but not among men and low educated women. Surprisingly, among low educated women, having no psychological distress was negatively associated with normal weight (OR 0.7; 95%CI 0.5-0.9). Conclusions These preliminary results showed a variable impact of gender and educational levels on the association between positive mental health indicators and normal weight. Trends and distribution in society should be further explored. Key messages Although unequivocal associations with obesity, positive mental health is not clearly associated with normal body weight in today’s obesogenic society. The effect of a shift towards a higher BMI in society on mental health needs to be further explored.

Acculturation, education, and gender roles: evidence from Canada

Abstract This article studies the influence of cultural norms on economic outcomes. We combine detailed information on second-generation female immigrants with historical data from their ancestral source countries to see how the cultural endowment affects current decisions on work and fertility. We show that results using the standard approach are somewhat sensitive to context and specification. We then extend to reveal an education gradient for cultural assimilation: lower-educated women exhibit a strong influence of cultural variables while higher-educated women show no influence at all. We gather and present evidence on several potential mechanisms for the education gradient.

Factors contributing to educational differences in obesity among women: evidence from South Korea

BackgroundObesity is more prevalent among less-educated women than highly-educated women around the world. However, little is known about the factors which cause this difference in obesity, and almost nothing is known about how the individual factors which explain differences in education among women alone contribute to obesity. In this study, we identified the factors which help explain the relationship between education and obesity in women, and quantified their separate contributions to obesity.MethodsWe analyzed information on 14,577 women aged 25 years or over using datasets from the Korea National Health and Nutrition Examination Survey (2010–2014). We divided the women into two education groups: women who had, at most, finished high school (less-educated women), and women who had college degrees and beyond (highly-educated women). Using an extended Oaxaca-Blinder method, we decomposed the difference in obesity prevalence between the two education groups into the contributions (%) due to two effects: composition effect and association effect.ResultsObesity was more than twice as prevalent among the less-educated women (34.3%) than it was among the highly-educated women (16.0%). The composition effect—contribution of differences in the distribution of observed characteristics compared to that of the difference in obesity prevalence between the two education groups—was 38.2%. The association effect—contributions of differences in the estimated coefficients of characteristics compared to that of the difference in obesity prevalence between the two education groups—was 55.8%, of which lifestyle factors were the most important contributor (43.6%). Of the separate contributions of each factor, the association effect of the factor related to women’s stress exhibited the largest contribution (23.0%).ConclusionWe suggest that to effectively mitigate the high prevalence of obesity among less-educated women, it may be necessary to help low-educated women who do not feel stressful develop strategies to combat their higher risk of obesity. We also suggest the need to conduct decomposition studies in countries which show significant relationships between education and obesity among women, and to create targeted policies to reduce this population’s overall risk of obesity.

Coexistence of metabolic syndrome and osteopenia associated with social inequalities and unhealthy lifestyle among postmenopausal women in South Korea: the 2008 to 2011 Korea National Health and Nutritional Examination Survey (KNHANES).

The prevalence of metabolic syndrome (MetS) and osteoporosis (OP) among postmenopausal women has been rapidly increasing. We examined the associations between socioeconomic status-related factors, unhealthy lifestyle, and the coexistence of MetS and osteopenia or OP. One thousand nine hundred ninety-one postmenopausal women aged 45 to 65 years were used to select a representative sample of the civilian, noninstitutionalized South Korean population from the 2008 to 2011 Korea National Health and Nutrition Examination Survey data. Women were grouped as neither MetS nor OP (normal), MetS, OP, and both MetS and OP (MetS + OP). Socioeconomic status (education, household income, place of residence, employment status), health-related behaviors (physical activity, alcohol consumption, smoking), and diet-related factors (intake of nutrients and food groups, eating habits, food insecurity) were obtained. Logistic regression models were used to examine the odds ratio (OR) and 95% confidence interval (CI). The prevalence of MetS + OP was 32.5%. The average number of MetS risk factors in MetS + OP was 3.5, higher than that of normal and OP groups (P < 0.001). Bone mineral density at all sites was significantly lower in MetS + OP than normal and MetS groups (P < 0.001). Also, calcium, phosphorus, vitamin A, riboflavin, and niacin levels were lowest in the MetS + OP group compared with the three other groups (P < 0.05). After controlling for covariates, low-income and low-education women were more likely to have MetS + OP (OR 1.97, 95% CI 1.04-3.72); high-income and high-education group was 70% less likely to have MetS + OP (OR 0.30, 95% CI 0.10-0.86) compared with the middle-income and middle-education group. Social inequalities might be powerful contributors in Korean postmenopausal women with coexistence of MetS and OP. Therefore, social and political perspective approaches are required in this population for prevention and treatment of MetS and OP. Future studies should explore to find controllable factors and thereby improve health status in postmenopausal women.

Determinants of Adolescent First Births in Indonesia

Adolescent childbirth remains a central issue for lower-middle-income countries such as Indonesia. The available literature suggests that this is associated with several adverse outcomes, including health and socioeconomic factors. This study aimed to evaluate determinants that correlate with mothers in Indonesia who first gave birth when they were adolescents. This study is a cross-sectional and examined data collected by Indonesia Demographic and Health Survey (IDHS) in 2017. We investigated the variables of educational level, wealth index, residence, and access to media (frequency of reading newspaper or magazine, listening to the radio, watching television, using the internet) and their correlation with a weighted sample of women who had their first live birth when they were younger than 19 years old. We used multivariate logistic regression to adjust for confounding factors and to analyze the determinants of adolescent first birth. Education (AOR=15.39; 95 CI=11.13-21.26), wealth index (AOR=1.22; 95 CI=1.08-1.39), place of residence (AOR=1.23; 95 CI=1.13-1.34), frequency of reading newspaper or magazine (AOR=1.31; 95 CI=1.11-1.55), and frequency of using internet (AOR=1.30; 95 CI=1.02-1.65) were significant determinants of.adolescent first births in Indonesia. This study recommends better access to education for poor and lower educated young women to be prioritized. Policies and programs that support the wellbeing of adolescents to achieve the best outcome of health reproduction are needed. © Advanced Scientific Research. All rights reserved.

Trajectories of sexual dysfunction and its risk factors in women with gynecologic cancer across radiation therapy and healthy controls.

e24097 Background: Women with gynecological cancer (GynCa) reported an increased risk for acute and long-term sexual dysfunction across cancer treatments, especially radiation therapy (RT). However, limited data exist on the course of sexual dysfunction across RT and its risk factors are unknown. This study sought to characterize women’s sexual dysfunction trajectories and identified risk factors of persistent sexual dysfunction. Methods: Using a longitudinal study design, patient-reported sexual dysfunction, demographic and clinical data were collected. Women receiving RT for GynCa older than 18 years or age, race, and BMI matched healthy controls were enrolled. Female Sexual Function Index (FSFI) was used to assess women’s sexual dysfunction. Patients completed all the questionnaires pre-RT, at the end of RT, 6- and 12-month post-RT. Group-based trajectory modeling was used to identify trajectories of sexual dysfunction and risk factors of persistent sexual dysfunction. Results: Eighty-two patients were analyzed, including 36 GynCa patients receiving RT and 46 healthy post-menopausal women, comprising of 33 Blacks, 44 Whites, and 5 others. Three trajectory groups of sexual dysfunction (total FSFI score) were identified: low risk (17.4%), moderate risk (12.3%), and high risk (70.4%). All three trajectory groups were significantly different from each other (p&lt;0.01). Similarly, three trajectories were identified for each of six FSFI domains: desire (low [6.3%], moderate [62.5%], high [31.2%], p&lt;0.01); arousal (low [38.1%], moderate [46.4%], high [15.4%], p&lt;0.01); lubrication (low [49.7%], moderate [44.6%], high [5.7%], p&lt;0.01); orgasm (low [43.8%], moderate [31.3%], high [24.9%], p&lt;0.01); pain (low [25.5%], moderate [64.2%], high [10.3%], p&lt;0.01); and satisfaction (low [8.3%], moderate [61.4%], high [30.3%], p&lt;0.01). Risk factors of sexual dysfunction were high pH (p=0.007) and without chemotherapy (p=0.019). Young women had more arousal (p=0.011); high education level was associated with high arousal (p=0.039); low pH was associated with high arousal (p=0.018) and orgasm (p=0.036). No risk factors were found for desire and satisfaction domains. BMI, surgery, and study cohort (cancer vs healthy) were not predictors of sexual dysfunction trajectories. Conclusions: This study identified three trajectories of sexual dysfunction. Low education, high pH, no chemotherapy, and elder women were risk factors of severe sexual dysfunction. Sexual dysfunction interventions should address these risk factors.

Partners’ Educational Pairings and Fertility Intentions in the United States: Evidence from 2015–2017 National Survey of Family Growth

In light of the ongoing educational shift from favoring men to favoring women, this study contributes to the literature on fertility by investigating the relationship between educational pairings and fertility intentions. To test two competing hypotheses, nationally representative data from the latest wave (2015–2017) of the National Survey of Family Growth were used, and four generalized estimating equation models were estimated. Results indicate that women’s intentions for additional children were influenced by educational pairings. Specifically, when highly educated women had a highly educated partner, their fertility intentions were higher than lower-educated women, but this difference disappeared if those women were in hypogamous relationships; when lower-educated women had lower- or medium-educated partners, their intentions for additional children were significantly lower than highly educated women, but the difference disappeared when she had a highly educated partner. Findings from this study provide new insights into fertility intentions by taking into account both partners’ education.

The institutional and cultural framing of the educational stratification in fertility. A review of the role of labor market institutions and attitudinal orientations

The aim of this article is to overcome the incomplete explanation of previous research findings on the societal determinants of the educational fertility differentials in Europe. Our analysis draws on two overlooked factors, the role of labour market setting and the diffusion of new values. Combining ESS, EVS and WVS data for 2004–2009 with contextual indicators on labour market setting and cultural orientations, our multilevel analysis shows that labour market conditions in terms of share of part time jobs, dimension of public sector employment and strictness of EPL do not systematically modify the gradient of fertility by parities. But instead, we observe a clear moderator effect of attitudinal orientations. Results show that in societies where postmodernism is widespread, both high and low educated women are less likely to have children. A high diffusion of gender egalitarianism is associated with a reduction of the gradient through an increase of the likelihood of having a child especially for higher educated women. This article concludes by highlighting some responses to societal polarization of fertility related to both structural and cultural factors and indicates avenues for future research on the social stratification of fertility.

Effects of Vietnam’s two-child policy on fertility, son preference, and female labor supply

In 1988, facing a total fertility rate of over four births per woman, the Vietnamese government introduced a new policy that required parents to have no more than two children. Using data from the Vietnam Population and Housing Censuses from 1989, 1999, and 2009, I apply a differences-in-differences framework to assess the effects of this policy on family size, son preference, and maternal employment. I find that the policy decreased the probability that a woman has more than two children by 15 percentage points for younger women and by 7 percentage points for middle-aged women. The policy reduced the average number of living children by 0.2 births per woman. Low-education women and women in rural areas were more affected by the policy. The policy had no effects on mothers’ age at first birth and gender of mothers’ last birth. The reduction in fertility caused by the policy was associated with a 1.2 percentage point decrease in the proportion of sons in each family. The policy increased maternal employment by 1.3 percentage points. Instrumental variables estimates of the effects of fertility on maternal employment and child education suggest a negative relationship between the number of children and female labor supply and a trade-off between child quantity and child quality in Vietnam.

Who is really ‘left behind’? Half a century of gender differences in the school-to-work transitions of low-educated youth

ABSTRACT At a time of growing expectations about educational attainment, young people who did not complete upper-secondary schooling can easily be ‘left behind’ to face risks of social exclusion. Being able to make a rapid and successful transition into a first significant job is crucial for long-term labor-market attachment. We approach the question of continuity or change in school-to-work transitions by comparing the experiences of four birth cohorts of early school leavers in Italy, where they still constitute a sizeable group as of today. Italy makes for an interesting case study due to the length of school-to-work transitions and the extent of gender differences in this phase. In an era of educational expansion and increased female activation, studying changes in low-educated women’s labor-market access brings into focus the question of who is really left behind. Using data from the 2009 ‘Multi-purpose Survey on Household and Social Subjects,’ we use discrete time logistic regression models to estimate the probability of transitioning to the first significant job for early school leavers born between 1954 and 1993. We find that gender differences are strikingly persistent across birth cohorts, even after controlling for sociodemographic variables as well as for time-varying fertility and partnership histories.

Structural equation modeling analysis of Iranian women’s food consumption: influence of socio-demographic characteristics and the Information, Motivation, and Behavioral skills Model

ABSTRACT Objective This study aimed at examining whether food consumption varies in accordance with socio-demographic and behavioral factors in the conceptual model, analyzing adult women in Tehran, Iran, for that purpose. Methods This cross-sectional study was conducted with 247 women in childbearing age, who were selected through systematic cluster sampling from five regions in Tehran. Dietary assessment was done through a Food Frequency Questionnaire, and the anthropometric indices were measured. Data on socio-economic status and information-motivation-behavioral skills model were obtained through a questionnaire. Then, subjects were stratified according to the socio-economic status and model components. Statistical analysis was done using analysis of variance and structural equation modeling. Results Consumption of food groups among the participating women differed based on their living region, education, occupation, household expenditure, and model components (p&lt;0.05). Intake of red and processed meat (p&lt;0.05) was at the lowest level in illiterate or low educated women. Those with lower total expenditure had higher consumption of fats and oils (p&lt;0.05). Women with higher perceived social support consumed more milk and dairy products (p&lt;0.05), fats and oils (p&lt;0.05), and less bread and cereals (p&lt;0.05). Model components including information, attitude, social support, self-efficacy, and self-regulation were the most important factors negatively affecting the consumption of unhealthy foods (red and processed meat, fats and oils, sugar, and salty foods). Conclusion Considering the impact of model components on women’s eating behaviors, the specific integration strategies delineated for each construct of the model can be utilized to design model-based interventions targeting the promotion of healthy nutritional behavior.

Health literacy and diabetes control in pregnant women.

Background:Low health literacy (HL) is associated with an extensive range of health outcomes.Objective:The present study was performed to inquire about the relationship between HL and glycemic control in gestational diabetes in order to design interventional future preventing programs.Methods:This cross-sectional study was performed on 104 Iranian pregnant women with gestational diabetes mellitus (GDM) referred from urban and rural areas to endocrinology clinic of Hamadan Beheshti Hospital, in 2017. Iranian Health Literacy Questionnaire (IHLQ) and a sociodemographic checklist were distributed among women. Correlation between HL and glycemic control was examined using SPSS. The significance level was set at P < 0.05.Results:Among women, 48.1% (50) were affected by uncontrolled diabetes and only 22% (11) had an adequate level of HL. An adequate level of HL were 50% and 22% in glycemic controlled and uncontrolled women, respectively. In univariate analysis, there was a significant relationship between diabetes control and adequate HL. So, problematic HL could increase the chance of uncontrolled diabetes more than three times (odds ratio: 3.5; CI: 1.5–8.3; P value: 0.004). Among all related variables, education and being housewife were considered as protective and risk factors for problematic HL, respectively.Conclusion:In conclusion, this study has provided evidence of limited HL and its relationship with low glycemic control in pregnant women with GDM. The problem was more serious in low educated, rural, housekeepers, and older-aged women. This deficit needs to be addressed by health planners and policymakers who are responsible for promoting the health of people and decreasing health inequalities community.

Female Labor Force Participation in Turkey: A Synthetic Cohort (Panel) Analysis, 1988-2013

We study the aggregate labor force participation behavior of women over a 25-year period in Turkey using a synthetic panel approach. In our decomposition of age, year, and cohort effects, we use three APC models that have received close scrutiny of the demography community. We rely on predictions from just-identified models that render different methods comparable. The exercise is carried out by rural/urban status and by education to tease out some key differences in behavior, and to test hypotheses about the course of participation. Our comparative methodology yields remarkably consistent profiles for most subsamples, but not all. Notably all methods reveal an M-shaped age profile attributable to child-bearing related interruptions in rural areas and for low-educated women in urban areas. We also find that younger cohorts among the least-educated women are more likely to participate, contrary to the belief that culture stands in the way. This implies that the recent rise in the aggregate participation rates is not only due to a composition effect arising from increasing education levels. We also show that Turkey has reached the turning point of the U-shaped pattern in female participation. In addition, we dwell on methodological issues and offer explanations for the fragility of the methods. We establish that evolution of the linear trend present in the cross-section age profiles is responsible for the apparent differences in the findings.

Building Bridges and Widening Gaps: Wage Gains and Equity Concerns of Labor Market Expansions

We exploit the opening of a large bridge to study how access to a larger labor market affects economic efficiency, and how these potential efficiency gains are distributed across workers. The bridge we study connected the third largest city of Sweden to the capital of Denmark, and led to a substantial increase in the labor market opportunities of Swedes. Using unique cross-country matched registry data, we find that the bridge led to a large increase in cross-country commuting among Swedes, driven both by extensive and intensive employment responses. This commuting effect translates into a significant increase in the average wage of Swedes residing close to the bridge, providing strong evidence of an efficiency gain for individuals in Sweden. However, these efficiency gains are unevenly distributed across workers: the effect is largest for high-educated men and smallest for low-educated women. Thus, the efficiency gains come at the cost of rising income inequality and an increase in the gender wage gap, both within- and across-households. These equity effects are driven not only by differences in the propensity to commute, but also by occupational segregation.

Unemployment delays first birth but not for all. Life stage and educational differences in the effects of employment uncertainty on first births.

This study investigates how unemployment is associated with the transition to parenthood among men and women in times of increased instability in the labour market. We provide novel insights into how education and life stage might modify the link between unemployment and fertility. We focus on a Nordic welfare state, Finland, and apply event history models to a rich register sample covering the years 1988-2009 (N = 306,413). We find that unemployment or a weaker labour market attachment tends to delay parenthood among both men and women, but the association is stronger for men. In most groups, the accumulation of unemployment periods is associated with a lower rate of entry into parenthood. However, among young, low-educated women, even long-term or recurring unemployment seems to promote first childbearing, and the generally negative association between unemployment and entry into parenthood does not apply to young, low-educated men. The effect of unemployment is largely mediated by the low income of unemployed persons. Overall, our findings suggest that in a modern, gender-egalitarian welfare society, better employment prospects promote transition to parenthood in a very similar fashion among men and women, but the effects are strongly modified by education and life course stage.

Malnutrition in all its forms and social inequalities in Brazil.

To describe malnutrition (undernutrition and excess weight) by income, education and race/ethnicity in the Brazilian population. Cross-sectional study. Brazil. Children aged <5 years (n 14 580), adolescents aged 11-19 years (n 31 892) and adults aged 20-49 years (n 84 660). Among children, prevalence of excess weight, wasting and stunting was 16·9, 2·8 and 6·0 %, respectively. Differences related to income, education and race/ethnicity were verified, except for prevalence of wasting by education level. Girls and boys presented 18·4 and 20·5 % of excess weight, 2·8 and 3·7 % of underweight and 5·5 and 7·3 % of stunting, respectively. Prevalence of excess weight was lower among poorer, lower-educated (only for boys) and white adolescents, while stunting was lower among higher-income, higher-educated and white adolescents. Over three-quarters of women and almost half of men presented excess weight. Among adults, 3·9 % of women and 1·7 % of men were underweight, and 5·7 % of women and 0·2 % of men presented short stature. Prevalence of excess weight for women was higher among lower education and black, while for men it was higher among higher income and education and white. Short stature was more prevalent among black and mixed-race, low-educated and low-income women. Underweight prevalence was higher among low-educated, black and mixed-race women. In Brazil, the prevalence of excess weight was at least threefold higher than that of undernutrition for children and adolescents and at least sevenfold higher for adults. Social inequalities were observed in the distribution of malnutrition across the lifespan and by gender.

Postnatal depressive symptoms display marked similarities across continents

BackgroundPostnatal depressive symptoms measured by the Edinburgh Postnatal Depression Scale (EPDS) are reported to display measurement variance regarding factor structure and the frequency of specific depressive symptoms. However, postnatal depressive symptoms measured by EPDS have not been compared between women representing three continents. MethodsA cross-sectional study including birth cohort samples from Denmark, Vietnam and Tanzania. Women were included during pregnancy at routine care sites. Depressive symptoms were self-reported 40–90 days postpartum using the EPDS. Exploratory and confirmatory factor analyses and generalized additive regression models were performed. ResultsA total of N = 4,516 participated in the study (Denmark N = 2,069, Vietnam N = 1,278, Tanzania N = 1,169). Factor analyses identified three factors (anhedonia, anxiety and depression) that were almost identical in the three study populations. The only variation between countries was that the item ‘self-harm’ loaded differently. Women from Tanzania and Denmark were more likely to have an EPDS total score above cut-off 12 (12.6% and 6.4%), compared to women from Vietnam (1.9%) (p<0.001). A low level of education was associated with significantly more depressive symptoms after adjusting for country (p<0.001). LimitationsEPDS data was collected at a later time point in the Danish sample. ConclusionsPostnatal depressive symptoms constitute a three-factor model across cultures including the factors anhedonia, anxiety and depression. The frequency of postnatal depressive symptoms differs between high-, medium-, and low-income countries. However, clinicians should bear in mind that low-educated women worldwide are more likely to experience postnatal depressive symptoms.

Are partner's features important to understand health at older ages? The Spanish case

ObjectiveTo analyse health differences among partnered individuals in Spain aged 65-81 considering their combined (education of both partners and age gap) and household (economic capacity of the household) characteristics. MethodA cross-sectional study of the 2015 Spanish sample of the European Union Statistics on Income and Living Conditions survey (EU-SILC) on partnered individuals aged 65-81 years (N=1787). Using logistic regression models separately for women and men we obtained odds and predicted probabilities of having less than good health (95% confidence intervals) according to combined information from both partners on education and age, the household's economic capacity and partner's health status. ResultsProbabilities of not having good health are significantly less among lower educated women whose partners are more highly educated (compared to both partners being lower educated) and among women whose partner is younger or has good health status. The latter also applies to men. Living in a household without economic difficulties also favours health (both sexes). ConclusionsFor both sexes a partner's health status is the variable that shows the largest effect on elderly partnered Spanish people's health but women's health appears to be more sensitive to their partner's educational attainment and the household's economic situation.