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The relationships between timing of first childbirth, parity, and health-related quality of life

Title
The relationships between timing of first childbirth, parity, and health-related quality of life
Authors
Park, SangshinChoi, Nam-Kyong
Ewha Authors
최남경
Issue Date
2018
Journal Title
QUALITY OF LIFE RESEARCH
ISSN
0962-9343JCR Link1573-2649JCR Link
Citation
vol. 27, no. 4, pp. 937 - 943
Keywords
Health-related quality of lifeChildbirthPregnancyParityMaternal age
Publisher
SPRINGER
Indexed
SCI; SCIE; SSCI; SCOPUS WOS scopus
Abstract
A few studies have investigated the relationship between age at first childbirth and health-related quality of life (HRQoL). This study examined the relationship between age at first childbirth and HRQoL and whether parity mediates this timing of the first childbirth-HRQoL relationship in women aged 50 years or above. The study population included 5146 parous women ae<yen> 50 years in the cross-sectional survey, the Korea National Health and Nutrition Examination Survey 2010-2012. HRQoL was evaluated by the EuroQol five-dimensional descriptive system. Participants were grouped according to quartiles of age at first childbirth (ranges: 13-21, 22-23, 24-25, and 26-44 years). This study used linear regression analysis to examine the relationship between age at first childbirth and HRQoL and on each dimension. Mediation analysis was used to examine the contribution of age at first childbirth to HRQoL and to each dimension. This study found the increasing pattern of HRQoL across quartiles of age at first childbirth (P for trend = 0.030). Odds of problems in self-care and anxiety/depression dimensions significantly increased across the quartiles. Women with later age at first childbirth tended to have better HRQoL (B = 0.352, P = 0.003); parity significantly contributed to this relationship. Decreasing parity accounted for 33.5% of the relationship between late first childbirth and increased HRQoL. Early age at first childbirth significantly increased odds of the mobility problem through increasing parity. Women of an early age at first childbirth tended to have lower HRQoL through giving more deliveries. Our findings suggest that more attention needs to be given to women with early pregnancy and more delivery to prevent impaired HRQoL.
DOI
10.1007/s11136-017-1770-7
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신산업융합대학 > 융합보건학과 > Journal papers
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