Background. Hypertension is a strong factor for stroke and coronary disease, and it has been found that 1 in 4 young adults are experiencing pre-hypertension in the US. This study was designed to examine the role of parent-adolescent relationships in the risk of developing (pre)hypertension in young adulthood, and to explore potential mediator(s). Methods. Our analysis was based on the data from the National Longitudinal Study of Adolescent to Adult Health, Wave 1 (ages 13-18) and Wave 4 (ages 25-32) (N=3,350). Three parent-adolescent relationships were extracted from a factor analysis, and four different specifications of (pre)hypertension were generated and tested individually. We applied GSEM to perform path analysis estimations. Results. We found that mother-reported relationship quality had both a direct and an indirect effect via alcohol consumption, on the likelihood of (pre)hypertension in young adulthood. The path from relationship quality to (pre)hypertension via alcohol consumption was consistent with three different specifications of hypertension (prehypertension, clinical/experienced hypertension, and experienced hypertension), suggesting the path relation was evident. Our study also showed that both relationship quality and adolescent-reported maternal warmth/responsiveness were associated with the risk of clinical/experienced hypertension via mental health problems. Parental control was found to have a direct and protective effect on clinical/experienced hypertension. Conclusion. Early family relationships in adolescence predict (pre)hypertension in young adulthood. Initiatives related to parent-adolescent relationships, and the associated effects on later alcohol consumption and mental health problems, may have a long implication on the risk of (pre)hypertension in adulthood.
Objective: This study investigates the association between men's economic dependency during midlife and allostatic load, an indicator of chronic stress, and how this relationship varies with men's gender ideology. Background: Women are primary breadwinners in almost a third of heterosexual couples in the United States. Emerging research finds that female primary breadwinning (or men's economic dependency) is a threat to masculinity that has negative implications for men's midlife health. However, there is no quantitative evidence of the mechanisms linking men's economic dependency and health, particularly the role of stress, and whether men's gender ideology moderates this relationship. Method: Using two waves of Midlife in the United States data for men who remained with the same marital or cohabiting female partner between waves (N = 332), the authors estimate the relationship between men's economic dependency in Wave 1 and allostatic load in Wave 2. Results: There was no evidence of an association between men's economic dependency and
Scholars and policymakers contend that severe work-family constraints for women are a key contributor to lowest-low fertility in industrialized countries. Two separate areas of research have examined supports that could alleviate these constraints and potentially increase fertility: institutional support in the form of public policies and domestic labor support from male partners. There are few studies considering the influence of both policy and domestic labor supports and no investigations of the interplay between these two support mechanisms. We develop and test a theoretical framework that considers how the combination of these supports could alleviate women’s work-family constraints and increase fertility. Using the case of South Korea, a country with one of the most sustained lowest-low fertility rates in history, we examined the relationship between women’s eligibility for parental leave and husbands’ share of domestic labor and the transition to a second birth. Our analyses revealed that both supports, independently, had positive effects on the likelihood of a second birth. More importantly, we found that husbands’ domestic labor had a positive influence on fertility only when women’s access to parental leave was limited, suggesting that policy and domestic labor supports are substitutes and alleviate the same underlying work-family constraint in the Korean context. Our study underscores the importance of understanding the nature of work-family conflict across countries and how various supports―alone or in combination―could relieve women’s constraints on childbearing and upturn lowest-low fertility.
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