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Familie und Gesundheit

Ein methodenkritischer Blick auf die aktuelle Forschung

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Handbuch Gesundheitssoziologie

Zusammenfassung

Der vorliegende Beitrag gibt einen detaillierten Überblick über die Auswirkungen verschiedener Familienbildungsprozesse wie Geburt, Heirat, Scheidung und Verwitwung sowie der Gestaltung von Familienbeziehungen auf die Gesundheit im Erwachsenenalter. Wir werfen einen methodenkritischen Blick auf die vorliegenden empirischen Befunde, unter Berücksichtigung verschiedener vermittelnder Mechanismen: soziale Unterstützung, soziale Kontrolle, ökonomische Ressourcen sowie evolutionäre bzw. biologische Prozesse. Besondere Beachtung schenken wir dabei möglichen Selektionsprozessen und kausaler Inferenz: Insgesamt zeigt sich, dass partnerschaftsbezogene und familiale Übergänge als Katalysator gesundheitlicher Ungleichheit fungieren können, indem sie einerseits durch einen guten Gesundheitszustand wahrscheinlicher werden (Positivselektion) und andererseits gesundheitliche Vorteile produzieren können (mögliche Kausaleffekte). Für eine umfassendere Erforschung und präzisere Differenzierung beider Wirkrichtungen sind weitere Panelstudien notwendig.

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Notes

  1. 1.

    Gemäß einem aktuellen systematischen Übersichtsartikel von Cullati et al. (2014) bleiben von einem Pool von N = 674 Gesundheitsstudien nur N = 23 Studien übrig, wenn das Einschlusskriterium auf mehr als zwei Messzeitpunkte sowie auf größere Abschnitte des Lebensverlaufs (d. h. auf Untersuchungen von altersheterogenen Stichproben) festgesetzt wird.

  2. 2.

    Als wichtigste Dimensionen werden in der Literatur Kontakthäufigkeit, emotionale Verbundenheit sowie gegenseitige Unterstützung zwischen Eltern und ihren (erwachsenen) Kindern genannt (vgl. Bengtson 2001).

  3. 3.

    Smith und Christakis (2008) weisen darauf hin, dass gesundheitliche Probleme oder eine Behinderung des Kindes auch zu einer Verschlechterung des Gesundheitszustands der Eltern, also quasi zu einer „Aufwärtstransmission“ der Gesundheit führen kann.

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Becker, O.A., Loter, K., Becker, S. (2017). Familie und Gesundheit. In: Jungbauer-Gans, M., Kriwy, P. (eds) Handbuch Gesundheitssoziologie. Springer Reference Sozialwissenschaften. Springer VS, Wiesbaden. https://doi.org/10.1007/978-3-658-06477-8_45-1

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