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J Aging Health. 2019 Mar 10:898264319831512. doi: 10.1177/0898264319831512. [Epub ahead of print]

Association of Parenthood With Incident Heart Disease in United States' Older Men and Women: A Longitudinal Analysis of Health and Retirement Study Data.

Author information

1
1 University of Hawai'i at Mānoa, Honolulu, USA.

Abstract

OBJECTIVE:

To examine the association of number of children birthed/fathered with incident heart disease, accounting for socioeconomic and lifestyle characteristics.

METHODS:

We analyzed data from 24,923 adults 50 and older (55% women) in the Health and Retirement Study. Participants self-reported number of children and doctor-diagnosed incident heart disease. Cox proportional hazards models estimated heart disease risk.

RESULTS:

Compared to women with one to two children, those with five or more had increased risk of heart disease (hazard ratio [HR] = 1.13, 95% confidence interval [CI] = [1.03, 1.25]). Compared to men with one to two children, those with five or more had a marginally increased risk of heart disease (HR = 1.11, 95% CI = [0.99, 1.25]), but this association attenuated in models adjusting for socioeconomic and lifestyle variables. Compared to men with no children, those with five or more retained a borderline significant association in the fully adjusted model (HR = 1.15, 95% CI = [0.99, 1.35]).

DISCUSSION:

Social and lifestyle pathways appear to link parenthood to cardiovascular health.

KEYWORDS:

cardiovascular disease risk; lifestyle characteristics; number of children; parity; socioeconomic characteristics

PMID:
30854914
DOI:
10.1177/0898264319831512

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