ArticleBMC psychiatry2020
Number of children and the prevalence of later-life major depression and insomnia in women and men: findings from a cross-sectional study of 0.5 million Chinese adults.
Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 28 citations in OpenAlex.
- Association between the number of children and depression in the population aged 50 years and older: a multi-national cross-sectional analysis.BMC psychiatry · 2025Article
- An Analysis of Primary Hyperparathyroidism in Association with Depression or Anxiety.Diseases (Basel, Switzerland) · 2025Review
- Association between physical activity and cognitive function in post-menopausal women with high parity: the chain-mediating effects of nutritional status and depression.BMC women's health · 2025Article
- The association between repeated abortions during childbearing age and the psychological well-being of postmenopausal women in Southwest China: an observational study.BMC pregnancy and childbirth · 2024Observational
- Maternal Antibiotic Exposure and the Risk of Developing Antenatal or Postpartum Depressive Symptoms: The Maternal Experience Study Protocol.Methods and protocols · 2023Article
- Do mothers or females without children have better health-related quality of life across their reproductive years?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Article
- The Nonlinear Relationship Between Body Mass Index (BMI) and Perceived Depression in the Chinese Population.Psychology research and behavior management · 2023Article
- Socio-Ecological Context of Sleep: Gender Differences and Couples' Relationships as Exemplars.Current psychiatry reports · 2022Review
- Number of Births and Later-Life Depression in Older Adults: Evidence from China.International journal of environmental research and public health · 2022Article
- Hope and depression in Brazilian head and neck cancer patients during the COVID-19 pandemic.Ecancermedicalscience · 2022Article
- Maternal use of sedative drugs and its effects on pregnancy outcomes: a Finnish birth cohort study.Scientific reports · 2021Article
- Factors Related to the Level of Depression and Suicidal Behavior Among Men With Diagnosed Depression, Physically Ill Men, and Healthy Men.Frontiers in psychiatry · 2021Article
- Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundPregnancy and parenthood have been associated with physical and mental health. Previous literature concerning the impacts of parity on mental health was inconsistent and lack epidemiolocal evidence. China, with growing mental health problems and changing fertility patterns, faces unique challenges. This study aims to examine the relationship between parity and the prevalence of major depression and insomnia among men and women in the Chinese population.
methodsBaseline data from a Chinese population-based study of 512,891 adults (59.01% women) from 10 areas, aged 30-79 were analyzed. Number of children was based on self-report by the participants. Major depression (MD) was assessed using the Composite International Diagnostic Inventory. Insomnia symptoms were accessed by a questionnaire comparable to that used in the Diagnostic and Statistical Manual of Mental Disorders. Logistic regression was used to assess the relationship between MD/Insomnia and number of children, after stratifications and adjustments.
resultsFor women, each additional child was associated with a 9% decreased odds of MD (OR: 0.91, 95%CI: 0.88-0.96), with the associations significant for those who lived in urban areas (OR: 0.76, 95%CI: 0.70-0.83), or had a lower education (OR: 0.90, 95%CI: 0.85-0.94), or had lower household income (OR: 0.89, 95%CI: 0.85-0.94), or had ever used alcohol (OR: 0.89, 95%CI: 0.84-0.93). The association between per additional children and MD was not significant in men (OR: 1.02, 95%CI: 0.97-1.07), but a decreased odd of MD with per additional child was found in men who lived in urban areas (OR: 0.81, 95%CI: 0.71-0.96). For women, each additional child was associated with a 4% decreased odds of insomnia (OR: 0.96, 95%CI: 0.95-0.96). Each additional child was also associated with a 2% decreased odds of insomnia in men (OR: 0.98, 95%CI: 0.97-1.00).
conclusionsMD and insomnia were inversely associated with number of children in women while the association was not overall significant in men. The association was mediated by socioeconomic and lifestyle factors. Future mental health public health programs should address parity and sex differences when designing interventions.
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