Health and healthcare utilization among single mothers and single fathers in Sweden.
OBJECTIVE
To analyse self-rated health and healthcare utilization with regard to whether the respondents were single or couple parents, mothers or fathers.


METHODS
A postal questionnaire was distributed nationwide to 4,000 randomly chosen individuals 20-64 years of age, with a response rate of 66%. A total of 1,041 respondents had legal custody of a child (150 were single parents and 891 were couple parents), and thus met the definition of a parent used for this study. Analyses of self-rated health and health care utilization were performed according to sex, age, sociodemographic, and socioeconomic characteristics. Three different statistical methods were applied: Spearman correlation analyses, chi-square analyses and multivariate logistic regression.


RESULTS
Both single fathers and single mothers reported worse health than their couple counterparts. However, single fathers had contact with a physician more frequently (OR 1.84) than couple fathers, whereas single mothers did not. Furthermore, single mothers refrained from seeing a physician despite a medical need much more often (OR 2.07) than couple mothers.


CONCLUSIONS
An uneven distribution of sociodemographic and socioeconomic characteristics might help us to understand why single parents, both mothers and fathers, have worse health than parents who live together. Previously recognized gender differences with regard to healthcare utilization were present in our study as well, and it is possible that these differences are related to the unequal distribution of sociodemographic and socioeconomic assets between single fathers and single mothers found here.
Westin
Marcus
M
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden. Marcus.Westin@pubcare.uu.se.
Westerling
Ragnar
R
D000328:Adult; D004522:Educational Status; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006304:Health Status; D006801:Humans; D008297:Male; D012649:Self Concept; D015406:Single Parent / Q000523:psychology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013548:Sweden