title: Single mothers' self-assessment of health: a systematic exploration of the literature.
abstract: OBJECTIVE
  This study aimed to explore single mothers' self-assessed level of health status compared to partnered mothers and the relevant factors associated with it.
  
  
  BACKGROUND
  The number of single-mother families is increasing worldwide. A large body of international research reveals that single mothers experience poorer physical and mental health than their married counterparts. An important contributory factor for this health disparity appears to be socio-economic disadvantage.
  
  
  METHODS
  A systematic search of the literature was conducted using the keywords 'lone' or 'single' and 'mother*' or 'parent*' or 'family structure' in combination with 'health'. EMBASE, CINAHL, COCHRANE and PUBMED databases were searched for quantitative research studies published in the past decade.
  
  
  RESULTS
  Eleven quantitative research articles with self-assessment of health status in single mothers were identified. Single mothers report lower levels of health status compared to partnered mothers. These inequalities appear to be associated with financial hardship and lack of social support. Both these factors increase single mothers' susceptibility to stress and illness.
  
  
  CONCLUSIONS
  Despite the study limitations (e.g. results based mainly on secondary data from household surveys), it provides evidence that single motherhood places women in an adverse social position that is associated with prolonged stress mainly due to unemployment, economic hardship and social exclusion, which affects negatively their health status. These findings can be seen as a challenge for health professionals, especially those working in the community sector and policy makers too, to establish supportive measures for this vulnerable group focused on socio-economic factors.
authors.affiliation: Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus.
authors.forename: E
authors.initials: E
authors.lastname: Rousou
authors.forename: C
authors.initials: C
authors.lastname: Kouta
authors.forename: N
authors.initials: N
authors.lastname: Middleton
authors.forename: M
authors.initials: M
authors.lastname: Karanikola
mesh_terms: D005260:Female; D006304:Health Status; D006801:Humans; D009035:Mothers / Q000523:psychology*; D012647:Self-Assessment; D012847:Single Person / Q000523:psychology*
keywords: Health Professionals; Lone Mothers; Nurses; Poverty; Review; Self-Rated Health; Single Mothers; Social Exclusion