The effects of age are more substantial for nursing home than for hospital care use, and both are larger the older the age at death. Care use will be considerably higher among the non-married. Increasing longevity coupled with a rising trend of dementia is likely to mean a major shift towards higher nursing home care use in the future.
This study investigated time patterns of post-divorce excess mortality. Using register-based data, we followed 252,641 married Finns from 1990 until subsequent date of divorce and death until 2003. Among men, excess mortality is highest immediately after divorce, followed by a decline over 8 years. Among women, excess mortality shows little variation over time, and is lower than among men at all durations of divorce. Social and economic factors--largely adjustment for post-divorce factors--explain about half of the excess mortality. This suggests that excess mortality is partly mediated through poor social and economic resources. Mortality attributable to accidental, violent, and alcohol-related causes is pronounced shortly after divorce. It shows a strong pattern of reduction over the next 4 years among divorced men, and is high for only 6 months after divorce among divorced women. These findings emphasize the importance of short-term psychological distress, particularly among men.
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