Cohabitation and marital status as predictors of mortality—an eight year follow-up study

Lund, Rikke; Due, Pernille; Modvig, Jens; Holstein, Bjørn Evald; Damsgaard, Mogens Trab; Andersen, Per Kragh

doi:10.1016/s0277-9536(01)00219-2

Cited by 163 publications

(148 citation statements)

References 30 publications

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“…Risk factors such as smoking, alcohol consumption, above normal body weight, high salt/fat consumption, low vegetable and fruits consumption, low economic status, other chronic gastric diseases, and HP infection are not recorded in the SEER database 40, 41. Yet, health behavior variables including smoking, diet, and physical activity, were reported to have no indirect effect on the association between living arrangements and mortality 42. Secondly, some unmarried patients may cohabit with a partner other than a spouse which could provide support to the patients.…”

Section: Discussionmentioning

confidence: 99%

Marital status and survival in patients with gastric cancer

et al. 2016

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The objective of this study is to examine the impact of marital status on incidence of metastasis at diagnosis, receipt of surgery, and cause‐specific survival (CSS) in patients with gastric cancer (GC). Research data is extracted from The Surveillance, Epidemiology, and End Results (SEER) database, and 18,196 patients diagnosed with GC from 2004 to 2010 are involved. Effects of marital status on incidence of metastasis at diagnosis, receipt of surgery, and CSS are determined using multivariable logistic regression and multivariable Cox regression models, as appropriate. Single GC patients have a higher incidence of metastasis at diagnosis than married patients, while the differences between divorced/separated patients or widowed patients and married patients are not significant. Among those without distant metastasis, single patients, divorced/separated patients, and widowed patients are much less likely to accept surgery compared with married patients. Finally, in the whole group of 18,196 GC patients, single patients, divorced/separated patients, and widowed patients have shorter CSS compared with married patients, even in each of the TNM stage. Marriage had a protective effect against undertreatment and cause‐specific mortality (CSM) in GC. Spousal support may contribute to higher rate of surgery receipt and better survival in patients with GC.

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Section: Discussionmentioning

confidence: 99%

Marital status and survival in patients with gastric cancer

et al. 2016

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“…In contrast, Mandelblatt and colleagues, Barry and colleagues, and Goodwin and colleagues found no association between marital status and stage of cancer at diagnosis (8,10,18). We measured the effect of cohabitation status, which might be a more relevant indicator of daily social support, as it also includes nonformalized relationships rather than marital status (25), thereby minimizing misclassification of social support from a partner. When education and cohabitation were taken into account, disposable income was not significantly associated with cancer stage in this study.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Position and Stage of Cervical Cancer in Danish Women Diagnosed 2005 to 2009

Ibfelt

Kjær

Johansen

et al. 2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: To reduce social disparities in cervical cancer survival, it is important to understand the mechanisms by which social position influence cancer prognosis. We investigated the relations between socioeconomic factors, comorbidity, time since last Papanicolau smear, and stage at diagnosis in Danish women with cervical cancer. Results: The risk for advanced (stage II-IV) compared with early-stage cancer (stage I) was increased for women with short and medium education (OR ¼ 2.40; 1.67-3.45 and 1.76; 1.44-2.16), women living without a partner (OR ¼ 1.31; 1.10-1.55), and older women (OR ¼ 1.07; 1.06-1.08 increase per year). The relations between socioeconomic factors and cancer stage were partly mediated by time since last Pap smear test and to a lesser extent by comorbidity.Conclusions: Shorter education, living alone, and older age were related to advanced stage cervical cancer, due partly to Pap smear testing and less to comorbidity.Impact: It is relevant to further investigate how to decrease delay in cervical cancer diagnosis among disadvantaged groups. Cancer Epidemiol Biomarkers Prev; 21(5); 835-42. Ó2012 AACR.

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“…The early cohabitation period, however, is assumed to be particularly important, because people start sharing their eating environment, are confronted with their partner's preferences and food negotiations occur. Additionally, cohabitation before or without getting married has become an increasingly popular form of living status in Western societies (24)(25)(26) , and it seems more appropriate to concentrate on living status and its associations with health affairs instead of on the presence of a 'legal' relationship (27,28) .…”

Section: Moving In With a Partner And Cohabitationmentioning

confidence: 99%

Time for change? Food choices in the transition to cohabitation and parenthood

Hartmann

Dohle

Siegrist

2014

Public Health Nutr.

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Objective: We compared the dietary behaviour of three different household types and explored developmental trends in food choices following a life event. Design: The study is based on data from three Swiss Food Panel survey periods. A cross-sectional comparison between household types was conducted by using a one-way independent ANOVA. Repeated measures were analysed with a mixed ANCOVA to examine changes in dietary behaviour following a life event. Setting: Participants in the survey filled in a questionnaire in the years 2010, 2011 and 2012. Subjects: The final sample consisted of 3559 persons with a mean age of 56 years (range 22-94 years; 46 % men). Seventy-two people moved in with their partner and sixty-five people reported the birth of their first child. Results: Cross-sectional evidence confirmed that women living in households with a partner reported higher consumption frequencies for meat and processed meats compared with those living alone. Men living in cohabitation had a higher vegetable intake. The transitional effect of moving in with a partner, however, resulted in a higher intake of processed meats for both genders and a higher intake of pork and savoury items for men. Transition to motherhood was linked to an increase in vegetable consumption, while the transition to fatherhood did not change consumption patterns significantly. Conclusions: Individuals in life-stage transitions are more likely to change their nutritional strategies and life events can be a window of opportunity for changes towards better food choices. Keywords Moving in Marriage Life events HouseholdSocial influences and interactions embedded in our domestic environment seem to play an important and critical role in the development and regulation of our eating behaviour (1) . Efforts to implement changes in our daily eating routines fail not least because the domestic environment, which often remains constant over long periods, can trigger disadvantageous eating habits. Therefore, it is especially interesting to investigate special periods in a person's life that might be associated with adopting new eating patterns. To gain insights into the individual's dietary behavioural development over time and to detect factors triggering change, previous research has focused on special periods marked by major events in a person's life. Special life events such as childbearing, starting to cohabit with a partner or leaving home are powerful determinants of rapid changes in a person's domestic environment. They indicate transitions from one life stage to another, and are accompanied by the acquisition of new social roles and changes in family status and living environments (2,3) . These new life circumstances require behavioural adaptations in general, lead to changes in consumer behaviour in particular (4,5) and might also be linked to the acquisition of new nutritional strategies.

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Cohabitation and marital status as predictors of mortality—an eight year follow-up study

Cited by 163 publications

References 30 publications

Marital status and survival in patients with gastric cancer

Marital status and survival in patients with gastric cancer

Socioeconomic Position and Stage of Cervical Cancer in Danish Women Diagnosed 2005 to 2009

Time for change? Food choices in the transition to cohabitation and parenthood

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