Marital and cohabitation status as predictors of mortality: A 10-year follow-up of an Italian elderly cohort

Scafato, Emanuele; Galluzzo, Lucia; Gandin, Claudia; Ghirini, Silvia; Baldereschi, Marzia; Capurso, Antonio; Maggi, Stefania; Farchi, G

doi:10.1016/j.socscimed.2008.06.026

Cited by 76 publications

(77 citation statements)

References 26 publications

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“…[2][3][4][5][6][7] These associations can be attributed to both marital selection (ie, healthier people are more likely to be married) and marital protection (refers to the benefits of marital ties on health). [8][9][10][11] Consistent findings have been reported from research investigating marital transition (ie, a change in marital status during a given time period). 5 Men and women who experience marital transition by death or divorce have prospectively increased risk of associated onset and progression of cardiovascular disease.…”

supporting

confidence: 64%

Marital Transition and Risk of Stroke

Honjo

Iso

Ikeda

et al. 2016

Stroke

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Background and Purpose-There have been consistent findings reported that marital transition (ie, change in marital status during a given time period) is associated with risk of cardiovascular disease; however, few studies have been conducted on stroke risk, particularly stroke subtypes. Moreover, no studies have examined the moderating effect of living arrangement and employment status on the association between marital transition and stroke risk. Methods-We examined sex-specific associations between marital transition and stroke risk using data from Japan Public Health Center-based Prospective Study. We included 24 162 men and 25 626 women who were married at prebaseline (5 years before baseline). Marital transition was determined by marital status at baseline. Weighted hazard ratios of stroke risk were estimated by Cox proportional regression analysis with inverse probability of weighting using a propensity score. Results-An increased risk of stroke, particularly hemorrhagic stroke, was observed among men and women with marital transition (ie, married to unmarried); weighted hazard ratios (95% confidence interval [CI]) for men and women were 1.26 (1.13-1.41) and 1.26 (1.09-1.45), respectively. Participants with marital transition and lived with children had increased stroke risk. Living with parents buffered the increased stroke risk owing to marital transition among men; however, no such effect was identified among women. Elevated stroke risk owing to marital transition was magnified among women if they were unemployed; weighted hazard ratio=2.98 (95% CI, 1.66-5.33). Conclusions-Living .).The online-only Data Supplement is available with this article at http://stroke.ahajournals.org/lookup/suppl

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supporting

confidence: 64%

Marital Transition and Risk of Stroke

Honjo

Iso

Ikeda

et al. 2016

Stroke

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“…This effect has been particularly demonstrated for men, in whom marital status is associated with a mortality benefit. Interestingly, this benefit seems not to be seen in women who are married [16]. The duration of marital status is strongly associated with survival, and the interaction between marital status and mortality is complex and appears to be associated with changes in socioeconomic resources, risk behaviors, and social support, all of which contribute to overall better physical and psychological health [17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Impact of marital status and race on outcomes of patients enrolled in Radiation Therapy Oncology Group prostate cancer trials

Bae

Movsas

et al. 2011

Support Care Cancer

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Prostate cancer is the most common visceral cancer in men in the USA. The stratification of prostate cancer risk is currently modeled solely on pathologic prognostic factors including PSA and Gleason Score. Independent of these pathologic prognostic factors, our paper describes the central sociodemographic factor of being single as a negative prognostic indicator. Single men are at high risk of poorer outcomes after prostate cancer treatment. Intriguingly, in our group of patients, race was not a significant prognostic factor. The findings in this paper add to the body of work that describes important sociodemographic prognostic factors that are currently underappreciated in patients with cancer. Future steps will include the validation of these findings in prospective studies, and the incorporation of clinical strategies that identify and compensate for sociodemographic factors that predict for poorer cancer outcomes.

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“…In general, the protective effect of marriage on mortality has been found to be stronger for men than for women (Davis et al, 1992;Gove, 1973;Jaffe et al, 2007;Kaplan and Kronick, 2006;Rendall et al, 2011;Scafato et al, 2008;Staehelin et al, 2012), though some studies have also reported contesting results (Lillard and Waite, 1995;Lund et al, 2002;Manzoli et al, 2007). The male advantage has often been attributed to the more important role of the social integration, support and control in marital relationships for men than women (Lillard and Waite, 1995;Umberson, 1992).…”

Section: Introductionmentioning

confidence: 99%