Marital status, living arrangement and mortality: does the association vary by gender?

Staehelin, Katharina; Schindler, Christian; Spoerri, Adrian; Stutz, Elisabeth Zemp

doi:10.1136/jech.2010.128397

Cited by 67 publications

(92 citation statements)

References 32 publications

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“…It is possible that even today, females are expected to be more giving and caring than males. However, a protective effect of marriage was found for both genders in the Swiss National Cohort, but the benefit of being married was stronger for men than for women (Staehelin et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Mortality of subjects with mood disorders in the Lundby community cohort: A follow-up over 50 years

Mattisson

Bogren

Brådvik

et al. 2015

Journal of Affective Disorders

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Mortality of subjects with mood disorders in the LundbyLink to publication Citation for published version (APA): Mattisson, C., Bogren, M., Brådvik, L., & Horstmann, V. (2015). Mortality of subjects with mood disorders in the Lundby community cohort: A follow-up over 50 years. Journal of Affective Disorders, 178, 98-106. DOI: 10.1016/j.jad.2015 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal Background: The Lundby study is a longitudinal study that investigated mental health in an unselected population. The study commenced in 1947; the population was further investigated in 1957, 1972, and 1997.Methods: Experienced psychiatrists performed semi-structured diagnostic interviews, and best estimate consensus diagnoses of mental disorders were assessed at each field investigation.Subjects with mood disorder (n= 508, 195 males, 313 females) were identified until 1997.Causes and dates of death between 1947 and 2011 were obtained from the Swedish cause of death register and were compared between subjects diagnosed with mood disorder and other participants.Mortality was compared between those with mood disorders and the remaining cohort with Cox regression analyses. Other mental disorders were considered as risk factors for death for subjects with mood disorders. Results:The hazard ratio for mortality in mood disorders was HR=1.18. However, the mortality was elevated only for males, HR=1.5. A total of 6.3% of the participants with mood disorder and 1.2% of the remaining participants committed suicide. Comorbid anxiety disorders, organic disorders, dementia and psychotic disorders were significant risk factors for death.Conclusions: As expected, the suicide rate was higher among participants with mood disorders. Only males with mood disorders had elevated mortality. The impact on mortality from other mental disorders seems to vary between the genders.3

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Section: Discussionmentioning

confidence: 99%

Mortality of subjects with mood disorders in the Lundby community cohort: A follow-up over 50 years

Mattisson

Bogren

Brådvik

et al. 2015

Journal of Affective Disorders

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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: 90%

Living arrangements as determinants of myocardial infarction incidence and survival: A prospective register study of over 300,000 Finnish men and women

Kilpi

Konttinen

Silventoinen

et al. 2015

Social Science & Medicine

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“…By contrast, the fitness benefits of heterosexual social relationships have been largely ignored. However, heterosexual bonds are protective in humans [1,4,24], and two pieces of evidence suggest that they may also be important in other mammals, especially in primates. First, two-thirds of primate genera exhibit permanent, yearround associations between adult males and females, including many non-monogamous species [25,26].…”

Section: Introductionmentioning

confidence: 99%

Social affiliation matters: both same-sex and opposite-sex relationships predict survival in wild female baboons

et al. 2014

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Social integration and support can have profound effects on human survival. The extent of this phenomenon in non-human animals is largely unknown, but such knowledge is important to understanding the evolution of both lifespan and sociality. Here, we report evidence that levels of affiliative social behaviour (i.e. 'social connectedness') with both same-sex and opposite-sex conspecifics predict adult survival in wild female baboons. In the Amboseli ecosystem in Kenya, adult female baboons that were socially connected to either adult males or adult females lived longer than females who were socially isolated from both sexes-females with strong connectedness to individuals of both sexes lived the longest. Female social connectedness to males was predicted by high dominance rank, indicating that males are a limited resource for females, and females compete for access to male social partners. To date, only a handful of animal studies have found that social relationships may affect survival. This study extends those findings by examining relationships to both sexes in by far the largest dataset yet examined for any animal. Our results support the idea that social effects on survival are evolutionarily conserved in social mammals.

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Marital status, living arrangement and mortality: does the association vary by gender?

Abstract: Evaluation of living arrangements is crucial for identifying and explaining gender differences in mortality risks by marital status. The impact of living alone and living with a partner seems to be different in men and women.

Cited by 67 publications

References 32 publications

Mortality of subjects with mood disorders in the Lundby community cohort: A follow-up over 50 years

Mortality of subjects with mood disorders in the Lundby community cohort: A follow-up over 50 years

Living arrangements as determinants of myocardial infarction incidence and survival: A prospective register study of over 300,000 Finnish men and women

Social affiliation matters: both same-sex and opposite-sex relationships predict survival in wild female baboons

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