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A longitudinal study of health selection in marital transitions

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  • Joung, Inez M. A.
  • van de Mheen, H. Dike
  • Stronks, Karien
  • van Poppel, Frans W. A.
  • Mackenbach, Johan P.
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    Abstract

    We examined whether differences in health were associated with different probabilities of marital transitions in a longitudinal study, using Cox proportional hazard analysis. Data on approximately 10,000 Dutch persons of the GLOBE study, aged 15-74 years, were used for this purpose. The study started in 1991 and study subjects have been followed for 4.5 years. Of the four marital transitions studied (marriage among never married and divorced persons, and divorce and bereavement among married persons), only divorce among married persons was associated with health status: married persons who reported four or more subjective health complaints or two or more chronic conditions were, respectively, 1.5 and two times more likely to become divorced during follow-up than persons without these health problems. Since hardly any other studies have examined the role of health selection in marital transition with longitudinal data, more research is required before firm conclusions can be drawn. It can be concluded, however, that the frequently made assumption that health selection contributes only little to the explanation of health differences between marital status groups, seems, at least for the divorced, not justified.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 46 (1998)
    Issue (Month): 3 (February)
    Pages: 425-435

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    Handle: RePEc:eee:socmed:v:46:y:1998:i:3:p:425-435

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    Related research

    Keywords: marital status health status health selection;

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    Cited by:
    1. Oshio, Takashi & Nozaki, Kayo & Kobayashi, Miki, 2011. "Division of Household Labor and Marital Satisfaction in China, Japan, and Korea," PIE/CIS Discussion Paper 502, Center for Intergenerational Studies, Institute of Economic Research, Hitotsubashi University.
    2. Takashi Oshio & Kayo Nozaki & Miki Kobayashi, 2013. "Division of Household Labor and Marital Satisfaction in China, Japan, and Korea," Journal of Family and Economic Issues, Springer, vol. 34(2), pages 211-223, June.
    3. Hui Liu & Zhenmei Zhang, 2013. "Disability Trends by Marital Status Among Older Americans, 1997–2010: An Examination by Gender and Race," Population Research and Policy Review, Springer, vol. 32(1), pages 103-127, February.
    4. Liu, Hui, 2012. "Marital dissolution and self-rated health: Age trajectories and birth cohort variations," Social Science & Medicine, Elsevier, vol. 74(7), pages 1107-1116.
    5. Hilke Brockmann, 2012. "Ungesunde Verhältnisse?: Eine Längsschnittanalyse zur Gesundheit von Kindern in zusammen- und getrenntlebenden Familien," SOEPpapers on Multidisciplinary Panel Data Research 503, DIW Berlin, The German Socio-Economic Panel (SOEP).

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