Widowhood and mortality among the elderly: The modifying role of neighborhood concentration of widowed individuals
AbstractThe effect of death of a spouse on the mortality of the survivor (the "widowhood effect") is well-established. We investigated how the effect of widowhood on mortality depends on the neighborhood concentration of widowed individuals in the United States. We developed a large, nationally representative, and longitudinal dataset from Medicare claims and other data sources characterizing 200,000 elderly couples, with nine years of follow-up (1993-2002), and estimated multilevel grouped discrete-time hazard models. In neighborhoods with a low concentration of widowed individuals, widowhood increased the odds of death for men by 22% and for women by 17%, compared to 17% for men, and 15% for women in neighborhoods with a high concentration of widowed individuals. Our findings suggest that neighborhood structural contexts - that provide opportunities for interacting with others and favoring new social engagements - could be potential modifiers of the widowhood effects and as such requires more systematic consideration in future research of widowhood effects on well-being and mortality.
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Bibliographic InfoArticle provided by Elsevier in its journal Social Science & Medicine.
Volume (Year): 66 (2008)
Issue (Month): 4 (February)
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Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description
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- Lindström, Martin, 2009. "Marital status, social capital, material conditions and self-rated health: A population-based study," Health Policy, Elsevier, vol. 93(2-3), pages 172-179, December.
- Dora L. Costa & Matthew E. Kahn, 2008. "Health, Stress, and Social Networks: Evidence from Union Army Veterans," NBER Working Papers 14053, National Bureau of Economic Research, Inc.
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