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Marital status, living arrangements, and mortality in middle and older age in Europe

Author

Listed:
  • Pilar Zueras

    (Centre d’Estudis Demogràfics (a Member of the CERCA Programme/Generalitat de Catalunya))

  • Roberta Rutigliano

    (University of Groningen)

  • Sergi Trias-Llimós

    (London School of Hygiene and Tropical Medicine)

Abstract

Objectives We study the role of marital status and living arrangements in mortality among a 50+ population living in Europe by gender and welfare states. Methods Using data from waves 4, 5, and 6 of the Survey of Health Age and Retirement in Europe (n = 54,171), we implemented Cox proportional hazard models by gender and age groups (50–64 and 65–84). We estimated pooled models and separated models for two regions representing different welfare states (South-East and North-West). Results Among people aged 50–64, nonpartnered individuals (except never-married women) showed a higher mortality risk as compared with those partnered. Among the older population (65–84), divorce was associated with higher mortality among men, but not among women, and living with someone other than a partner was associated with higher mortality risk as compared to those partnered. In the South-East region living with a partner at ages 50–64 was associated with lower mortality. Conclusions Partnership and residential status are complementary for understanding the role of family dimensions in mortality. The presence of a partner is mortality protective, especially among 50–64-year-old men in South-East Europe.

Suggested Citation

  • Pilar Zueras & Roberta Rutigliano & Sergi Trias-Llimós, 0. "Marital status, living arrangements, and mortality in middle and older age in Europe," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 0, pages 1-10.
  • Handle: RePEc:spr:ijphth:v::y::i::d:10.1007_s00038-020-01371-w
    DOI: 10.1007/s00038-020-01371-w
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    References listed on IDEAS

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    1. Yuanreng Hu & Noreen Goldman, 1990. "Mortality Differentials by Marital Status: An International Comparison," Demography, Springer;Population Association of America (PAA), vol. 27(2), pages 233-250, May.
    2. Nezih Guner & Yuliya Kulikova & Joan Llull, 2014. "Does Marriage Make You Healthier?," Working Papers 795, Barcelona School of Economics.
    3. Esther Friedman & Robert Mare, 2014. "The Schooling of Offspring and the Survival of Parents," Demography, Springer;Population Association of America (PAA), vol. 51(4), pages 1271-1293, August.
    4. Aïda Solé-Auró & Pierre-Carl Michaud & Michael Hurd & Eileen Crimmins, 2015. "Disease Incidence and Mortality Among Older Americans and Europeans," Demography, Springer;Population Association of America (PAA), vol. 52(2), pages 593-611, April.
    5. Tapani Valkonen & Pekka Martikainen & Jenni Blomgren, 2004. "Increasing excess mortality among non-married elderly people in developed countries," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 2(12), pages 305-330.
    6. John Murray, 2000. "Marital protection and marital selection: Evidence from a historical-prospective sample of American men," Demography, Springer;Population Association of America (PAA), vol. 37(4), pages 511-521, November.
    7. Josep Pijoan-Mas & José-Víctor Ríos-Rull, 2014. "Heterogeneity in Expected Longevities," Demography, Springer;Population Association of America (PAA), vol. 51(6), pages 2075-2102, December.
    8. Michael Rendall & Margaret Weden & Melissa Favreault & Hilary Waldron, 2011. "The Protective Effect of Marriage for Survival: A Review and Update," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 481-506, May.
    9. Sebastian Franke & Hill Kulu, 2018. "Mortality Differences by Partnership Status in England and Wales: The Effect of Living Arrangements or Health Selection?," European Journal of Population, Springer;European Association for Population Studies, vol. 34(1), pages 87-118, February.
    10. Kieron Barclay & Martin Kolk, 2019. "Parity and Mortality: An Examination of Different Explanatory Mechanisms Using Data on Biological and Adoptive Parents," European Journal of Population, Springer;European Association for Population Studies, vol. 35(1), pages 63-85, February.
    11. Manzoli, Lamberto & Villari, Paolo & M Pirone, Giovanni & Boccia, Antonio, 2007. "Marital status and mortality in the elderly: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 64(1), pages 77-94, January.
    12. Eran Shor & David Roelfs & Misty Curreli & Lynn Clemow & Matthew Burg & Joseph Schwartz, 2012. "Widowhood and Mortality: A Meta-Analysis and Meta-Regression," Demography, Springer;Population Association of America (PAA), vol. 49(2), pages 575-606, May.
    13. Julianne Holt-Lunstad & Timothy B Smith & J Bradley Layton, 2010. "Social Relationships and Mortality Risk: A Meta-analytic Review," PLOS Medicine, Public Library of Science, vol. 7(7), pages 1-1, July.
    14. Cristina Giudici & Silvia Polettini & Alessandra Rose & Nicolas Brouard, 2019. "Which Aspects of Elderly Living Conditions are Important to Predict Mortality? The Complex Role of Family Ties at Home and in Institutions," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 142(3), pages 1255-1283, April.
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