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Living arrangements and survival among middle-aged and older adults in the NHANES I epidemiologic follow-up study

Author

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  • Davis, M.A.
  • Neuhaus, J.M.
  • Moritz, D.J.
  • Segal, M.R.

Abstract

Background. There is concern about but little information on how living alone affects the health and survival of older adults. Methods. We examined the association between living arrangements (living alone, with a spouse, or with someone other than a spouse) and survival among 7651 adults, aged 45 to 74 years in the National Health and Nutrition Examination Survey (NHANES I) (1971-1975) and traced at the NHANES I Follow-up Study (1982-1984), to see whether certain sociodemographic factors (race, education, income, and employment), health behaviors (alcohol, smoking, physical activity, and obesity), or chronic medical conditions were influential in the association. Results. We found a stronger association of living arrangements with survival for men than for women, and for middle-aged men than for older men. For men, those living alone and those living with someone other than a spouse were equally disadvantaged in terms of survival. Income, race, employment, and physical activity influenced the association of living arrangements and survival, but their impact varied by age, gender, and living arrangement. Conclusion. Living arrangements had a weak impact on survival among men, but had no effect among women.

Suggested Citation

  • Davis, M.A. & Neuhaus, J.M. & Moritz, D.J. & Segal, M.R., 1992. "Living arrangements and survival among middle-aged and older adults in the NHANES I epidemiologic follow-up study," American Journal of Public Health, American Public Health Association, vol. 82(3), pages 401-406.
    • Handle: RePEc:aph:ajpbhl:1992:82:3:401-406_2
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    Cited by:

    1. Moisés H. Sandoval & Marcela E. Alvear Portaccio, 2022. "Marital Status, Living Arrangements and Mortality at Older Ages in Chile, 2004–2016," IJERPH, MDPI, vol. 19(21), pages 1-15, October.
    2. Kilpi, Fanny & Konttinen, Hanna & Silventoinen, Karri & Martikainen, Pekka, 2015. "Living arrangements as determinants of myocardial infarction incidence and survival: A prospective register study of over 300,000 Finnish men and women," Social Science & Medicine, Elsevier, vol. 133(C), pages 93-100.
    3. Cwikel, Julie & Gramotnev, Helen & Lee, Christina, 2006. "Never-married childless women in Australia: Health and social circumstances in older age," Social Science & Medicine, Elsevier, vol. 62(8), pages 1991-2001, April.
    4. Michel Poulain & Luc Dal & Anne Herm, 2020. "Trends in living arrangements and their impact on the mortality of older adults: Belgium 1991‒2012," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 43(15), pages 401-430.
    5. Sibai, Abla M. & Yount, Kathryn M. & Fletcher, Astrid, 2007. "Marital status, intergenerational co-residence and cardiovascular and all-cause mortality among middle-aged and older men and women during wartime in Beirut: Gains and liabilities," Social Science & Medicine, Elsevier, vol. 64(1), pages 64-76, January.
    6. Paola Pizzetti & Matteo Manfredini, 2008. "“The shock of widowhood”? Evidence from an Italian population (Parma, 1989–2000)," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 85(3), pages 499-513, February.
    7. Morita, Ayako & Takano, Takehito & Nakamura, Keiko & Kizuki, Masashi & Seino, Kaoruko, 2010. "Contribution of interaction with family, friends and neighbours, and sense of neighbourhood attachment to survival in senior citizens: 5-year follow-up study," Social Science & Medicine, Elsevier, vol. 70(4), pages 543-549, February.

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