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Marital status, social capital, material conditions and self-rated health: A population-based study

Listed author(s):
  • Lindström, Martin
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    Aims Associations between marital status and self-rated health were investigated, adjusting for material conditions and trust (social capital).Methods The 2004 public-health survey in Skåne is a cross-sectional study. A total of 27,757 persons aged 18-80 years answered a postal questionnaire, which represents 59% of the random sample. A logistic regression model was used to investigate associations between marital status and self-rated health, adjusting for economic problems and trust.Results The prevalence of poor self-rated health was 28.7% among men and 33.2% among women. Older respondents, respondents born abroad, with medium/low education, low emotional support, low instrumental support, economic problems, low trust, never married and divorced had significantly higher odds ratios of poor self-rated health than their respective reference group. Low trust was significantly higher among the divorced and unmarried compared to the married/cohabitating. Adjustment for economic problems but not for trust reduced the odds ratios of poor self-rated health among the divorced, which became not significant among men.Conclusions Never married and the divorced have significantly higher age-adjusted odds ratios of poor self-rated health than the married/cohabitating group. Economic problems but not trust seem to affect the association between marital status and poor self-rated health.

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    File URL: http://www.sciencedirect.com/science/article/pii/S0168-8510(09)00139-0
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    Article provided by Elsevier in its journal Health Policy.

    Volume (Year): 93 (2009)
    Issue (Month): 2-3 (December)
    Pages: 172-179

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    Handle: RePEc:eee:hepoli:v:93:y:2009:i:2-3:p:172-179
    Contact details of provider: Web page: http://www.elsevier.com/locate/healthpol

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    1. Lillard, L.A. & Waite, L.J., 1996. "Marital Disruption and Mortality," Papers 96-01, RAND - Reprint Series.
    2. Umberson, Debra, 1992. "Gender, marital status and the social control of health behavior," Social Science & Medicine, Elsevier, vol. 34(8), pages 907-917, April.
    3. Goldman, Noreen & Korenman, Sanders & Weinstein, Rachel, 1995. "Marital status and health among the elderly," Social Science & Medicine, Elsevier, vol. 40(12), pages 1717-1730, June.
    4. Franks, Peter & Gold, Marthe R. & Fiscella, Kevin, 2003. "Sociodemographics, self-rated health, and mortality in the US," Social Science & Medicine, Elsevier, vol. 56(12), pages 2505-2514, June.
    5. Iwashyna, Theodore J. & Christakis, Nicholas A., 2003. "Marriage, widowhood, and health-care use," Social Science & Medicine, Elsevier, vol. 57(11), pages 2137-2147, December.
    6. Waldron, Ingrid & Hughes, Mary Elizabeth & Brooks, Tracy L., 1996. "Marriage protection and marriage selection--Prospective evidence for reciprocal effects of marital status and health," Social Science & Medicine, Elsevier, vol. 43(1), pages 113-123, July.
    7. Lindström, Martin & Hanson, Bertil S. & Östergren, Per-Olof, 2001. "Socioeconomic differences in leisure-time physical activity: the role of social participation and social capital in shaping health related behaviour," Social Science & Medicine, Elsevier, vol. 52(3), pages 441-451, February.
    8. Subramanian, S.V. & Elwert, Felix & Christakis, Nicholas, 2008. "Widowhood and mortality among the elderly: The modifying role of neighborhood concentration of widowed individuals," Social Science & Medicine, Elsevier, vol. 66(4), pages 873-884, February.
    9. Webber, Martin P. & Huxley, Peter J., 2007. "Measuring access to social capital: The validity and reliability of the Resource Generator-UK and its association with common mental disorder," Social Science & Medicine, Elsevier, vol. 65(3), pages 481-492, August.
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