IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i21p13733-d950349.html
   My bibliography  Save this article

Marital Status, Living Arrangements and Mortality at Older Ages in Chile, 2004–2016

Author

Listed:
  • Moisés H. Sandoval

    (Institute of Nutrition and Food Technology (INTA), University of Chile, Macul 7830490, Chile)

  • Marcela E. Alvear Portaccio

    (National University of Colombia, Bogotá 111321, Colombia)

Abstract

The risk of mortality in old age is associated with marital status and living arrangements. There is still little knowledge about this in Latin America. Our objectives are to examine the association between marital status, living arrangements and mortality of older adults (>60 years) in Chile, and to test whether this association varies when demographic, socioeconomic and health factors are included. We used data from the Social Protection Survey, and mortality data were linked to the Civil Registry. We estimate a series of Poisson regression models. Our results show a clear association between marriage and longevity, since even controlling for demographic, socioeconomic and health factors, we found that separated or divorced, widowed, and unmarried people showed higher relative mortality compared to married people (IRR1.24, IRR1.33, IRR1.35, respectively). Considering only living arrangements, the results show that living alone, alone with children, with children and other relatives or in other arrangements is associated with higher mortality (IRR1.22, IRR1.27, IRR1.35, IRR1.35, respectively) compared to those living with their partners and children. However, considering marital status and living arrangements together, we find that survival among older adults was strongly associated with marital status. Marital status continues to be a direct measure of living arrangements among older adults in Chile.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:13733-:d:950349
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/21/13733/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/21/13733/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Goldman, Noreen & Hu, Yuanreng, 1993. "Excess mortality among the unmarried: A case study of Japan," Social Science & Medicine, Elsevier, vol. 36(4), pages 533-546, February.
    2. Manor, O. & Eisenbach, Z. & Peritz, E. & Friedlander, Y., 1999. "Mortality differentials among Israeli men," American Journal of Public Health, American Public Health Association, vol. 89(12), pages 1807-1813.
    3. Pilar Zueras & Roberta Rutigliano & Sergi Trias-Llimós, 2020. "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. 65(5), pages 627-636, June.
    4. Saad, Paulo Murad, 2003. "Transferencias informales de apoyo de los adultos mayores en América Latina y el Caribe: estudio comparativo de encuestas SABE," Notas de Población, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), December.
    5. 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.
    6. 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.
    7. 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.
    8. Davis, M.A. & Moritz, D.J. & Neuhaus, J.M. & Barclay, J.D. & Gee, L., 1997. "Living arrangements, changes in living arrangements, and survival among community dwelling older adults," American Journal of Public Health, American Public Health Association, vol. 87(3), pages 371-377.
    9. Li, Lydia W. & Zhang, Jiaan & Liang, Jersey, 2009. "Health among the oldest-old in China: Which living arrangements make a difference?," Social Science & Medicine, Elsevier, vol. 68(2), pages 220-227, January.
    10. 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.
    11. 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.
    12. 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.
    13. Cassio M. Turra & Noreen Goldman, 2007. "Socioeconomic Differences in Mortality Among U.S. Adults: Insights Into the Hispanic Paradox," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(3), pages 184-192.
    14. 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.
    15. Lund, Rikke & Due, Pernille & Modvig, Jens & Holstein, Bjørn Evald & Damsgaard, Mogens Trab & Andersen, Per Kragh, 2002. "Cohabitation and marital status as predictors of mortality--an eight year follow-up study," Social Science & Medicine, Elsevier, vol. 55(4), pages 673-679, August.
    16. 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.
    17. Saad, Paulo Murad, 2003. "Transferencias informales de apoyo de las personas mayores: estudio comparativo de las encuestas SABE," Seminarios y Conferencias 6631, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    18. Munch, Jakob Roland & Svarer, Michael, 2005. "Mortality and socio-economic differences in Denmark: a competing risks proportional hazard model," Economics & Human Biology, Elsevier, vol. 3(1), pages 17-32, March.
    19. Jennifer Karas Montez & Anna Zajacova & Mark D. Hayward & Steven H. Woolf & Derek Chapman & Jason Beckfield, 2019. "Educational Disparities in Adult Mortality Across U.S. States: How Do They Differ, and Have They Changed Since the Mid-1980s?," Demography, Springer;Population Association of America (PAA), vol. 56(2), pages 621-644, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Requena, Miguel & Reher, David, 2021. "Partnership and mortality in mid and late life: Protection or selection?," Social Science & Medicine, Elsevier, vol. 279(C).
    2. Scafato, Emanuele & Galluzzo, Lucia & Gandin, Claudia & Ghirini, Silvia & Baldereschi, Marzia & Capurso, Antonio & Maggi, Stefania & Farchi, Gino & for the ILSA Working Group, 2008. "Marital and cohabitation status as predictors of mortality: A 10-year follow-up of an Italian elderly cohort," Social Science & Medicine, Elsevier, vol. 67(9), pages 1456-1464, November.
    3. 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.
    4. Wilson, Sven E., 2012. "Marriage, gender and obesity in later life," Economics & Human Biology, Elsevier, vol. 10(4), pages 431-453.
    5. Shor, Eran & Roelfs, David J. & Bugyi, Paul & Schwartz, Joseph E., 2012. "Meta-analysis of marital dissolution and mortality: Reevaluating the intersection of gender and age," Social Science & Medicine, Elsevier, vol. 75(1), pages 46-59.
    6. Pilar Zueras & Roberta Rutigliano & Sergi Trias-Llimós, 2020. "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. 65(5), pages 627-636, June.
    7. 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.
    8. Feng, Zhixin & Jones, Kelvyn & Wang, Wenfei Winnie, 2015. "An exploratory discrete-time multilevel analysis of the effect of social support on the survival of elderly people in China," Social Science & Medicine, Elsevier, vol. 130(C), pages 181-189.
    9. Donrovich, Robyn & Drefahl, Sven & Koupil, Ilona, 2014. "Early life conditions, partnership histories, and mortality risk for Swedish men and women born 1915–1929," Social Science & Medicine, Elsevier, vol. 108(C), pages 60-67.
    10. 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.
    11. Riina Peltonen & Jessica Y. Ho & Irma T. Elo & Pekka Martikainen, 2017. "Contribution of smoking-attributable mortality to life-expectancy differences by marital status among Finnish men and women, 1971-2010," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 36(8), pages 255-280.
    12. 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.
    13. 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.
    14. 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.
    15. 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.
    16. Angelique Chan & Prassanna Raman & Stefan Ma & Rahul Malhotra, 2015. "Loneliness and all-cause mortality in community-dwelling elderly Singaporeans," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 32(49), pages 1361-1382.
    17. Maruyama, Shiko, 2015. "The effect of coresidence on parental health in Japan," Journal of the Japanese and International Economies, Elsevier, vol. 35(C), pages 1-22.
    18. Turner, Alex J. & Nikolova, Silviya & Sutton, Matt, 2016. "The effect of living alone on the costs and benefits of surgery amongst older people," Social Science & Medicine, Elsevier, vol. 150(C), pages 95-103.
    19. Min Gao & Yanyu Li & Shengfa Zhang & Linni Gu & Jinsui Zhang & Zhuojun Li & Weijun Zhang & Donghua Tian, 2017. "Does an Empty Nest Affect Elders’ Health? Empirical Evidence from China," IJERPH, MDPI, vol. 14(5), pages 1-20, April.
    20. Berntsen, Kjersti Norgård & Kravdal, Øystein, 2012. "The relationship between mortality and time since divorce, widowhood or remarriage in Norway," Social Science & Medicine, Elsevier, vol. 75(12), pages 2267-2274.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:13733-:d:950349. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.