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Marital Status and Mortality among Middle Age and Elderly Men and Women in Urban Shanghai

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  • Puthiery Va
  • Wan-Shui Yang
  • Sarah Nechuta
  • Wong-Ho Chow
  • Hui Cai
  • Gong Yang
  • Shan Gao
  • Yu-Tang Gao
  • Wei Zheng
  • Xiao-Ou Shu
  • Yong-Bing Xiang

Abstract

Background: Previous studies have suggested that marital status is associated with mortality, but few studies have been conducted in China where increasing aging population and divorce rates may have major impact on health and total mortality. Methods: We examined the association of marital status with mortality using data from the Shanghai Women's Health Study (1996–2009) and Shanghai Men's Health Study (2002–2009), two population-based cohort studies of 74,942 women aged 40–70 years and 61,500 men aged 40–74 years at the study enrollment. Deaths were identified by biennial home visits and record linkage with the vital statistics registry. Marital status was categorized as married, never married, divorced, widowed, and all unmarried categories combined. Cox regression models were used to derive hazard ratios (HR) and 95% confidence interval (CI). Results: Unmarried and widowed women had an increased all-cause HR = 1.11, 95% CI: 1.03, 1.21 and HR = 1.10, 95% CI: 1.02, 1.20 respectively) and cancer (HR = 1.17, 95% CI: 1.04, 1.32 and HR = 1.18, 95% CI: 1.04, 1.34 respectively) mortality. Never married women had excess all-cause mortality (HR = 1.46, 95% CI: 1.03, 2.09). Divorce was associated with elevated cardiovascular disease (CVD) mortality in women (HR = 1.47, 95% CI: 1.01, 2.13) and elevated all-cause mortality (HR = 2.45, 95% CI: 1.55, 3.86) in men. Amongst men, not being married was associated with excess all-cause (HR = 1.45, 95% CI: 1.12, 1.88) and CVD (HR = 1.65, 95% CI: 1.07, 2.54) mortality. Conclusions: Marriage is associated with decreased all cause mortality and CVD mortality, in particular, among both Chinese men and women.

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  • Puthiery Va & Wan-Shui Yang & Sarah Nechuta & Wong-Ho Chow & Hui Cai & Gong Yang & Shan Gao & Yu-Tang Gao & Wei Zheng & Xiao-Ou Shu & Yong-Bing Xiang, 2011. "Marital Status and Mortality among Middle Age and Elderly Men and Women in Urban Shanghai," PLOS ONE, Public Library of Science, vol. 6(11), pages 1-10, November.
    • Handle: RePEc:plo:pone00:0026600
    DOI: 10.1371/journal.pone.0026600
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    1. Lei Jin & Nicholas Chrisatakis, 2009. "Investigating the mechanism of marital mortality reduction: The transition to widowhood and quality of health care," Demography, Springer;Population Association of America (PAA), vol. 46(3), pages 605-625, August.
    2. Shye, Diana & Mullooly, John P. & Freeborn, Donald K. & Pope, Clyde R., 1995. "Gender differences in the relationship between social network support and mortality: A longitudinal study of an elderly cohort," Social Science & Medicine, Elsevier, vol. 41(7), pages 935-947, October.
    3. Umberson, Debra, 1992. "Gender, marital status and the social control of health behavior," Social Science & Medicine, Elsevier, vol. 34(8), pages 907-917, April.
    4. Molloy, Gerard John & Stamatakis, Emmanuel & Randall, Gemma & Hamer, Mark, 2009. "Marital status, gender and cardiovascular mortality: Behavioural, psychological distress and metabolic explanations," Social Science & Medicine, Elsevier, vol. 69(2), pages 223-228, July.
    5. Martikainen, P. & Valkonen, T., 1996. "Mortality after the death of a spouse: Rates and causes of death in a large Finnish cohort," American Journal of Public Health, American Public Health Association, vol. 86(8), pages 1087-1093.
    6. Noreen Goldman, 1993. "Marriage selection and mortality patterns: Inferences and fallacies," Demography, Springer;Population Association of America (PAA), vol. 30(2), pages 189-208, May.
    7. Yi Zeng & T. Paul Schultz & Deming D. Wang & Danan Gu, 2002. "Association of Divorce with Socio-Demographic Covariates in China, 1955-1985," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 7(11), pages 407-432.
    8. August, Kristin J. & Sorkin, Dara H., 2010. "Marital status and gender differences in managing a chronic illness: The function of health-related social control," Social Science & Medicine, Elsevier, vol. 71(10), pages 1831-1838, November.
    9. Wyke, Sally & Ford, Graeme, 1992. "Competing explanations for associations between marital status and health," Social Science & Medicine, Elsevier, vol. 34(5), pages 523-532, March.
    10. Waldron, Ingrid & Weiss, Christopher C. & Hughes, Mary Elizabeth, 1997. "Marital status effects on health: Are there differences between never married women and divorced and separated women?," Social Science & Medicine, Elsevier, vol. 45(9), pages 1387-1397, November.
    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. Lixin Colin Xu & Christine Zhen-Wei Qiang & Limin Wang, 2003. "The Timing of Marriage in China," Annals of Economics and Finance, Society for AEF, vol. 4(2), pages 343-357, November.
    13. Yi Zeng & Linda George, 2000. "Family Dynamics of 63 Million (in 1990) to More Than 330 Million (in 2050) Elders in China," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 2(5).
    14. Joung, Inez M. A. & van de Mheen, H. Dike & Stronks, Karien & van Poppel, Frans W. A. & Mackenbach, Johan P., 1998. "A longitudinal study of health selection in marital transitions," Social Science & Medicine, Elsevier, vol. 46(3), pages 425-435, February.
    15. 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.
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    Cited by:

    1. Sun, Yu & You, Wen, 2018. "Health effects associated with marital status transition among elders in China," 2018 Annual Meeting, August 5-7, Washington, D.C. 274173, Agricultural and Applied Economics Association.
    2. Jing Li & Xu Hui & Zhenxing Lu & Xiaocao Ren & Wenlong Yan & Peijing Yan & Liang Yao & Kehu Yang, 2022. "PROTOCOL: The association between marital transitions and physical and mental health in late life: A systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(2), June.
    3. 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.

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