IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0104868.html
   My bibliography  Save this article

Does Marriage Really Matter to Health? Intra- and Inter-Country Evidence from China, Japan, Taiwan, and the Republic of Korea

Author

Listed:
  • Woojin Chung
  • Roeul Kim

Abstract

Background: The health benefits of marriage have been demonstrated mainly by studies on Western populations. This study aims to test whether the benefits are also valid in East Asian populations. Methodology/Principal Findings: Individuals (n = 8,538) from China, Japan, Taiwan, and the Republic of Korea were sampled from the 2006 East Asian Social Survey. The association between self-rated health status and two marriage-related independent variables was analyzed using multivariate logistic regression models. In a two-level analysis for individuals from all countries, married individuals were more likely to report very good or good health compared to their never-married counterparts [odds ratio (OR) 1.56; 95% confidence interval (95% CI) 1.16−2.10]. However, the addition of marital satisfaction disintegrated the significant association of marriage with self-rated health. Married individuals in satisfying marriages were more likely to report very good or good health compared with never-married individuals (OR 1.85; 95% CI 1.37−2.50). In contrast, married individuals in dissatisfying marriages were as likely to report very good or good health as never-married individuals (OR 0.78; 95% CI 0.50−1.24). In a one-level analysis for each country, the importance of marital satisfaction varied greatly across countries. Unlike in other countries, in Japan, married individuals in dissatisfying marriages were about half as likely to report very good or good health as never-married individuals (OR 0.51, 95% CI 0.31−0.83), thereby showing no significant benefits from marriage with regard to self-rated health. Conclusion/Significance: The present study of East Asian countries suggests that marital satisfaction is of greater importance in determining self-rated health than marriage itself, and that the importance of marital satisfaction varies across countries. Further research is required to better understand the relationship between marital satisfaction and self-rated health in different socio-cultural settings, and to establish effective social policies aiming at improving public health.

Suggested Citation

  • Woojin Chung & Roeul Kim, 2014. "Does Marriage Really Matter to Health? Intra- and Inter-Country Evidence from China, Japan, Taiwan, and the Republic of Korea," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-10, August.
    • Handle: RePEc:plo:pone00:0104868
    DOI: 10.1371/journal.pone.0104868
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0104868
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0104868&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0104868?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. Jenkins, C.D. & Kreger, B.E. & Rose, R.M. & Hurst, M., 1980. "Use of a monthly health review to ascertain illness and injuries," American Journal of Public Health, American Public Health Association, vol. 70(1), pages 82-84.
    3. Urquia, M.L. & O'Campo, P.J. & Ray, J.G., 2013. "Marital status, duration of cohabitation, and psychosocial well-being among childbearing women: A canadian nationwide survey," American Journal of Public Health, American Public Health Association, vol. 103(2), pages 8-15.
    4. Jamila Bookwala, 2011. "Marital Quality as a Moderator of the Effects of Poor Vision on Quality of Life Among Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(5), pages 605-616.
    5. 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.
    6. Lindström, Martin, 2009. "Marital status, social capital, material conditions and self-rated health: A population-based study," Health Policy, Elsevier, vol. 93(2-3), pages 172-179, December.
    7. Monica Das Gupta & Jiang Zhenghua & Li Bohua & Xie Zhenming & Woojin Chung & Bae Hwa-Ok, 2003. "Why is Son preference so persistent in East and South Asia? a cross-country study of China, India and the Republic of Korea," Journal of Development Studies, Taylor & Francis Journals, vol. 40(2), pages 153-187.
    8. Gardner, Jonathan & Oswald, Andrew, 2004. "How is mortality affected by money, marriage, and stress?," Journal of Health Economics, Elsevier, vol. 23(6), pages 1181-1207, November.
    9. Umberson, Debra, 1992. "Gender, marital status and the social control of health behavior," Social Science & Medicine, Elsevier, vol. 34(8), pages 907-917, April.
    10. Hosseinpoor, A.R. & Williams, J.A.S. & Gautam, J. & Posarac, A. & Officer, A. & Verdes, E. & Kostanjsek, N. & Chatterji, S., 2013. "Socioeconomic inequality in disability among adults: A multicountry study using the world health survey," American Journal of Public Health, American Public Health Association, vol. 103(7), pages 1278-1286.
    11. Benjamins, Maureen Reindl & Hummer, Robert A. & Eberstein, Isaac W. & Nam, Charles B., 2004. "Self-reported health and adult mortality risk: An analysis of cause-specific mortality," Social Science & Medicine, Elsevier, vol. 59(6), pages 1297-1306, September.
    12. 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.
    13. Rachel Pruchno & Maureen Wilson-Genderson & Francine Cartwright, 2009. "Self-Rated Health and Depressive Symptoms in Patients With End-Stage Renal Disease and Their Spouses: A Longitudinal Dyadic Analysis of Late-Life Marriages," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(2), pages 212-221.
    14. Liu, Hui, 2012. "Marital dissolution and self-rated health: Age trajectories and birth cohort variations," Social Science & Medicine, Elsevier, vol. 74(7), pages 1107-1116.
    15. Monica Das Gupta & Woojin Chung & Li Shuzhuo, 2009. "Evidence for an Incipient Decline in Numbers of Missing Girls in China and India," Population and Development Review, The Population Council, Inc., vol. 35(2), pages 401-416, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Rong Fu & Haruko Noguchi, 2016. "Does Marriage Make Us Healthier? Inter-Country Comparative Evidence from China, Japan, and Korea," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-15, February.
    2. Sanni Yaya & Sharmistha Ghosh & Bishwajit Ghose, 2019. "Subjective Happiness, Health and Quality of Life and Their Sociocultural Correlates among Younger Population in Malawi," Social Sciences, MDPI, vol. 8(2), pages 1-18, February.

    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. Espinosa, Javier & Evans, William N., 2008. "Heightened mortality after the death of a spouse: Marriage protection or marriage selection?," Journal of Health Economics, Elsevier, vol. 27(5), pages 1326-1342, September.
    2. Ribar, David C., 2004. "What Do Social Scientists Know About the Benefits of Marriage? A Review of Quantitative Methodologies," IZA Discussion Papers 998, Institute of Labor Economics (IZA).
    3. Wilson, Chris M. & Oswald, Andrew J., 2005. "How Does Marriage Affect Physical and Psychological Health? A Survey of the Longitudinal Evidence," Economic Research Papers 269622, University of Warwick - Department of Economics.
    4. Requena, Miguel & Reher, David, 2021. "Partnership and mortality in mid and late life: Protection or selection?," Social Science & Medicine, Elsevier, vol. 279(C).
    5. Kenneth Couch & Christopher Tamborini & Gayle Reznik, 2015. "The Long-Term Health Implications of Marital Disruption: Divorce, Work Limits, and Social Security Disability Benefits Among Men," Demography, Springer;Population Association of America (PAA), vol. 52(5), pages 1487-1512, October.
    6. Michael Geruso, 2012. "Black-White Disparities in Life Expectancy: How Much Can the Standard SES Variables Explain?," Demography, Springer;Population Association of America (PAA), vol. 49(2), pages 553-574, May.
    7. Rong Fu & Haruko Noguchi, 2018. "Does the positive relationship between health and marriage reflect protection or selection? Evidence from middle-aged and elderly Japanese," Review of Economics of the Household, Springer, vol. 16(4), pages 1003-1016, December.
    8. Li, Qin & Smith, James P. & Zhao, Yaohui, 2023. "Understanding the effects of widowhood on health in China: Mechanisms and heterogeneity," The Journal of the Economics of Ageing, Elsevier, vol. 25(C).
    9. Ayllón, Sara & Ferreira-Batista, Natalia N., 2015. "‘Mommy, I miss daddy’. The effect of family structure on children's health in Brazil," Economics & Human Biology, Elsevier, vol. 19(C), pages 75-89.
    10. Jennifer Kohn & Susan Averett, 2014. "Can’t We Just Live Together? New Evidence on the Effect of Relationship Status on Health," Journal of Family and Economic Issues, Springer, vol. 35(3), pages 295-312, September.
    11. Kieron J. Barclay & Robyn Donrovich Thorén & Heidi A. Hanson & Ken R. Smith, 2019. "The effect of widowhood on mortality in polygamous marriages: evidence from the Utah Population Database," MPIDR Working Papers WP-2019-010, Max Planck Institute for Demographic Research, Rostock, Germany.
    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. van den Berg, Gerard J. & Gupta, Sumedha, 2015. "The role of marriage in the causal pathway from economic conditions early in life to mortality," Journal of Health Economics, Elsevier, vol. 40(C), pages 141-158.
    14. 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.
    15. 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.
    16. Kieron J. Barclay & Robyn Donrovich Thorén & Heidi A. Hanson & Ken R. Smith, 2020. "The Effects of Marital Status, Fertility, and Bereavement on Adult Mortality in Polygamous and Monogamous Households: Evidence From the Utah Population Database," Demography, Springer;Population Association of America (PAA), vol. 57(6), pages 2169-2198, December.
    17. G. Miller & Yuriy Pylypchuk, 2014. "Marital Status, Spousal Characteristics, and the Use of Preventive Care," Journal of Family and Economic Issues, Springer, vol. 35(3), pages 323-338, September.
    18. Newton, Nicky J. & Ryan, Lindsay H. & King, Rachel T. & Smith, Jacqui, 2014. "Cohort differences in the marriage–health relationship for midlife women," Social Science & Medicine, Elsevier, vol. 116(C), pages 64-72.
    19. Fritzell, Sara & Ringbäck Weitoft, Gunilla & Fritzell, Johan & Burström, Bo, 2007. "From macro to micro: The health of Swedish lone mothers during changing economic and social circumstances," Social Science & Medicine, Elsevier, vol. 65(12), pages 2474-2488, December.
    20. Camila Maciel de Oliveira & Luciane Viater Tureck & Danilo Alvares & Chunyu Liu & Andrea Roseli Vançan Russo Horimoto & Mercedes Balcells & Rafael de Oliveira Alvim & José Eduardo Krieger & Alexandre , 2020. "Relationship between marital status and incidence of type 2 diabetes mellitus in a Brazilian rural population: The Baependi Heart Study," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-10, August.

    More about this item

    Statistics

    Access and download statistics

    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:plo:pone00:0104868. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.