IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0175515.html
   My bibliography  Save this article

Prognostic significance of marital status in breast cancer survival: A population-based study

Author

Listed:
  • María Elena Martínez
  • Jonathan T Unkart
  • Li Tao
  • Candyce H Kroenke
  • Richard Schwab
  • Ian Komenaka
  • Scarlett Lin Gomez

Abstract

Research shows that married cancer patients have lower mortality than unmarried patients but few data exist for breast cancer. We assessed total mortality associated with marital status, with attention to differences by race/ethnicity, tumor subtype, and neighborhood socioeconomic status (nSES). We included, from the population-based California Cancer Registry, women ages 18 and older with invasive breast cancer diagnosed between 2005 and 2012 with follow-up through December 2013. We estimated mortality rate ratios (MRR) and 95% confidence intervals (CI) for total mortality by nSES, race/ethnicity, and tumor subtype. Among 145,564 breast cancer cases, 42.7% were unmarried at the time of diagnosis. In multivariable-adjusted models, the MRR (95% CI) for unmarried compared to married women was 1.28 (1.24–1.32) for total mortality. Significant interactions were observed by race/ethnicity (P

Suggested Citation

  • María Elena Martínez & Jonathan T Unkart & Li Tao & Candyce H Kroenke & Richard Schwab & Ian Komenaka & Scarlett Lin Gomez, 2017. "Prognostic significance of marital status in breast cancer survival: A population-based study," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-14, May.
    • Handle: RePEc:plo:pone00:0175515
    DOI: 10.1371/journal.pone.0175515
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0175515
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0175515&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0175515?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. Gomez, S.L. & Le, G.M. & West, D.W. & Satariano, W.A. & O'Connor, L., 2003. "Hospital Policy and Practice Regarding the Collection of Data on Race, Ethnicity, and Birthplace," American Journal of Public Health, American Public Health Association, vol. 93(10), pages 1685-1688.
    2. Gomez, S.L. & Quach, T. & Horn-Ross, P.L. & Pham, J.T. & Cockburn, M. & Chang, E.T. & Keegan, T.H.M. & Glaser, S.L. & Clarke, C.A., 2010. "Hidden breast cancer disparities in asian women: Disaggregating incidence rates by ethnicity and migrant status," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 125-131.
    3. 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.
    4. Ro, Annie & Bostean, Georgiana, 2015. "Duration of U.S. stay and body mass index among Latino and Asian immigrants: A test of theoretical pathways," Social Science & Medicine, Elsevier, vol. 144(C), pages 39-47.
    5. Charles M. Perou & Therese Sørlie & Michael B. Eisen & Matt van de Rijn & Stefanie S. Jeffrey & Christian A. Rees & Jonathan R. Pollack & Douglas T. Ross & Hilde Johnsen & Lars A. Akslen & Øystein Flu, 2000. "Molecular portraits of human breast tumours," Nature, Nature, vol. 406(6797), pages 747-752, August.
    6. 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.
    7. Gomez, S.L. & Clarke, C.A. & Shema, S.J. & Chang, E.T. & Keegan, T.H.M. & Glaser, S.L., 2010. "Disparities in breast cancer survival among Asian women by ethnicity and immigrant status: A population-based study," American Journal of Public Health, American Public Health Association, vol. 100(5), pages 861-869.
    8. Kravdal, Øystein, 2001. "The impact of marital status on cancer survival," Social Science & Medicine, Elsevier, vol. 52(3), pages 357-368, February.
    9. Linda J. Waite & Evelyn L. Lehrer, 2003. "The Benefits from Marriage and Religion in the United States: A Comparative Analysis," Population and Development Review, The Population Council, Inc., vol. 29(2), pages 255-275, 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. Isabel Sollozo-Dupont & Victor Jesús Lara-Ameca & Dulce Cruz-Castillo & Yolanda Villaseñor-Navarro, 2023. "Relationship between Health Inequalities and Breast Cancer Survival in Mexican Women," IJERPH, MDPI, vol. 20(7), pages 1-11, March.
    2. Stephanie Tuminello & Maaike A. G. van Gerwen & Eric Genden & Michael Crane & Wil Lieberman-Cribbin & Emanuela Taioli, 2019. "Increased Incidence of Thyroid Cancer among World Trade Center First Responders: A Descriptive Epidemiological Assessment," IJERPH, MDPI, vol. 16(7), pages 1-8, April.
    3. Carol Parise & Vincent Caggiano, 2018. "The influence of marital status and race/ethnicity on risk of mortality for triple negative breast cancer," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-11, April.

    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. 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.
    2. Kravdal, Øystein, 2013. "The poorer cancer survival among the unmarried in Norway: Is much explained by comorbidities?," Social Science & Medicine, Elsevier, vol. 81(C), pages 42-52.
    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. 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.
    6. Johannes Schuenemann & Holger Strulik & Timo Trimborn, 2020. "The Marriage Gap: Optimal Aging and Death in Partnerships," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 36, pages 158-176, April.
    7. Porter, Jeremy R. & Purser, Christopher W., 2010. "Social disorganization, marriage, and reported crime: A spatial econometrics examination of family formation and criminal offending," Journal of Criminal Justice, Elsevier, vol. 38(5), pages 942-950, September.
    8. 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.
    9. 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.
    10. Hossain, Babul & James, K.S., 2024. "Economics of widowhood mortality in adult women in India," Social Science & Medicine, Elsevier, vol. 340(C).
    11. Jeremy Porter, 2012. "A Simplified Indicator of Social Well-Being in the United States: Examining the Ecological Impact of Family Formation within a County Level Framework," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 108(3), pages 421-440, September.
    12. Requena, Miguel & Reher, David, 2021. "Partnership and mortality in mid and late life: Protection or selection?," Social Science & Medicine, Elsevier, vol. 279(C).
    13. 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.
    14. 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.
    15. Kravdal, Øystein, 2009. "The Importance of Municipality Characteristics for Cancer Survival in Norway: A Multilevel Analysis," HERO Online Working Paper Series 2004:8, University of Oslo, Health Economics Research Programme.
    16. Colleen Heflin & Hannah Patnaik, 2023. "Material Hardship and the Living Arrangements of Older Americans," Journal of Family and Economic Issues, Springer, vol. 44(2), pages 267-284, June.
    17. Sandi L. Pruitt & Jasmin A. Tiro & Lei Xuan & Simon J. Craddock Lee, 2016. "Hispanic and Immigrant Paradoxes in U.S. Breast Cancer Mortality: Impact of Neighborhood Poverty and Hispanic Density," IJERPH, MDPI, vol. 13(12), pages 1-14, December.
    18. Shanshan Li & Laura D Kubzansky & Tyler J VanderWeele, 2018. "Religious service attendance, divorce, and remarriage among U.S. nurses in mid and late life," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-17, December.
    19. Yang, Xi & Hoadley, Katherine A. & Hannig, Jan & Marron, J.S., 2023. "Jackstraw inference for AJIVE data integration," Computational Statistics & Data Analysis, Elsevier, vol. 180(C).
    20. Jon Anson, 2010. "Beyond Material Explanations: Family Solidarity and Mortality, a Small Area‐level Analysis," Population and Development Review, The Population Council, Inc., vol. 36(1), pages 27-45, March.

    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:pone00:0175515. 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.