Analysis of the bereavement effect after the death of a spouse in the Amish: a population-based retrospective cohort study.
Analysis of the bereavement effect after the death of a spouse in the Amish: a population-based retrospective cohort study.
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阿米什人配偶去世后的丧亲效应分析：一项基于人群的回顾性队列研究。
DOI：
10.1136/bmjopen-2013-003670
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发表时间：
2014
期刊：
影响因子：
2.9
通讯作者：
Schäffer,AlejandroA
中科院分区：
文献类型：
--
作者：
Seifter,Ari;Singh,Sarabdeep;McArdle,PatrickF;Ryan,KathleenA;Shuldiner,AlanR;Mitchell,BraxtonD;Schäffer,AlejandroA
这项研究调查了阿米什夫妇中丧亲之痛和幸存配偶死亡率之间的关系。我们假设，丧亲之痛的影响将是相对较小的，在阿米什人由于异常凝聚力的社会结构的阿米什人，可能会削弱损失的配偶support.DesignPopulation-based队列研究。SettingThe USA. Amish夫妇10 892出生在1725-1900年位于宾夕法尼亚州，俄亥俄州和印第安纳州。 所有的参与者都去世了。结果测量生存时间是“年龄”;事件是“死亡”。丧偶个体的风险比（HRs）与性别，丧偶年龄，再婚，存活子女的数量和时间，因为bereavement.ResultsWe观察到的风险比丧偶范围从1.06到1.26在研究期间（几乎所有的差异显着p<0.05）。男性的死亡风险往往高于女性，年轻的丧偶配偶往往高于年长的丧偶配偶。没有再婚的寡妇和鳏夫的死亡风险大大增加。我们观察到存活儿童的数量增加与男性和女性死亡率的增加有关。丧亲之痛后的死亡率风险较高，在前6个月的男性和女性。ConclusionsWe得出结论，丧亲之痛的影响仍然明显，即使在这个社会凝聚力的阿米什社区。 再婚与阿米什人死亡风险的显著降低有关。与以前的研究结果相反，存活儿童数量的增加与存活率的下降有关。
ObjectiveThis study investigates the association between bereavement and the mortality of a surviving spouse among Amish couples. We hypothesised that the bereavement effect would be relatively small in the Amish due to the unusually cohesive social structure of the Amish that might attenuate the loss of spousal support.DesignPopulation-based cohort study.SettingThe USA.Participants10 892 Amish couples born during 1725–1900 located in Pennsylvania, Ohio and Indiana. All the participants are deceased.Outcome measuresThe survival time is ‘age’; event is ‘death’. Hazard ratios (HRs) of widowed individuals with respect to gender, age at widowhood, remarriage, the number of surviving children and time since bereavement.ResultsWe observed HRs for widowhood ranging from 1.06 to 1.26 over the study period (nearly all differences significant at p<0.05). Mortality risks tended to be higher in men than in women and in younger compared with older bereaved spouses. There were significantly increased mortality risks in widows and widowers who did not remarry. We observed a higher number of surviving children to be associated with increased mortality in men and women. Mortality risk following bereavement was higher in the first 6 months among men and women.ConclusionsWe conclude that bereavement effects remain apparent even in this socially cohesive Amish community. Remarriage is associated with a significant decrease in the mortality risk among Amish individuals. Contrary to results from previous studies, an increase in the number of surviving children was associated with decreased survival rate.