The protective effect of marriage on mortality in a dynamic society
The protective effect of marriage on mortality in a dynamic society
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DOI：
10.1016/j.annepidem.2006.12.006
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发表时间：
2007-07-01
影响因子：
5.6
通讯作者：
Neumark, Yehuda D.
中科院分区：
文献类型：
--
作者：
Jaffe, Dena H.;Manor, Orly;Neumark, Yehuda D.
目的：我们试图评估在一个充满活力的社会中，婚姻对总体死亡率和特定原因死亡率的保护作用是否随着时间的推移而发生变化。方法：分析了基于人口普查的以色列纵向研究（ILMS）I（1983-1992）和II（1995-2004）的数据。针对社会人口统计学因素进行调整的 Cox 比例风险模型分别应用于 ILMS I 和 II 中 152,150 名和 209,125 名年龄在 45-89 岁之间的个体。在每个研究期间，报告了 31,749 例 (ILMS I) 和 37,656 例 (ILMS II) 死亡。 结果：中老年男性和女性的婚姻状况死亡率不平等仍然显着，并且随着时间的推移而扩大。特定原因死亡率的变化表明，婚姻状况导致的心血管疾病死亡率不平等现象扩大。中年男性因癌症 (+25%) 和其他原因 (+38%，p < 0.05) 死亡的人数也呈上升趋势，但女性则不然（癌症 0%；其他原因 = -3%）。 结论：随着时间的推移，婚姻产生的更强的有益效果可能反映了对男性和女性产生不同影响的社会变化。
PURPOSE: We sought to assess whether the protective effect of marriage on overall and cause-specific mortality has changed over time in a dynamic society.METHODS: Data from the census-based Israel Longitudinal Studies (ILMS) I (1983-1992) and II (1995-2004) were analyzed. Cox proportional hazard modeling adjusting for sociodemographic factors was applied to 152,150 and 209,125 individuals, ages 45-89 years from the ILMS I and II, respectively. During each study period 31,749 (ILMS I) and 37,656 (ILMS II) deaths were reported.RESULTS: Mortality inequalities by marital status remained significant and widened over time for middle-aged and elderly men and women. Changes in cause-specific mortality indicated a widening of cardiovascular disease mortality inequalities by marital status. An increasing trend was also noted for deaths from cancer (+25%) and other causes (+38%, p < 0.05) in middle-aged men, but not women (cancer 0%; other causes = -3%).CONCLUSIONS: The stronger beneficial effect of marriage over time may reflect societal changes that have differentially affected men and women.