Does the Hispanic Mortality Advantage Vary by Marital Status Among Postmenopausal Women in the Women's Health Initiative?
Does the Hispanic Mortality Advantage Vary by Marital Status Among Postmenopausal Women in the Women's Health Initiative?
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DOI：
10.1093/abm/kaaa113
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发表时间：
2021-01-15
影响因子：
3.8
通讯作者：
Thomson, Cynthia A.
中科院分区：
文献类型：
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作者：
Flores, Melissa;Ruiz, John M.;Thomson, Cynthia A.
研究背景：评估婚姻状况对死亡率影响的文献没有充分代表，或者完全忽略了西班牙裔以及西班牙裔种族对这些关系的潜在调节作用。考虑到文化和网络动态，老年西班牙裔妇女的婚姻优势可能大于其他群体，因为她们以家庭为中心，集体主义取向。目的本研究的目的是了解老年西班牙裔妇女是否表现出更明显的婚姻优势相比，非西班牙裔Whites.Methods我们使用纵向数据从妇女的健康倡议（WHI）观察性研究和临床试验（N = 161，808）最初从1993年至1998年收集，并随访至2018年。我们的样本排除了那些将“其他”作为其种族-民族的受访者和那些缺失婚姻状况和种族-民族变量的受访者（N = 158，814）。我们使用Cox比例风险模型来评估种族-民族、婚姻状况之间的关联，以及种族-民族和婚姻状况对生存率的交互作用。我们发现，与非西班牙裔白人和除亚洲/太平洋岛民妇女外的所有其他种族-族裔群体相比，西班牙裔妇女的生存率有优势（所有显著的HR <0.78，所有ps
Background Literature assessing the effect of marital status on mortality has underrepresented, or altogether omitted Hispanics and the potential moderating effect of Hispanic ethnicity on these relationships. Given cultural and network dynamics, marital advantages in older Hispanic women may be greater than other groups given their family-focused, collectivist orientation.Purpose The purpose of this study was to understand whether older Hispanic women exhibited a more pronounced marital advantage as compared with non-Hispanic Whites.Methods We used longitudinal data from the Women's Health Initiative (WHI) Observational Study and Clinical Trials (N = 161,808) collected initially from 1993 to 1998 and followed until 2018. Our sample excluded those respondents indicating "other" as their race-ethnicity and those missing marital status and race-ethnicity variables (N = 158,814). We used Cox-proportional hazards models to assess the association between race-ethnicity, marital status, and the interactive effect of race-ethnicity and marital status on survival.Results After controlling for socioeconomic status (SES) and health controls, we found a Hispanic survival advantage when compared with non-Hispanic Whites and all other racial-ethnic groups with the exception of Asian/Pacific Islander women (all significant HRs < 0.78, all ps