Marital status and mortality: The National Longitudinal Mortality Study
Marital status and mortality: The National Longitudinal Mortality Study
复制标题
DOI：
10.1016/s1047-2797(99)00052-6
复制
发表时间：
2000-05-01
影响因子：
5.6
通讯作者：
Loveless, CA
中科院分区：
文献类型：
--
作者：
Johnson, NJ;Backlund, E;Loveless, CA
目得：研究婚姻状况（已婚、丧偶、离婚/分居和从未结婚）对281，460名男性和女性（年龄45岁及以上，黑人和白色种族）死亡率的影响，这些人是国家纵向死亡率研究（NLMS）的一部分。方法：主要研究结果是基于对考克斯比例风险模型估计的相对风险（RR）的评估。丧偶的丧亲之痛的持续时间也估计使用考克斯model.RESULTS：对于45-64岁的人，每个未婚组一般表现出统计学显着增加的风险相比，他们的已婚同行（白色男性RR为1.24- 1.39;白色女性RR为1.46-1.49;黑人男性RR为1.27-1.57;黑人女性RR为1.10-1.36）。年龄较大的群体往往比年轻群体的RR更小。未婚女性的风险升高与未婚男性相当。45-64岁的丧偶和未婚白人男性的心血管疾病死亡率分别显示出1.25和1.32的统计学显著增加的RR，而每个白色女性的未婚组显示出从1.50到1.60的统计学显著增加的RR。心血管疾病或癌症以外的其他原因的RR很高（45-64岁的白色男性：丧偶，1.85;离婚/分居，2.15;从未结婚，1.48）。劳动力状况的重要性，在确定的风险升高的未婚男性相比，未婚女性的race.CONCLUSIONS：每个未婚类别显示死亡的RR升高相比，已婚人士，这些影响仍然是强大的调整后的其他sociocomeconomic因素。(C)2000 Elsevier Science Inc. All rights reserved.
PURPOSE: To examine the effect of marital status (married, widowed, divorced/separated, and never-married) on mortality in a cohort of 281,460 men and women, ages 45 years and older, of black and white races, who were part of the National Longitudinal Mortality Study (NLMS).METHODS: Major findings are based on assessments of estimated relative risk (RR) from Cox proportional hazards models. Duration of bereavement for the widowed is also estimated using the Cox model.RESULTS: For persons aged 45-64, each of the non-married groups generally showed statistically significant increased risk compared to their married counterparts (RR for white males, 1.24-1,39; white females, 1.46-1.49; black males, 1.27-1.57; and black females, 1.10-1.36). Older age groups tended to, have smaller RRs than their younger counterparts. Elevated risk for nun-married females was comparable to that of non-married males. Fur cardiovascular disease mortality, widowed and never-married whits males ages 45-64 showed statistically significant increased RRs of 1.25 and 1.32, respectively, whereas each non-married group of white females showed statistically significant increased RRs from 1.50 ru 1.60. RRs for causes other than cardiovascular diseases or cancers were high (for white males ages 45-64: widowed, 1.85; divorced/separated, 2.15; and never married, 1.48). The importance of labor force status in determining the elevated risk of nun-married males compared to non-married females by race is shown.CONCLUSIONS: Each of the non-married categories show elevated RR of death compared to married persons, and these effects continue to be strong after adjustment for other sociocconomic factors. (C) 2000 Elsevier Science Inc. All rights reserved.