WIDOWHOOD AND MORTALITY IN AN ARMENIAN CHURCH PARISH IN LEBANON

WIDOWHOOD AND MORTALITY IN AN ARMENIAN CHURCH PARISH IN LEBANON
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DOI:
10.1093/oxfordjournals.aje.a114495
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发表时间:
1987-01-01
影响因子:
5
通讯作者:
ARMENIAN, SL
ARMENIAN, SL
中科院分区:
医学2区
文献类型:
--
作者:
ARMENIAN, HK;SAADEH, FM;ARMENIAN, SL

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使用亚美尼亚使徒东正教教堂的教区记录在黎巴嫩进行了一项非同期队列研究。该研究包括 1,529 对已婚夫妇。观察期从 1949 年延长至 1980 年,根据对埋葬登记、教区人口普查记录和邻里调查的审查,90% 的受试者可以获得后续信息。观察期间确定了 152 名鳏夫和 623 名鳏夫。使用三种分析程序来比较丧偶与已婚受试者的死亡率,尽管这种额外风险总体上并不具有统计显着性。最重要的是,与寡妇相比,鳏夫的死亡风险在 66-75 岁左右更高。解释这一发现的建议假设包括网络规模的变化以及社会支持系统的变化,这些变化在这种文化中对退休年龄的男性以特定的方式发挥作用。这项对中东社会特定社区的初步研究结果与西方工业社会的研究结果相似;他们还倾向于提供额外的证据,证明当丧偶伴随着退休等其他生活变化造成的压力增加时,风险增加之间存在关联。
A nonconcurrent cohort study was conducted in Lebanon by using the parish records of an Armenian Apostolic Orthodox church. Included in the study were 1,529 married couples. The observation period extended from 1949-1980 with follow-up informtion available on 90% of the subjects based on a review of burial registers, parish census records, and neighborhood inquiries. Identified during the observation period were 152 widowers and 623 widows. Three analytic procedures were used to compare the mortality of widowed to married subjects, although this excess in risk was not overall statistically significant. Most important was the result that among widowers as opposed to widows the higher risk of mortality acted at approximately ages 66-75 years. The suggested hypotheses to explain this finding include changes in the network size as well as social support systems which act in a particular way in this culture for men at the age of retirement. The results of this initial study of a specific community in a Middle Eastern society parallel findings in studies of Western industrial societies; they also tend to give additional evidence for the association of increased risk when widowhood is accompanied by increased stress caused by other life changes such as retirement.