The impact of marital status on cancer survival

The impact of marital status on cancer survival
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DOI:
10.1016/s0277-9536(00)00139-8
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发表时间:
2001-02-01
影响因子:
5.4
通讯作者:
Kravdal, O
Kravdal, O
中科院分区:
医学2区
文献类型:
--
作者:
Kravdal, O

文献摘要

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根据挪威全体人口的个人登记和普查数据,通过估计一个混合的加性-乘性风险回归模型,评估了12种常见癌症的婚姻生存差异。这些数据涵盖了1960年至1991年期间,包括超过10万例癌症死亡。这些数据和方法使人们有可能考虑到在没有癌症的情况下婚姻死亡率的差异。癌症患者的全因死亡率与没有癌症诊断的类似人群相比,总体而言,未婚男性、未婚女性和离婚男性的全因死亡率比已婚同性高出15%以上。其他已婚者的超额死亡率上升了约7%。婚姻的这种保护作用不是由于阶段,这是控制。治疗和主机因素可能的重要性进行了讨论。(C)2001爱思唯尔科技有限公司版权所有。
Marital differentials in survival from 12 common types of cancer are assessed by estimating a mixed additive-multiplicative hazard regression model on the basis of individual register and census data for the whole Norwegian population. These data cover the period 1960-91 and include more than 100,000 cancer deaths. The data and method make it possible to take into account the marital mortality differentialsin the absence of cancer. The excess all-cause mortality among cancer patients compared with similar persons without a cancer diagnosis is, on the whole, more than 15% higher for never-married men, never-married women and divorced men, than for the married of the same sex. Other previously married have an excess mortality elevated by about 7%. This protective effect of marriage is not due to stage, which is controlled for. The possible importance of treatment and host factors is discussed. (C) 2001 Elsevier Science Ltd. All rights reserved.