Do education and income buffer the effects of death of spouse on mortality?
Do education and income buffer the effects of death of spouse on mortality?
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DOI：
10.1097/00001648-199809000-00010
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发表时间：
1998-09-01
期刊：
影响因子：
5.4
通讯作者：
Valkonen, T
中科院分区：
文献类型：
--
作者：
Martikainen, P;Valkonen, T
在本文中，我们估计的影响，死亡的配偶对死亡的幸存者在不同的教育和收入组。这些社会经济资源可以缓冲失去配偶的压力生活事件的有害影响。这些数据来自一项针对所有35至74岁芬兰已婚人士死亡率的前瞻性研究。通过与1986-1991年死亡证明登记册的记录联系建立了后续行动（约86，000人死亡，其中近5，500人是死者家属）。配偶死亡后的相对死亡率在不同的教育和收入群体中大致相似。然而，在社会阶层的低端，丧亲者和非丧亲者之间死亡率的绝对差异更大。这一模式适用于四大类死亡：男女和两个年龄组（35-64岁和65-74岁）。社会经济资源对配偶死亡影响的缓冲程度取决于是以比率差异还是比率比率来评估。然而，无论选择何种衡量标准，丧亲之痛的影响在本研究分析的所有社会经济群体中都存在。此外，由于死亡率的绝对水平很高，配偶死亡后死亡率过高的负担在社会较低阶层中更重。
In this paper, we estimate the effects of the death of a spouse on the mortality of the survivor in different education and income groups. These socioeconomic resources may buffer the harmful effects of the stressful life event of the loss of one's spouse. The data come from a prospective study of mortality among all 35- to 74-year-old married Finnish persons. Follow-up was established by record linkage to death certificate registers for 1986-1991 (about 86,000 deaths, of which almost 5,500 occurred among the bereaved). The relative mortality after the death of one's spouse was broadly similar in different education and income groups. Absolute differences in mortality rates between bereaved and nonbereaved persons were larger in the lower end of the social spectrum, however. This pattern held for four broad categories of death: both sexes and two age groups (35-64 years and 65-74 years). The degree to which socioeconomic resources buffer the effects of death of spouse depends on whether it is assessed in terms of rate differences or rate ratios. Nevertheless, regardless of measure ment choice, the effects of bereavement: exist in all socioeconomic groups analyzed in this study. Furthermore, because of the high absolute level of mortality, the burden of excess mortality experienced after the death of one's spouse is heavier in the lower social strata.