Mending Broken Hearts: Marriage and Survival Following Cardiac Surgery
Mending Broken Hearts: Marriage and Survival Following Cardiac Surgery
复制标题
DOI：
10.1177/0022146511432342
复制
发表时间：
2012-03-01
影响因子：
5
通讯作者：
Contrada, Richard J.
中科院分区：
文献类型：
--
作者：
Idler, Ellen L.;Boulifard, David A.;Contrada, Richard J.
在人口和临床研究中，婚姻长期以来一直与降低成人死亡率风险相关。在接受心脏手术的患者区域样本 (n = 569) 中，我们使用医疗记录和社会心理访谈数据，比较了已婚人士与丧偶、分居或离婚以及从未结婚者的 5 年死亡率风险。调整人口统计数据和手术前后的健康状况后，未婚者的死亡风险是已婚者的 1.90 倍；丧偶、从未结过婚、离婚或分居的群体也面临着类似的危险，男性和女性也是如此。术后立即死亡的调整后风险为 3.33；长期死亡率的调整后风险为 1.71，这是由已婚人士较低的吸烟率介导的。研究结果强调了配偶（男性和女性）在健康危机期间的照顾作用以及对健康行为的社会控制。
Marriage has long been linked to lower risk for adult mortality in population and clinical studies. In a regional sample of patients (n = 569) undergoing cardiac surgery, we compared 5-year hazards of mortality for married persons with those of widowed, separated or divorced, and never married persons using data from medical records and psychosocial interviews. After adjusting for demographics and pre- and postsurgical health, unmarried persons had 1.90 times the hazard of mortality of married persons; the disaggregated widowed, never married, and divorced or separated groups had similar hazards, as did men and women. The adjusted hazard for immediate postsurgical mortality was 3.33; the adjusted hazard for long-term mortality was 1.71, and this was mediated by married persons' lower smoking rates. The findings underscore the role of spouses (both male and female) in caregiving during health crises and the social control of health behaviors.