Discordant and Concordant Alcohol Use in Spouses as Predictors of Marital Dissolution in the General Population: Results from the Hunt Study
Discordant and Concordant Alcohol Use in Spouses as Predictors of Marital Dissolution in the General Population: Results from the Hunt Study
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DOI：
10.1111/acer.12029
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发表时间：
2013-05-01
影响因子：
3.2
通讯作者：
Tambs, Kristian
中科院分区：
文献类型：
--
作者：
Torvik, Fartein A.;Roysamb, Espen;Tambs, Kristian
背景以前的研究表明，大量饮酒是离婚的预测因素。然而，缺乏来自配偶双方的前瞻性数据的研究。因此，丈夫饮酒对妻子的影响以及夫妻一致饮酒对不一致饮酒的影响是未知的。一致饮酒可能会导致离婚率上升，因为大量饮酒的恶性影响是以双倍剂量经历的;或者，由于伴侣的相容性，它可能会导致婚姻的稳定。方法挪威一个县的所有居民被邀请参加一项健康研究。我们确定了19,977对夫妻双方都参加的已婚夫妇。受访者提供了关于酒精使用和精神困扰的信息。采用生存分析法研究未来15年离婚的风险。人口统计学和精神痛苦被用作协变量。结果：男性（风险比[HR]=1.39）和女性（HR=1.41）的大量饮酒增加了未来婚姻破裂的风险，即使在调整了人口统计学（参考组轻度饮酒者）之后。当只有丈夫酗酒时，离婚风险比为1.51，而当只有妻子酗酒时，离婚风险比为3.07。此外，还存在很强的相互作用效应：与综合主要效应预期的风险相比，一致的戒酒者（HR=0.40）和一致的酗酒者（HR=0.35）的离婚风险较低。然而，有2个重度饮酒者的夫妇（HR=1.63）离婚的风险高于有2个轻度饮酒者的夫妇。结论饮酒水平和饮酒相容性是婚姻解体的重要预测因素。
Background Previous studies have demonstrated that high alcohol consumption is a predictor of divorce. However, there is a lack of studies with prospective data from both spouses. The effects of drinking among husbands versus wives and of concordant versus discordant drinking in couples are therefore unknown. Concordant drinking may lead to increased divorce rates because the malignant effects of heavy drinking are experienced in double doses; alternatively it may lead to marital stability due to partner compatibility. Methods All inhabitants in a Norwegian county were invited to participate in a health study. We identified 19,977 married couples where both spouses participated. Respondents provided information on alcohol use and mental distress. Survival analysis was applied to study the risk of divorce over the next 15years. Demographics and mental distress were used as covariates. Results Heavy drinking among men (hazard ratio [HR]=1.39) and women (HR=1.41) increased the risk of future marital dissolution, even after adjusting for demography (reference group light drinkers). The HR for divorce was 1.51 when only the husband was a heavy drinker, while it was 3.07 when only the wife was a heavy drinker. Moreover, there were strong interaction effects: concordant abstainers (HR=0.40) and concordant heavy drinkers (HR=0.35) had lower risks of divorce compared to the risk expected from combining the main effects. Nevertheless, couples with 2 heavy drinkers (HR=1.63) had higher risk of divorce than couples with 2 light drinkers. Conclusions This study demonstrated that both the level of alcohol use and compatibility in alcohol use are important predictors of marital dissolution.