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International Journal of Public Health Jun 2020We study the role of marital status and living arrangements in mortality among a 50+ population living in Europe by gender and welfare states. (Comparative Study)
Comparative Study
OBJECTIVES
We study the role of marital status and living arrangements in mortality among a 50+ population living in Europe by gender and welfare states.
METHODS
Using data from waves 4, 5, and 6 of the Survey of Health Age and Retirement in Europe (n = 54,171), we implemented Cox proportional hazard models by gender and age groups (50-64 and 65-84). We estimated pooled models and separated models for two regions representing different welfare states (South-East and North-West).
RESULTS
Among people aged 50-64, nonpartnered individuals (except never-married women) showed a higher mortality risk as compared with those partnered. Among the older population (65-84), divorce was associated with higher mortality among men, but not among women, and living with someone other than a partner was associated with higher mortality risk as compared to those partnered. In the South-East region living with a partner at ages 50-64 was associated with lower mortality.
CONCLUSIONS
Partnership and residential status are complementary for understanding the role of family dimensions in mortality. The presence of a partner is mortality protective, especially among 50-64-year-old men in South-East Europe.
Topics: Age Factors; Aged; Aged, 80 and over; Divorce; Europe; Female; Humans; Male; Marital Status; Middle Aged; Mortality; Residence Characteristics; Sex Factors; Single Person
PubMed: 32350551
DOI: 10.1007/s00038-020-01371-w -
Aging Jan 2022To study how marital status influences overall survival (OS) in patients with stage IA non-small cell lung cancer (NSCLC). And whether the result is valid in different...
OBJECTIVES
To study how marital status influences overall survival (OS) in patients with stage IA non-small cell lung cancer (NSCLC). And whether the result is valid in different time periods.
MATERIALS AND METHODS
We retrospectively analyzed 55,207 cases of stage IA NSCLC from 1995 to 2015 in the Surveillance, Epidemiology, and End Results (SEER) database. Marital status was classified as follows: married or with unmarried/domestic partner (MR/W.P), divorced or separated (DV/SP), widowed (WD), and single (never married). Patients diagnosed in 1995-2005 and 2006-2015 were analyzed separately as groups 1 and 2, respectively, to validate the results. Within each group, age-stratified demographic, clinicopathologic features, and OS were compared among different marital statuses.
RESULTS AND CONCLUSIONS
A total of 55,207 cases were included (group 1 n=20,223, group 2 n=34,984). From 1995-2005 to 2006-2015, median OS was prolonged significantly in all patients besides the DV/SP subgroup. In general, being MR/W.P was associated with the lowest relative risk of death in the study population (Group 1, HR= 0.854, 95%CI: 0.816-0.893; Group 2, HR = 0.799, 95%CI: 0.758-0.842). Meanwhile, OS of DV/SP and widowed patients was similar. In group 2, being single was associated with lower risk of death beyond 60-year-old.
Topics: Carcinoma, Non-Small-Cell Lung; Humans; Kaplan-Meier Estimate; Lung Neoplasms; Marital Status; Prognosis; Retrospective Studies; Risk Factors; SEER Program
PubMed: 35045398
DOI: 10.18632/aging.203838 -
American Journal of Alzheimer's Disease... Mar 2017Despite the prevalence of dementia among residents in assisted living (AL), few researchers have focused on the length of stay (LOS) in AL among this population. Little...
Despite the prevalence of dementia among residents in assisted living (AL), few researchers have focused on the length of stay (LOS) in AL among this population. Little is known about the factors that may contribute to LOS in these settings, particularly for residents with dementia. In the current study, a sub-set of AL residents with dementia (n = 112) was utilized to examine whether marital status was associated with LOS in AL as this has received sparse attention in previous research despite studies suggesting that marital status influences LOS in other health-care and long-term care settings. The Andersen-Newman behavioral model was used as a conceptual framework for the basis of this study of LOS, marital status, and dementia in AL. We hypothesized that persons with dementia who were married would have longer LOS than unmarried persons with dementia in AL. Cox regression was used to examine the association between marital status and LOS in AL of residents with dementia and whether activities of daily living were related to discharge from AL settings among married and unmarried residents with dementia. Main effects for marital status and the interaction between marital status and mobility with LOS were examined. Study findings provide information related to the psychosocial needs of AL residents with dementia and offer implications for assessing the on-going needs of vulnerable AL residents.
Topics: Activities of Daily Living; Aged; Aged, 80 and over; Assisted Living Facilities; Dementia; Female; Humans; Length of Stay; Male; Marital Status; Patient Discharge
PubMed: 28084096
DOI: 10.1177/1533317516688299 -
International Journal of Environmental... Mar 2023We evaluated whether the maternal marital status and father acknowledgement (proxy for paternal presence) affect birth weight, and if so, whether the maternal...
We evaluated whether the maternal marital status and father acknowledgement (proxy for paternal presence) affect birth weight, and if so, whether the maternal educational attainment modifies this effect. The growing tendency of alternative forms of family structure affects maternal well-being and pregnancy outcome. However, it is not known whether poorer birth outcomes of out-of-wedlock childbearing can be overcome or compensated by maternal education. Using birth registry data, we assessed the impact of maternal civil status and child recognition by the father on birth-weight-for-gestational age (BWGA) z-scores, with respect to maternal education, among Polish mothers (N = 53,528). After standardization, the effect of being unmarried with father acknowledgement (UM-F) vs. married with father acknowledgement (M-F) reduced the BWGA z-score of 0.05 ( < 0.001), irrespective of educational attainment ( for interaction = 0.79). However, education differentiated the effect of father acknowledgement across unmarried mothers. BWGA z-scores were significantly lower among the low-educated unmarried group without father acknowledgment (UM-NF) as compared to UM-F (equaled -0.11, = 0.01). The same effect among the higher-educated group was non-significant ( = 0.72). Higher maternal education can compensate for the negative effect of a lack of father acknowledgement, but it does not help to overcome the effect of out-of-wedlock stress exposure.
Topics: Female; Humans; Male; Pregnancy; Educational Status; Fathers; Marital Status; Mothers; Parturition; Infant, Newborn
PubMed: 36981777
DOI: 10.3390/ijerph20064868 -
Salud Colectiva Apr 2023This study sought to estimate the prevalence and distribution of newborns to mothers under age 18 in Ecuador and the association between perinatal indicators and...
This study sought to estimate the prevalence and distribution of newborns to mothers under age 18 in Ecuador and the association between perinatal indicators and maternal marital status. Newborn records obtained from Ecuador's Instituto Nacional de Estadísticas y Censos (INEC) between 2015 and 2020 were used to assess the joint association between maternal age groups (10-15, 16-17, 18-19, and 20-24 years) and marital status (married, common-law, and single) with low birthweight, preterm birth, and inadequate prenatal care. The prevalence of newborns to mothers under age 18 was 9.3% overall, but declined over the study period, drastically among married mothers. The association between marital status and perinatal indicators depended on maternal age. The more favorable outcomes observed among married mothers aged 20-24 years (compared to their single counterparts) weaken or disappear among mothers under age 18. Mothers in stable unions exhibited outcomes in between those of married and single mothers.
Topics: Child; Female; Humans; Infant, Newborn; Pregnancy; Ecuador; Marriage; Maternal Age; Mothers; Premature Birth; Adolescent; Young Adult
PubMed: 37311140
DOI: 10.18294/sc.2023.4325 -
Nursing Open Sep 2021This study aimed to provide comprehensive information about the core determinants of fertility intentions. (Review)
Review
AIM
This study aimed to provide comprehensive information about the core determinants of fertility intentions.
DESIGN
Systematic review.
METHODS
Ovid, MEDLINE, EMBASE, PsycINFO, CINAHL, Web of Science, SCOPUS and GOOGLE SCHOLAR were searched for the relevant articles published from 1946-December 2017. We updated our records by searching three computerized databases (Ovid MEDLINE, SCOPUS and WOS) from 2018-January 2021.
RESULTS
53 studies included in the qualitative synthesis. The results of some studies indicated the impact of demographic factors, physical and psychological health, happiness and child desire. The most frequent variables in a couple's mesosystem were marital status, parity, partnership satisfaction and gender role attitude. The mesosystem of childbearing intention also included family and peers network. The EXEO system of the ECSM includes certain variables, such as job characteristics, urban residence, housing condition. The macrosystem comprises cultural and societal principles with broader influences on the couple's system.
Topics: Child; Female; Fertility; Humans; Intention; Marital Status; Parity; Personal Satisfaction; Pregnancy
PubMed: 33705606
DOI: 10.1002/nop2.849 -
Scientific Reports Jun 2023This study aimed to investigate the association between marital status and the prognosis of patients with metastatic breast cancer (MBC). Data of patients with MBC were...
This study aimed to investigate the association between marital status and the prognosis of patients with metastatic breast cancer (MBC). Data of patients with MBC were obtained from the Surveillance, Epidemiology, and End Results (SEER) database. Patients were classified into married and unmarried groups. Kaplan-Meier analysis with the log-rank test was conducted to compare breast cancer-specific survival (BCSS) and overall survival (OS) between the groups. Univariable and multivariable Cox proportional models were used to determine whether marital status was independently associated with OS, and the Fine-Gray subdistribution hazard method was performed to determine whether marital status was independently associated with BCSS. In total, 16,513 patients with MBC were identified, including 8949 married (54.19%) and 7564 unmarried (45.81%) patients. The married patients were significantly younger [median age (interquartile range), 59.0 (50.0-68.0) vs. 63.0 (53.0-75.0); p < 0.001] and received more aggressive treatments, such as chemotherapy (p < 0.001) and surgery (p < 0.001), than the unmarried patients. Moreover, married patients had higher 5-year BCSS (42.64% vs. 33.17%, p < 0.0001) and OS (32.22% vs. 21.44%, p < 0.0001) rates. Multivariable analysis revealed that marital status was an independent prognostic factor, and married status was associated with a significant reduction in the risk of breast cancer-specific (sub-hazard ratio, 0.845; 95% confidence interval, 0.804-0.888; p < 0.001) and all-cause (hazard ratio, 0.810; 95% confidence interval, 0.777-0.844; p < 0.001) mortality. Unmarried patients had a 15.5% increased risk of breast cancer-specific mortality and a 19.0% increased risk of overall mortality compared with married patients with MBC. BCSS and OS were superior in married populations compared with unmarried populations in most subgroups. Marital status was an independent prognostic indicator for survival in patients with MBC and was associated with significant survival benefits.
Topics: Humans; Female; Breast Neoplasms; Marital Status; Prognosis; Proportional Hazards Models; Kaplan-Meier Estimate; SEER Program
PubMed: 37277464
DOI: 10.1038/s41598-023-36139-8 -
Medical Science Monitor : International... Sep 2018BACKGROUND Previous studies have shown that differences in marital status contribute to different prognoses for certain cancers, but the relationship between marital...
BACKGROUND Previous studies have shown that differences in marital status contribute to different prognoses for certain cancers, but the relationship between marital status and the prognosis of chondrosarcoma has not been reported previously. MATERIAL AND METHODS In this study, we selected 4502 eligible cases through the Surveillance, Epidemiology, and End Results (SEER) database from 1977 to 2014 to analyze the impact of marital status on chondrosarcoma cancer-specific survival (CSS) by Kaplan-Meier method and Cox regression model. RESULTS The sex, age, histotype, pathological grade, tumor location, tumor size, SEER stage, socioeconomic status, marital status, and treatment were identified as independent prognostic factors for chondrosarcoma CSS. Widowed patients presented the worst CSS compared with their married, divorced, and single counterparts (P<0.001). Subgroup analyses showed widowed patients also had a significantly higher risk of cancer-specific mortality compared with married patients in localized stage (HR: 1.971, 95% CI: 1.298-2.994, P=0.001), regional stage (HR: 1.535, 95% CI: 1.094-2.154, P=0.013), low pathological grade (HR: 1.866, 95% CI: 1.332-2.613, P<0.001), and high pathological grade (HR: 1.662, 95% CI: 1.139-2.426, P=0.008). CONCLUSIONS Marital status was first identified as an independent prognostic factor for chondrosarcoma CSS, and widowhood was always associated with a high risk of cancer-specific mortality. It is necessary to provide timely psychological treatment for widowed patients in clinical practice, which can improve the survival of chondrosarcoma patients.
Topics: Adult; Aged; Aged, 80 and over; Bone Neoplasms; Chondrosarcoma; Female; Humans; Kaplan-Meier Estimate; Male; Marital Status; Middle Aged; Prognosis; Regression Analysis; Retrospective Studies; Risk Factors; SEER Program; Survival Analysis; United States; Widowhood
PubMed: 30235178
DOI: 10.12659/MSM.911673 -
Population Health Metrics Jul 2021The presence and quality of social ties can influence suicide risk. In adulthood, the most common provider of such ties is one's partner. As such, the link between...
BACKGROUND
The presence and quality of social ties can influence suicide risk. In adulthood, the most common provider of such ties is one's partner. As such, the link between marital status and suicide is well-documented, with lower suicide risk among married. However, the association between marital status and educational level suggest that marriage is becoming a privilege of the better educated. The relationship between educational attainment and suicide is somewhat ambiguous, although several studies argue that there is higher suicide risk among the less educated. This means that unmarried with low education may concurrently experience several risk factors for suicide. However, in many cases, these associations apply to men only, making it unclear whether they also refer to women. We aim to investigate the association between marital status, educational attainment, and suicide risk, and whether these associations differ across sexes.
METHODS
Our data consist of Norwegian residents aged 35-54, between 1975 and 2014. Using personal identification-numbers, we linked information from various registers, and applied event history analysis to estimate suicide risk, and predicted probabilities for comparisons across sexes.
RESULTS
Overall, associations across sexes are quite similar, thus contradicting several previous studies. Married men and women have lower suicide risk than unmarried, and divorced and separated have significant higher odds of suicide than never married, regardless of sex. Low educational attainment inflates the risk for both sexes, but high educational attainment is only associated with lower risk among men. Being a parent is associated with lower suicide risk for both sexes.
CONCLUSIONS
Higher suicide risk among the divorced and separated points to suicide risk being associated with ceasing of social ties. This is the case for both sexes, and especially those with low educational attainment, which both healthcare professionals and people in general should be aware of in order to promote suicide prevention.
Topics: Adult; Educational Status; Female; Humans; Male; Marital Status; Marriage; Risk Factors; Suicide
PubMed: 34247635
DOI: 10.1186/s12963-021-00263-2 -
Behavioral Sleep Medicine 2022Poor sleep and different patterns of marital status among Hispanics/Latinos have been documented, yet the extent to which marital status is associated with sleep health...
Poor sleep and different patterns of marital status among Hispanics/Latinos have been documented, yet the extent to which marital status is associated with sleep health and the moderating role of gender in this association among Hispanics/Latinos is poorly understood.Demographic and sleep data were obtained from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL: = 16,415), an epidemiological cohort study, and the Sueño Study (= 2,252) that is an ancillary to HCHS/SOL. Sleep duration, insomnia symptoms, daytime sleepiness, napping, and snoring were self-reported and drawn from HCHS/SOL. Sleep efficiency, sleep fragmentation, and inter-day stability were objectively assessed in the Sueño Study.Complex sample analyses indicated that being married or cohabiting was associated with better sleep health in general, including having normal sleep duration, fewer insomnia symptoms, and higher sleep efficiency (> 2.804, < .044). These associations were more prominent in objectively measured sleep indices and among females.Findings suggest being in a committed relationship associated with better sleep health in Hispanics/Latinos in the US, a diverse and under-represented population. Findings may have implications for tailoring sleep health interventions to at-risk populations who may less likely to be in a committed relationship.
Topics: Cohort Studies; Female; Hispanic or Latino; Humans; Marital Status; Prevalence; Sleep; Sleep Initiation and Maintenance Disorders
PubMed: 34308745
DOI: 10.1080/15402002.2021.1953499