Marital status and mortality among middle age and elderly men and women in urban Shanghai.

<h4>Background</h4>Previous studies have suggested that marital status is associated with mortality, but few studies have been conducted in China where increasing aging population and divorce rates may have major impact on health and total mortality.<h4>Methods</h4>We examine...

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Autores principales: Puthiery Va, Wan-Shui Yang, Sarah Nechuta, Wong-Ho Chow, Hui Cai, Gong Yang, Shan Gao, Yu-Tang Gao, Wei Zheng, Xiao-Ou Shu, Yong-Bing Xiang
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Publicado: Public Library of Science (PLoS) 2011
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Acceso en línea:https://doaj.org/article/b734afb89e624ff49500354dffa2b3a3
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spelling oai:doaj.org-article:b734afb89e624ff49500354dffa2b3a32021-11-18T07:35:12ZMarital status and mortality among middle age and elderly men and women in urban Shanghai.1932-620310.1371/journal.pone.0026600https://doaj.org/article/b734afb89e624ff49500354dffa2b3a32011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22073174/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Previous studies have suggested that marital status is associated with mortality, but few studies have been conducted in China where increasing aging population and divorce rates may have major impact on health and total mortality.<h4>Methods</h4>We examined the association of marital status with mortality using data from the Shanghai Women's Health Study (1996-2009) and Shanghai Men's Health Study (2002-2009), two population-based cohort studies of 74,942 women aged 40-70 years and 61,500 men aged 40-74 years at the study enrollment. Deaths were identified by biennial home visits and record linkage with the vital statistics registry. Marital status was categorized as married, never married, divorced, widowed, and all unmarried categories combined. Cox regression models were used to derive hazard ratios (HR) and 95% confidence interval (CI).<h4>Results</h4>Unmarried and widowed women had an increased all-cause HR = 1.11, 95% CI: 1.03, 1.21 and HR = 1.10, 95% CI: 1.02, 1.20 respectively) and cancer (HR = 1.17, 95% CI: 1.04, 1.32 and HR = 1.18, 95% CI: 1.04, 1.34 respectively) mortality. Never married women had excess all-cause mortality (HR = 1.46, 95% CI: 1.03, 2.09). Divorce was associated with elevated cardiovascular disease (CVD) mortality in women (HR = 1.47, 95% CI: 1.01, 2.13) and elevated all-cause mortality (HR = 2.45, 95% CI: 1.55, 3.86) in men. Amongst men, not being married was associated with excess all-cause (HR = 1.45, 95% CI: 1.12, 1.88) and CVD (HR = 1.65, 95% CI: 1.07, 2.54) mortality.<h4>Conclusions</h4>Marriage is associated with decreased all cause mortality and CVD mortality, in particular, among both Chinese men and women.Puthiery VaWan-Shui YangSarah NechutaWong-Ho ChowHui CaiGong YangShan GaoYu-Tang GaoWei ZhengXiao-Ou ShuYong-Bing XiangPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 11, p e26600 (2011)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Puthiery Va
Wan-Shui Yang
Sarah Nechuta
Wong-Ho Chow
Hui Cai
Gong Yang
Shan Gao
Yu-Tang Gao
Wei Zheng
Xiao-Ou Shu
Yong-Bing Xiang
Marital status and mortality among middle age and elderly men and women in urban Shanghai.
description <h4>Background</h4>Previous studies have suggested that marital status is associated with mortality, but few studies have been conducted in China where increasing aging population and divorce rates may have major impact on health and total mortality.<h4>Methods</h4>We examined the association of marital status with mortality using data from the Shanghai Women's Health Study (1996-2009) and Shanghai Men's Health Study (2002-2009), two population-based cohort studies of 74,942 women aged 40-70 years and 61,500 men aged 40-74 years at the study enrollment. Deaths were identified by biennial home visits and record linkage with the vital statistics registry. Marital status was categorized as married, never married, divorced, widowed, and all unmarried categories combined. Cox regression models were used to derive hazard ratios (HR) and 95% confidence interval (CI).<h4>Results</h4>Unmarried and widowed women had an increased all-cause HR = 1.11, 95% CI: 1.03, 1.21 and HR = 1.10, 95% CI: 1.02, 1.20 respectively) and cancer (HR = 1.17, 95% CI: 1.04, 1.32 and HR = 1.18, 95% CI: 1.04, 1.34 respectively) mortality. Never married women had excess all-cause mortality (HR = 1.46, 95% CI: 1.03, 2.09). Divorce was associated with elevated cardiovascular disease (CVD) mortality in women (HR = 1.47, 95% CI: 1.01, 2.13) and elevated all-cause mortality (HR = 2.45, 95% CI: 1.55, 3.86) in men. Amongst men, not being married was associated with excess all-cause (HR = 1.45, 95% CI: 1.12, 1.88) and CVD (HR = 1.65, 95% CI: 1.07, 2.54) mortality.<h4>Conclusions</h4>Marriage is associated with decreased all cause mortality and CVD mortality, in particular, among both Chinese men and women.
format article
author Puthiery Va
Wan-Shui Yang
Sarah Nechuta
Wong-Ho Chow
Hui Cai
Gong Yang
Shan Gao
Yu-Tang Gao
Wei Zheng
Xiao-Ou Shu
Yong-Bing Xiang
author_facet Puthiery Va
Wan-Shui Yang
Sarah Nechuta
Wong-Ho Chow
Hui Cai
Gong Yang
Shan Gao
Yu-Tang Gao
Wei Zheng
Xiao-Ou Shu
Yong-Bing Xiang
author_sort Puthiery Va
title Marital status and mortality among middle age and elderly men and women in urban Shanghai.
title_short Marital status and mortality among middle age and elderly men and women in urban Shanghai.
title_full Marital status and mortality among middle age and elderly men and women in urban Shanghai.
title_fullStr Marital status and mortality among middle age and elderly men and women in urban Shanghai.
title_full_unstemmed Marital status and mortality among middle age and elderly men and women in urban Shanghai.
title_sort marital status and mortality among middle age and elderly men and women in urban shanghai.
publisher Public Library of Science (PLoS)
publishDate 2011
url https://doaj.org/article/b734afb89e624ff49500354dffa2b3a3
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