Marital history from age 15 to 40 years and subsequent 10-year mortality: a longitudinal study of Danish males born in 1953.

Rikke Lund; Bjørn Evald Holstein; Merete Osler

doi:10.1093/ije/dyh065

Marital history from age 15 to 40 years and subsequent 10-year mortality: a longitudinal study of Danish males born in 1953.

Rikke Lund, Bjørn Evald Holstein, Merete Osler

Institut for Folkesundhedsvidenskab

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

59 Citationer (Scopus)

Abstract

Udgivelsesdato: 2004-Apr

Originalsprog	Engelsk
Tidsskrift	International Journal of Epidemiology
Vol/bind	33
Udgave nummer	2
Sider (fra-til)	389-97
Antal sider	8
ISSN	0300-5771
DOI	https://doi.org/10.1093/ije/dyh065
Status	Udgivet - 2004

Bibliografisk note

Keywords: Adolescent; Adult; Age Factors; Denmark; Divorce; Humans; Longitudinal Studies; Male; Marital Status; Mortality; Proportional Hazards Models; Risk Factors; Time Factors; Widowhood

Adgang til dokumentet

10.1093/ije/dyh065

Citationsformater

@article{9277f4809b6511dd86a6000ea68e967b,

title = "Marital history from age 15 to 40 years and subsequent 10-year mortality: a longitudinal study of Danish males born in 1953.",

abstract = "BACKGROUND: The aims of the present study are to analyse the association between marital status at age 24, 29, 34, and 39 years and subsequent mortality in a cohort of men born in 1953 (sensitive period); to study the impact of number of years married, number of years divorced/widowed, and number of marital break-ups on mortality (cumulative effect), and to examine whether these effects were independent of marital status at age 39 (proximity effect). METHODS: Prospective birth cohort study with follow-up of mortality from 1992 to 2002. Participants were 10891 men born within the metropolitan area of Copenhagen, Denmark. Marital status in 1992 as well as start and termination of all previous marital status events from 1968 to 1992 were retrieved from the Danish Civil Registration System. MAIN OUTCOME MEASURES: Were hazard ratios (HR) for all-cause mortality from age 40 to 49 years. RESULTS: We found a strong protective effect of being married compared with never being married or divorced/widowed at every age. The association increased in strength with increasing age. Number of years divorced was associated with increased mortality risk in a dose-dependent manner at age 34 and 39 years. One or more marital break-ups was associated with higher mortality, whereas increasing number of years married was associated with lower mortality. Inclusion of current marital status attenuated the strength of the associations but most of them remained statistically significant. CONCLUSIONS: Marital status and cumulated marital periods, especially cumulated periods divorced/widowed are strong independent predictors of mortality among younger males.",

author = "Rikke Lund and Holstein, {Bj{\o}rn Evald} and Merete Osler",

note = "Keywords: Adolescent; Adult; Age Factors; Denmark; Divorce; Humans; Longitudinal Studies; Male; Marital Status; Mortality; Proportional Hazards Models; Risk Factors; Time Factors; Widowhood",

year = "2004",

doi = "10.1093/ije/dyh065",

language = "English",

volume = "33",

pages = "389--97",

journal = "International Journal of Epidemiology",

issn = "0300-5771",

publisher = "Oxford University Press",

number = "2",

}

TY - JOUR

T1 - Marital history from age 15 to 40 years and subsequent 10-year mortality: a longitudinal study of Danish males born in 1953.

AU - Lund, Rikke

AU - Holstein, Bjørn Evald

AU - Osler, Merete

N1 - Keywords: Adolescent; Adult; Age Factors; Denmark; Divorce; Humans; Longitudinal Studies; Male; Marital Status; Mortality; Proportional Hazards Models; Risk Factors; Time Factors; Widowhood

PY - 2004

Y1 - 2004

N2 - BACKGROUND: The aims of the present study are to analyse the association between marital status at age 24, 29, 34, and 39 years and subsequent mortality in a cohort of men born in 1953 (sensitive period); to study the impact of number of years married, number of years divorced/widowed, and number of marital break-ups on mortality (cumulative effect), and to examine whether these effects were independent of marital status at age 39 (proximity effect). METHODS: Prospective birth cohort study with follow-up of mortality from 1992 to 2002. Participants were 10891 men born within the metropolitan area of Copenhagen, Denmark. Marital status in 1992 as well as start and termination of all previous marital status events from 1968 to 1992 were retrieved from the Danish Civil Registration System. MAIN OUTCOME MEASURES: Were hazard ratios (HR) for all-cause mortality from age 40 to 49 years. RESULTS: We found a strong protective effect of being married compared with never being married or divorced/widowed at every age. The association increased in strength with increasing age. Number of years divorced was associated with increased mortality risk in a dose-dependent manner at age 34 and 39 years. One or more marital break-ups was associated with higher mortality, whereas increasing number of years married was associated with lower mortality. Inclusion of current marital status attenuated the strength of the associations but most of them remained statistically significant. CONCLUSIONS: Marital status and cumulated marital periods, especially cumulated periods divorced/widowed are strong independent predictors of mortality among younger males.

AB - BACKGROUND: The aims of the present study are to analyse the association between marital status at age 24, 29, 34, and 39 years and subsequent mortality in a cohort of men born in 1953 (sensitive period); to study the impact of number of years married, number of years divorced/widowed, and number of marital break-ups on mortality (cumulative effect), and to examine whether these effects were independent of marital status at age 39 (proximity effect). METHODS: Prospective birth cohort study with follow-up of mortality from 1992 to 2002. Participants were 10891 men born within the metropolitan area of Copenhagen, Denmark. Marital status in 1992 as well as start and termination of all previous marital status events from 1968 to 1992 were retrieved from the Danish Civil Registration System. MAIN OUTCOME MEASURES: Were hazard ratios (HR) for all-cause mortality from age 40 to 49 years. RESULTS: We found a strong protective effect of being married compared with never being married or divorced/widowed at every age. The association increased in strength with increasing age. Number of years divorced was associated with increased mortality risk in a dose-dependent manner at age 34 and 39 years. One or more marital break-ups was associated with higher mortality, whereas increasing number of years married was associated with lower mortality. Inclusion of current marital status attenuated the strength of the associations but most of them remained statistically significant. CONCLUSIONS: Marital status and cumulated marital periods, especially cumulated periods divorced/widowed are strong independent predictors of mortality among younger males.

U2 - 10.1093/ije/dyh065

DO - 10.1093/ije/dyh065

M3 - Journal article

C2 - 15082647

VL - 33

SP - 389

EP - 397

JO - International Journal of Epidemiology

JF - International Journal of Epidemiology

SN - 0300-5771

IS - 2

ER -