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Marital status and 5-year mortality: A population-based prospective cohort study
1Social Medicine and Health Policy, Department of Clinical Sciences in Malmö, Lund University, S-205 02 Malmö, Sweden.
Public Health
|April 1, 2019
Summary
Marital status impacts mortality risk. Unmarried, divorced, or widowed men face higher all-cause mortality, while women
Area of Science:
- Public Health
- Epidemiology
- Sociology
Background:
- Marital status is a known social determinant of health.
- Previous research suggests a link between marital status and mortality, but findings vary by sex.
Purpose of the Study:
- To examine the association between baseline marital status and all-cause mortality.
- To investigate sex-specific differences in this association using survival analysis.
Main Methods:
- Prospective cohort study design.
- Utilized data from the 2008 Scania public health survey linked to the Swedish cause of death register.
- Included 12,245 men and 14,969 women aged 18-80 years, with a 5.3-year follow-up period.
Main Results:
- Unmarried, divorced, and widowed men exhibited significantly higher hazard rate ratios (HRRs) for all-cause mortality compared to married/cohabitating men.
- For women, no significant differences in HRRs for all-cause mortality were observed across marital status groups compared to the married/cohabitating reference group.
Conclusions:
- Baseline marital status is independently associated with all-cause mortality in men, but not in women.
- Findings align with prior studies focusing on living arrangements and mortality.
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