婚姻状况和因特定原因的死亡率:瑞典南部基于人口的前性队列研究
Martin Lindström1, Mirnabi Pirouzifard1, Maria Rosvall1,2
1Social Medicine and Health Policy, Department of Clinical Sciences in Malmö and Centre for Primary Health Care Research, Lund University, S-205 02 Malmö, Sweden.
Preventive medicine reports
|January 3, 2024
概括
婚姻状况显著影响男性的死亡风险,单身,离婚或丧偶的人面临更高的全因,心血管和其他原因死亡率. 对于女性来说,没有发现任何显著的关联.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 婚姻状况是健康的重要社会决定因素.
- 以前的研究表明,婚姻状况和健康结果之间存在不同的关联.
- 了解这些关联对于公共卫生干预至关重要.
研究的目的:
- 调查婚姻状况与全因,心血管疾病 (CVD),癌症和其他原因死亡率之间的潜在关联.
- 检查婚姻状况与死亡率之间的关系中的潜在性别差异.
主要方法:
- 2008年使用来自瑞典南部的邮政问卷设计的前性队列研究.
- 包括14,750名年龄在45-80岁之间的参与者,并对死亡率数据进行了8.3年的随访.
- 采用多个考克斯回归分析来评估关联,并根据年龄,性别,社会经济地位 (SES) 和健康行为等共变量进行调整.
主要成果:
- 与已婚/同居男性相比,从未结婚/单身,离婚和丧偶的男性在所有原因的死亡率上表现出明显更高的危险率比率 (HRR).
- 对于男性的CVD和其他原因死亡率观察到类似的显著关联,但对于癌症死亡率没有.
- 在多项分析中,没有发现女性的婚姻状况和死亡率之间的统计学意义上的关联.
结论:
- 婚姻状况是死亡率的重要预测因素,特别是在男性中.
- 婚姻状况与死亡风险之间的关联在男性中比女性更为强烈.
- 癌症死亡率在两性中都没有显示出与婚姻状况的统计学意义上的关联.
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