Marital status and cause-specific mortality : A population-based prospective cohort study in southern Sweden
(2024) In Preventive Medicine Reports 37.- Abstract
The aim was to investigate associations between marital status and mortality with a prospective cohort study design. A public health survey including adults aged 18–80 was conducted with a postal questionnaire in southern Sweden in 2008 (54.1% participation). The survey formed a baseline that was linked to 8.3-year follow-up all-cause, cardiovascular (CVD), cancer and other cause mortality. The present investigation entails 14,750 participants aged 45–80. Associations between marital status and mortality were investigated with multiple Cox-regression analyses. A 72.8% prevalence of respondents were married/cohabitating, 9.1% never married, 12.2% divorced and 5.9% widows/widowers. Marital status was associated with age, sex,... (More)
The aim was to investigate associations between marital status and mortality with a prospective cohort study design. A public health survey including adults aged 18–80 was conducted with a postal questionnaire in southern Sweden in 2008 (54.1% participation). The survey formed a baseline that was linked to 8.3-year follow-up all-cause, cardiovascular (CVD), cancer and other cause mortality. The present investigation entails 14,750 participants aged 45–80. Associations between marital status and mortality were investigated with multiple Cox-regression analyses. A 72.8% prevalence of respondents were married/cohabitating, 9.1% never married, 12.2% divorced and 5.9% widows/widowers. Marital status was associated with age, sex, socioeconomic status (SES) by occupation, country of birth, chronic disease, Body Mass Index (BMI), health-related behaviors and generalized trust covariates. Never married/single, divorced, and widowed men had significantly higher hazard rate ratios (HRRs) of all-cause mortality than the reference category married/cohabitating men throughout the multiple analyses. For men, CVD and other cause mortality showed similar significant results, but not cancer. No significant associations were displayed for women in the multiple analyses. Associations between marital status and mortality are stronger among men than women. Associations between marital status and cancer mortality are not statistically significant with low effect measures throughout the multiple analyses among both men and women.
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- author
- Lindström, Martin LU ; Pirouzifard, Mirnabi LU ; Rosvall, Maria LU and Fridh, Maria LU
- organization
- publishing date
- 2024-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Cancer mortality, Cardiovascular mortality, Generalized trust in other people, Health-related behaviors, Marital status, Mortality, Sweden
- in
- Preventive Medicine Reports
- volume
- 37
- article number
- 102542
- publisher
- Elsevier
- external identifiers
-
- pmid:38169998
- scopus:85180067431
- ISSN
- 2211-3355
- DOI
- 10.1016/j.pmedr.2023.102542
- language
- English
- LU publication?
- yes
- id
- 16524d50-082e-431d-ab4e-205770bd6718
- date added to LUP
- 2024-01-31 11:49:00
- date last changed
- 2024-04-17 00:03:20
@article{16524d50-082e-431d-ab4e-205770bd6718,
abstract = {{<p>The aim was to investigate associations between marital status and mortality with a prospective cohort study design. A public health survey including adults aged 18–80 was conducted with a postal questionnaire in southern Sweden in 2008 (54.1% participation). The survey formed a baseline that was linked to 8.3-year follow-up all-cause, cardiovascular (CVD), cancer and other cause mortality. The present investigation entails 14,750 participants aged 45–80. Associations between marital status and mortality were investigated with multiple Cox-regression analyses. A 72.8% prevalence of respondents were married/cohabitating, 9.1% never married, 12.2% divorced and 5.9% widows/widowers. Marital status was associated with age, sex, socioeconomic status (SES) by occupation, country of birth, chronic disease, Body Mass Index (BMI), health-related behaviors and generalized trust covariates. Never married/single, divorced, and widowed men had significantly higher hazard rate ratios (HRRs) of all-cause mortality than the reference category married/cohabitating men throughout the multiple analyses. For men, CVD and other cause mortality showed similar significant results, but not cancer. No significant associations were displayed for women in the multiple analyses. Associations between marital status and mortality are stronger among men than women. Associations between marital status and cancer mortality are not statistically significant with low effect measures throughout the multiple analyses among both men and women.</p>}},
author = {{Lindström, Martin and Pirouzifard, Mirnabi and Rosvall, Maria and Fridh, Maria}},
issn = {{2211-3355}},
keywords = {{Cancer mortality; Cardiovascular mortality; Generalized trust in other people; Health-related behaviors; Marital status; Mortality; Sweden}},
language = {{eng}},
publisher = {{Elsevier}},
series = {{Preventive Medicine Reports}},
title = {{Marital status and cause-specific mortality : A population-based prospective cohort study in southern Sweden}},
url = {{http://dx.doi.org/10.1016/j.pmedr.2023.102542}},
doi = {{10.1016/j.pmedr.2023.102542}},
volume = {{37}},
year = {{2024}},
}