Kalediene R, Petrauskiene J, Starkuviene S
Department of Social Medicine, Faculty of Public Health, Kaunas University of Medicine, A. Mickevicius St 9, LT-44307 Kaunas, Lithuania.
Public Health. 2007 May;121(5):385-92. doi: 10.1016/j.puhe.2006.09.026. Epub 2007 Mar 2.
To analyse the changes in mortality inequalities by marital status over the period of socio-economic transition in Lithuania and to estimate the contribution of major causes of death to marital-status differences in overall mortality.
A survey based on routine mortality statistics and census data for 1989 and 2001 for the entire country.
The proportion of married population has declined over the past decade. Widowed men and never married women were found to be at highest risk of mortality throughout the period under investigation. Although inequalities have not grown considerably, mortality rates have increased significantly for divorced populations and for never married men, widening the mortality gap. Cardiovascular diseases contributed most to excess mortality of never married and divorced men, as well as all unmarried groups of women. The excess mortality of widowed men from external causes was greatest in 2001.
Marriage can be considered as a health protecting factor, particularly in relation to mortality from cardiovascular diseases and external causes. Local and national policies aimed at health promotion must focus primarily on improving the position of unmarried groups and providing psychological support.
分析立陶宛社会经济转型期间按婚姻状况划分的死亡率不平等变化情况，并估计主要死因对总体死亡率中婚姻状况差异的贡献。
基于1989年和2001年全国常规死亡率统计数据和人口普查数据进行调查。
在过去十年中，已婚人口比例有所下降。在整个调查期间，丧偶男性和从未结婚的女性被发现死亡率风险最高。尽管不平等现象没有大幅增加，但离婚人群和从未结婚男性的死亡率显著上升。扩大了死亡率差距。心血管疾病是从未结婚和离婚男性以及所有未婚女性群体超额死亡率的主要原因。2001年，丧偶男性因外部原因导致的超额死亡率最高。
婚姻可被视为一种健康保护因素，特别是在心血管疾病和外部原因导致的死亡率方面。旨在促进健康的地方和国家政策必须主要关注改善未婚群体的状况并提供心理支持。
