婚姻对动态社会中死亡率的保护作用。

The protective effect of marriage on mortality in a dynamic society.

作者信息

Jaffe Dena H, Manor Orly, Eisenbach Zvi, Neumark Yehuda D

机构信息

Braun School of Public Health and Community Medicine, Hebrew University - Hadassah, Jerusalem, Israel.

出版信息

Ann Epidemiol. 2007 Jul;17(7):540-7. doi: 10.1016/j.annepidem.2006.12.006. Epub 2007 Apr 16.

DOI:10.1016/j.annepidem.2006.12.006

PMID:17434751

Abstract

PURPOSE

We sought to assess whether the protective effect of marriage on overall and cause-specific mortality has changed over time in a dynamic society.

METHODS

Data from the census-based Israel Longitudinal Studies (ILMS) I (1983-1992) and II (1995-2004) were analyzed. Cox proportional hazard modeling adjusting for sociodemographic factors was applied to 152,150 and 209,125 individuals, ages 45-89 years from the ILMS I and II, respectively. During each study period 31,749 (ILMS I) and 37,656 (ILMS II) deaths were reported.

RESULTS

Mortality inequalities by marital status remained significant and widened over time for middle-aged and elderly men and women. Changes in cause-specific mortality indicated a widening of cardiovascular disease mortality inequalities by marital status. An increasing trend was also noted for deaths from cancer (+25%) and other causes (+38%, p < 0.05) in middle-aged men, but not women (cancer = 0%; other causes = -3%).

CONCLUSIONS

The stronger beneficial effect of marriage over time may reflect societal changes that have differentially affected men and women.

摘要

目的

我们试图评估在一个动态变化的社会中，婚姻对总体死亡率和特定病因死亡率的保护作用是否随时间发生了变化。

方法

分析了基于人口普查的以色列纵向研究（ILMS）I（1983 - 1992年）和II（1995 - 2004年）的数据。对分别来自ILMS I和II的152,150名和209,125名年龄在45 - 89岁的个体应用了调整社会人口学因素的Cox比例风险模型。在每个研究期间，分别报告了31,749例（ILMS I）和37,656例（ILMS II）死亡病例。

结果

婚姻状况导致的死亡率不平等仍然显著，并且随着时间推移，中年和老年男性及女性的这种不平等都有所加剧。特定病因死亡率的变化表明，婚姻状况导致的心血管疾病死亡率不平等在扩大。中年男性因癌症死亡（+25%）和其他原因死亡（+38%，p < 0.05）也呈现上升趋势，但中年女性没有（癌症 = 0%；其他原因 = -3%）。