EPSRC Care Life Cycle, Social Sciences, University of Southampton, Southampton, UK.
Maturitas. 2012 Dec;73(4):295-9. doi: 10.1016/j.maturitas.2012.08.007. Epub 2012 Sep 21.
Marital status and living arrangements, along with changes in these in mid-life and older ages, have implications for an individual's health and mortality. Literature on health and mortality by marital status has consistently identified that unmarried individuals generally report poorer health and have a higher mortality risk than their married counterparts, with men being particularly affected in this respect. With evidence of increasing changes in partnership and living arrangements in older ages, with rising divorce amongst younger cohorts offsetting the lower risk of widowhood, it is important to consider the implications of such changes for health in later life. Within research which has examined changes in marital status and living arrangements in later life a key distinction has been between work using cross-sectional data and that which has used longitudinal data. In this context, two key debates have been the focus of research; firstly, research pointing to a possible selection of less healthy individuals into singlehood, separation or divorce, while the second debate relates to the extent to which an individual's transitions earlier in the life course in terms of marital status and living arrangements have a differential impact on their health and mortality compared with transitions over shorter time periods. After reviewing the relevant literature, this paper argues that in order to fully account for changes in living arrangements as a determinant of health and mortality transitions, future research will increasingly need to consider a longer perspective and take into account transitions in living arrangements throughout an individual's life course rather than simply focussing at one stage of the life course.
婚姻状况和生活安排,以及中年和老年时期这些状况的变化,对个人的健康和死亡率都有影响。关于婚姻状况和健康与死亡率的文献一直表明,未婚者通常报告的健康状况较差,死亡风险高于已婚者,而男性在这方面受影响尤为明显。随着老年时期伴侣关系和生活安排的不断变化,以及年轻一代离婚率的上升抵消了丧偶风险的降低,因此,有必要考虑这些变化对晚年健康的影响。在研究晚年婚姻状况和生活安排变化的研究中,一个关键的区别是使用横断面数据和使用纵向数据的研究。在这种情况下,有两个关键的争论点是研究的焦点:首先,研究指出,可能有一些健康状况较差的人选择单身、分居或离婚;其次,争论的焦点是,与在较短时间内的过渡相比,一个人在生命历程早期的婚姻状况和生活安排的过渡对其健康和死亡率的影响程度有何不同。在回顾了相关文献之后,本文认为,为了充分说明生活安排的变化作为健康和死亡率转变的决定因素,未来的研究将越来越需要从更长远的角度考虑,并考虑到个人整个生命历程中的生活安排的转变,而不仅仅是关注生命历程的一个阶段。