糟糕的婚姻会导致心碎吗？老年人婚姻质量与心血管风险之间关联的年龄和性别差异。
Bad marriage, broken heart? Age and gender differences in the link between marital quality and cardiovascular risks among older adults.
作者信息
Liu Hui, Waite Linda
机构信息
Department of Sociology, Michigan State University, East Lansing, MI, USA
Department of Sociology & NORC, University of Chicago, Chicago, IL, USA.
出版信息
J Health Soc Behav. 2014 Dec;55(4):403-23. doi: 10.1177/0022146514556893.
Working from a life course perspective, we develop hypotheses about age and gender differences in the link between marital quality and cardiovascular risk and test them using data from the first two waves of the National Social Life, Health, and Aging Project. The analytic sample includes 459 married women and 739 married men (aged 57-85 in the first wave) who were interviewed in both waves. We apply Heckman-type corrections for selection bias due to mortality and marriage. Cardiovascular risk is measured as hypertension, rapid heart rate, C-reactive protein, and general cardiovascular events. Results suggest that changes in marital quality and cardiovascular risk are more closely related for older married people than for their younger counterparts and that the link between marital quality and cardiovascular risk is more pronounced among women than among men at older ages. These findings fit with the gendered life course perspective and cumulative disadvantage framework.
从生命历程的角度出发，我们提出了关于婚姻质量与心血管风险之间联系的年龄和性别差异的假设，并使用来自全国社会生活、健康与老龄化项目前两波的数据对其进行检验。分析样本包括459名已婚女性和739名已婚男性（第一波调查时年龄在57 - 85岁之间），他们在两波调查中均接受了访谈。我们对因死亡率和婚姻导致的选择偏差应用了赫克曼类型的校正方法。心血管风险通过高血压、心率过快、C反应蛋白和一般心血管事件来衡量。结果表明，与年轻已婚者相比，年长已婚者的婚姻质量变化与心血管风险之间的关系更为密切，并且在老年阶段，婚姻质量与心血管风险之间的联系在女性中比在男性中更为明显。这些发现符合性别化生命历程视角和累积劣势框架。
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