婚姻状况与 5 年死亡率：一项基于人群的前瞻性队列研究。
Marital status and 5-year mortality: A population-based prospective cohort study.
机构信息
Social Medicine and Health Policy, Department of Clinical Sciences in Malmö, Lund University, S-205 02 Malmö, Sweden.
Social Medicine and Health Policy, Department of Clinical Sciences in Malmö, Lund University, S-205 02 Malmö, Sweden; Department of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Sweden.
出版信息
Public Health. 2019 May;170:45-48. doi: 10.1016/j.puhe.2019.02.015. Epub 2019 Mar 28.
OBJECTIVES
The aim was to investigate the association between baseline marital status and mortality using survival (Cox-regression) analysis.
STUDY DESIGN
This is a prospective cohort study.
METHODS
The public health survey by Scania in 2008 was linked to the Swedish cause of death register. This prospective cohort study includes 12,245 men and 14,969 women aged 18-80 years, and 538 men and 362 women of them died during the 5.3-year follow-up.
RESULTS
Unmarried, divorced, and widowed men had significantly higher hazard rate ratios (HRRs) of all-cause mortality than married/cohabitating men. For women, the HRRs of these groups did not significantly differ from those of the married/cohabitating reference group.
CONCLUSIONS
The results are in accordance with a previous study that only compared those living alone with those cohabitating.
目的
本研究旨在通过生存（Cox 回归）分析，探讨基线婚姻状况与死亡率之间的关系。
研究设计
这是一项前瞻性队列研究。
方法
本研究将 2008 年瑞典斯科讷公共卫生调查与瑞典死因登记处进行了关联。该前瞻性队列研究纳入了 12245 名 18-80 岁男性和 14969 名女性，其中 538 名男性和 362 名女性在 5.3 年的随访期间死亡。
结果
与已婚/同居男性相比，未婚、离异和丧偶男性的全因死亡率的危险比（HRR）显著更高。对于女性，这些组的 HRR 与已婚/同居参考组没有显著差异。
结论
这些结果与之前仅比较独居和同居人群的研究结果一致。
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