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鳏寡和死亡率:性别、种族/民族以及经济资源的作用。

Widowhood and mortality: gender, race/ethnicity, and the role of economic resources.

机构信息

Department of Sociology, Michigan State University, East Lansing.

Department of Sociology and Population Research Center, The University of Texas at Austin, Austin.

出版信息

Ann Epidemiol. 2020 May;45:69-75.e1. doi: 10.1016/j.annepidem.2020.02.006. Epub 2020 Apr 8.

Abstract

PURPOSE

We examine widowhood effects on mortality across gender and race-ethnicity, with attention to variation in the mediating role of economic resources.

METHODS

Data were drawn from the Health and Retirement Study (1992-2016). The analytic sample included 34,777 respondents aged 51 years and older who contributed 208,470 person-period records. Discrete-time hazard models were estimated to predict the odds of death among white men, black men, Hispanic men, white women, black women, and Hispanic women separately. The Karlson-Holm-Breen analysis was conducted to examine the mediating role of economic resources across groups.

RESULTS

Across all gender and racial-ethnic subgroups, widowhood effects on mortality were largest for Hispanic men. Black women and Hispanic women also suffered stronger effects of widowhood on mortality than white women. For both men and women, economic resources were an important pathway through which widowhood increased mortality risk for whites and blacks but not for Hispanics.

CONCLUSIONS

Findings highlight that gender and race-ethnicity intersect with widowhood status to disadvantage some groups more than others. It is important to explore the complex pathways that contribute to the higher mortality risk of racial-ethnic minorities, especially Hispanic men, after widowhood so that effective interventions can be implemented to reduce those risks.

摘要

目的

我们考察了性别和种族对丧偶效应的影响,并关注经济资源在其中的中介作用的变化。

方法

数据来自健康与退休研究(1992-2016 年)。分析样本包括 34777 名年龄在 51 岁及以上的受访者,他们提供了 208470 个人时期的记录。采用离散时间风险模型来预测白人男性、黑人男性、西班牙裔男性、白人女性、黑人女性和西班牙裔女性的死亡几率。卡尔森-霍尔姆-布林分析用于检验各组经济资源的中介作用。

结果

在所有性别和种族群体中,丧偶对西班牙裔男性死亡率的影响最大。丧偶对黑人和西班牙裔女性的死亡率影响也大于对白人女性的影响。对于男性和女性来说,经济资源是丧偶增加白人及黑人死亡率风险的一个重要途径,但对西班牙裔人则不是。

结论

研究结果强调了性别和种族与丧偶状况相互作用,使一些群体比其他群体处于更不利的地位。探索导致少数族裔,特别是西班牙裔男性丧偶后死亡率风险更高的复杂途径非常重要,以便实施有效的干预措施来降低这些风险。

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