Demography Unit, Strandgatan 2, Åbo Akademi University, 65100 Vasa, Finland.
Department of Economic History, Lund University, 22007 Lund, Sweden.
Int J Environ Res Public Health. 2021 Dec 22;19(1):73. doi: 10.3390/ijerph19010073.
The literature on health dependencies among partners typically ignores diversity of partnership characteristics. One salient example is the ethnic composition. We extend prior work on partnerships and health by investigating how married and cohabiting partners mutually influence each other's receipt of health-related benefits, focusing on how such correlations vary with the couple's ethnic composition. We study partners' mutual receipt of sickness allowance and disability pension in ethnically endogamous and exogamous couples in Finland. The population consists of native individuals in similar socioeconomic positions but belonging to two different ethnic groups-Finnish and Swedish speakers-who differ in health and family life. Using data from population registers, we estimate discrete-time hazard models for first-time benefit receipt, as related to partner's benefit receipt, among midlife couples. We found evidence of mutual receipt of health benefits in both endogamous and exogamous couples, the correlation being strongest for disability pension. Partner correlation in disability pension receipt is slightly stronger in endogamous Swedish than in endogamous Finnish couples, while women in exogamous couples are slightly less sensitive to men's receipt than vice versa. The results show that mutual health may be heterogeneous across couples that differ in ethnic composition.
关于伴侣间健康依存关系的文献通常忽略了伙伴关系特征的多样性。一个突出的例子是种族构成。我们通过研究已婚和同居伴侣如何相互影响彼此获得与健康相关的福利,扩展了先前关于伙伴关系和健康的工作,重点关注这种相关性如何随夫妻的种族构成而变化。我们研究了在芬兰种族内婚和种族外婚的夫妇中,伴侣之间相互获得病假津贴和残疾养恤金的情况。该人群由处于相似社会经济地位的本地个体组成,但属于两个不同的族群——芬兰语和瑞典语使用者,他们在健康和家庭生活方面存在差异。我们使用人口登记处的数据,为中年夫妇首次获得福利的情况估计了离散时间风险模型,这与伴侣获得福利的情况有关。我们在同族内婚和异族内婚的夫妇中都发现了健康福利相互获得的证据,残疾养恤金的相关性最强。在同族的瑞典裔夫妇中,残疾养恤金领取者的伴侣相关性略强于同族的芬兰裔夫妇,而异族夫妇中的女性对男性领取的敏感性略低于相反情况。结果表明,在种族构成不同的夫妇中,相互健康可能存在异质性。