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心碎:鳏夫死亡率上升的统计研究

Broken heart: a statistical study of increased mortality among widowers.

作者信息

Parkes C M, Benjamin B, Fitzgerald R G

出版信息

Br Med J. 1969 Mar 22;1(5646):740-3. doi: 10.1136/bmj.1.5646.740.

Abstract

A total of 4,486 widowers of 55 years of age and older have been followed up for nine years since the death of their wives in 1957. Of these 213 died during the first six months of bereavement, 40% above the expected rate for married men of the same age. Thereafter the mortality rate fell gradually to that of married men and remained at about the same leveLThe greatest increase in mortality during the first six months was found in the widowers dying from coronary thrombosis and other arteriosclerotic and degenerative heart disease. There was also evidence of a true increase in mortality from other diseases, though the numbers in individual categories were too small for statistical analysis.In the first six months 22.5% of the deaths were from the same diagnostic group as the wife's death. Some evidence suggests that this may be a larger proportion than would be expected by chance association, but there is no evidence suggesting that the proportion is any different among widows and widowers who have been bereaved for more than six months.

摘要

自1957年妻子去世以来,共有4486名55岁及以上的鳏夫被随访了9年。其中213人在丧偶后的头六个月内死亡,比同龄已婚男性的预期死亡率高出40%。此后,死亡率逐渐下降至已婚男性的水平,并维持在大致相同的水平。在头六个月内,死亡率上升幅度最大的是死于冠状动脉血栓形成及其他动脉硬化和退行性心脏病的鳏夫。也有证据表明其他疾病的死亡率确实有所上升,尽管各具体类别中的人数太少,无法进行统计分析。在头六个月内,22.5%的死亡与妻子的死亡属于同一诊断类别。一些证据表明,这一比例可能高于偶然关联所预期的比例,但没有证据表明,在丧偶超过六个月的寡妇和鳏夫中,这一比例有任何不同。

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