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老年人的婚姻状况与健康

Marital status and health among the elderly.

作者信息

Goldman N, Korenman S, Weinstein R

机构信息

Office of Population Research, Princeton University, NJ 08540, USA.

出版信息

Soc Sci Med. 1995 Jun;40(12):1717-30. doi: 10.1016/0277-9536(94)00281-w.

Abstract

Many studies have documented a longevity advantage for married persons relative to their unmarried counterparts in all age groups. However, these studies have failed to determine whether the advantage experienced by married elderly persons arises mostly from selection and causal processes which operated at younger ages. This paper employs data from the Longitudinal Study of Aging (1984-1990) to explore whether marital status continues to exert any influence on health and mortality at the older ages. In the presence of an extensive set of controls for health status at the baseline survey, a series of logistic models are used to determine: (1) the magnitude of marital status effects on disability and on mortality, among older males and older females; and (2) the extent to which the social environment and economic status of the elderly can account for the existing disability and mortality differences by marital status.

摘要

许多研究都记录了在所有年龄组中,已婚者相对于未婚者的长寿优势。然而,这些研究未能确定已婚老年人所享有的优势是否主要源于年轻时起作用的选择和因果过程。本文利用老龄化纵向研究(1984 - 1990年)的数据,探讨婚姻状况在老年阶段是否继续对健康和死亡率产生任何影响。在对基线调查时的健康状况进行一系列广泛控制的情况下,使用一系列逻辑模型来确定:(1)婚姻状况对老年男性和老年女性的残疾和死亡率的影响程度;(2)老年人的社会环境和经济状况能够解释因婚姻状况而存在的残疾和死亡率差异的程度。

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