Joung I M
Erasmus Universiteit, Instituut Maatschappelijke Gezondheidszorg, Rotterdam.
Ned Tijdschr Geneeskd. 1997 Feb 8;141(6):277-82.
In the Netherlands there are considerable health differences by marital status; differences are found in subjective and objective health measures, in mental and physical health, and in morbidity and mortality. In general divorced people have the most and married people the least health problems. Married people have less health problems than unmarried people living with a partner. Differences in mortality by marital status are smaller among women than among men. There are two explanatory theories: the social causation theory (marital status influences health) and the selection theory (health influences marital status). Both theories play a role in the explanation of the health differences. The effect of marital status on health among men is mainly mediated by psychosocial factors, whereas material circumstances are the principal intermediary factor among women. Health intervention among unmarried men should be aimed at intensifying social support from the environment, among divorced women it should be aimed at improving material conditions.
在荷兰，不同婚姻状况人群的健康状况存在显著差异；在主观和客观健康指标、心理健康和身体健康以及发病率和死亡率方面均有体现。总体而言，离婚人群的健康问题最多，已婚人群的健康问题最少。已婚人群比与伴侣同居的未婚人群健康问题更少。婚姻状况导致的死亡率差异在女性中比在男性中更小。有两种解释理论：社会因果理论（婚姻状况影响健康）和选择理论（健康影响婚姻状况）。这两种理论在解释健康差异方面都发挥了作用。婚姻状况对男性健康的影响主要由心理社会因素介导，而物质状况是女性的主要中介因素。对未婚男性的健康干预应旨在加强来自环境的社会支持，对离婚女性的健康干预应旨在改善物质条件。
