| Titre : | Marital status, change in marital status, and mortality in middle-aged British men. (1995) |
| Auteurs : | S. EBRAHIM ; A. MCCALLUM ; A.G. SHAPER ; M. WALKER ; G. WANNAMETHEE ; Univ London. Royal free hosp school medicine. Div population health care sci. London. GBR |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 142, n° 8, 1995) |
| Pagination : | 834-842 |
| Langues: | Anglais |
| Mots-clés : | Mortalité ; Homme ; Etat matrimonial ; Changement social ; Royaume Uni ; Europe |
| Résumé : | [BDSP. Notice produite par INIST NFnR0xyQ. Diffusion soumise à autorisation]. The effects of marital status and change in marital status on mortality among middle-aged British men were examined in a prospective cohort study, the British Regional Heart Study. This is a nationally representative cohort of men selected at random from general medical practices in 24 towns in England, Wales, and Scotland. It comprises 7,735 men aged 40-59 recruited in 1978-1980 and followed up for 11.5 years. Marital status and a wide range of biologic and lifestyle variables were measured at screening, and changes in marital status were assessed after 5 years. Single (never-married) men had an increased risk of cardiovascular disease mortality (relative risk (RR)=1.5,95% confidence interval (Cl) 1.0-2.2) and noncancer, noncardiovascular mortality after adjustment for potentially confounding variables. There was no effect of marital status on cancer mortality. Men who divorced during the follow-up period were at increased risk of both cardiovascular disease mortality and other non-cardiovascular disease mortality (RR=4.0,95% Cl 1.5-10.6), but men who became widowed during this time were not at increased risk. The excess mortality among single and recently divorced men was not explained by poor health or by exposure to a wide range of risk factors. It is unlikely that selection bias, chance, or artifact is responsible for the general relation between marital status and mortality. Variable and incomplete control for confounding by socioeconomic status a. |
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