Effects of divorce and widowhood on subsequent health behaviours and outcomes in a sample of middle-aged and older Australian adults

被引:37
作者
Ding, Ding [1 ,2 ]
Gale, Joanne [1 ,2 ]
Bauman, Adrian [1 ,2 ]
Phongsavan, Philayrath [1 ,2 ]
Nguyen, Binh [1 ,2 ]
机构
[1] Univ Sydney, Prevent Res Collaborat, Sydney Sch Publ Hlth, Fac Med & Hlth,Charles Perkins Ctr 6N69 D17, Camperdown, NSW 2006, Australia
[2] Univ Sydney, Charles Perkins Ctr, Camperdown, NSW, Australia
关键词
MARITAL-STATUS TRANSITIONS; PSYCHOLOGICAL DISTRESS; GENDER-DIFFERENCES; SOCIAL SUPPORT; MORTALITY; DEATH; RISK; POPULATION; MARRIAGE; STRESS;
D O I
10.1038/s41598-021-93210-y
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Y Marital disruption is a common life event with potential health implications. We examined the prospective association of divorce/widowhood with subsequent lifestyles, psychological, and overall health outcomes within short and longer terms using three waves of data from the 45 and Up Study in Australia (T1, 2006-09; T2, 2010; T3, 2012-16). Marital status and health-related outcomes were self-reported using validated questionnaires. Nine outcomes were examined including lifestyles (smoking, drinking, diet and physical activity), psychological outcomes (distress, anxiety and depression) and overall health/quality of life. Logistic regression was adjusted for sociodemographic characteristics and baseline health outcomes. Of the 33,184 participants who were married at T1 (mean age 59.5 +/- 9.3 years), after 3.4 years, 2.9% became divorced and 2.4% widowed at T2. Recent divorce was positively associated with smoking, poor quality of life, high psychological distress, anxiety and depression at T2. Similar but weaker associations were observed for widowhood. However, these associations were much attenuated at T3 (5 years from T2). Marital disruption in midlife or at an older age can be detrimental to health, particularly psychological health in the short term. Public awareness of the health consequences of spousal loss should be raised. Resources, including professional support, should be allocated to help individuals navigate these difficult life transitions.
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页数:10
相关论文
共 49 条
[1]   The consequences of divorce for adults and children [J].
Amato, PR .
JOURNAL OF MARRIAGE AND FAMILY, 2000, 62 (04) :1269-1287
[2]  
[Anonymous], 2001, OCCASIONAL PAPERS NE
[3]  
[Anonymous], 2007, 41020 AUSTR BUR STAT
[4]   Cohort profile: The 45 and up study [J].
Banks, Emily ;
Redman, Sally ;
Jorm, Louisa ;
Armstrong, Bruce ;
Bauman, Adrian ;
Beard, John ;
Beral, Valerie ;
Byles, Julie ;
Corbett, Stephen ;
Cumming, Robert ;
Harris, Mark ;
Sitas, Freddy ;
Smith, Wayne ;
Taylor, Lee ;
Wutzke, Sonia ;
Lujic, Sanja .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2008, 37 (05) :941-947
[5]   Maximising follow-up participation rates in a large scale 45 and Up Study in Australia [J].
Bauman A. ;
Phongsavan P. ;
Cowle A. ;
Banks E. ;
Jorm L. ;
Rogers K. ;
Jalaludin B. ;
Grunseit A. .
Emerging Themes in Epidemiology, 13 (1)
[6]   The relationship between mortality and time since divorce, widowhood or remarriage in Norway [J].
Berntsen, Kjersti Norgard ;
Kravdal, Oystein .
SOCIAL SCIENCE & MEDICINE, 2012, 75 (12) :2267-2274
[7]   Who Needs a Friend? Marital Status Transitions and Physical Health Outcomes in Later Life [J].
Bookwala, Jamila ;
Marshall, Kirsten I. ;
Manning, Suzanne W. .
HEALTH PSYCHOLOGY, 2014, 33 (06) :505-515
[8]   Increased risk of death immediately after losing a spouse: Cause-specific mortality following widowhood in Norway [J].
Brenn, Tormod ;
Ytterstad, Elinor .
PREVENTIVE MEDICINE, 2016, 89 :251-256
[9]   The Gray Divorce Revolution: Rising Divorce Among Middle-Aged and Older Adults, 1990-2010 [J].
Brown, Susan L. ;
Lin, I-Fen .
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 2012, 67 (06) :731-741
[10]   Bachelors, Divorcees, and Widowers: Does Marriage Protect Men from Type 2 Diabetes? [J].
Cornelis, Marilyn C. ;
Chiuve, Stephanie E. ;
Glymour, M. Maria ;
Chang, Shun-Chiao ;
Tchetgen, Eric J. Tchetgen ;
Liang, Liming ;
Koenen, Karestan C. ;
Rimm, Eric B. ;
Kawachi, Ichiro ;
Kubzansky, Laura D. .
PLOS ONE, 2014, 9 (09)