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The association between gender, family status and mortality

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Abstract

Aim

To analyse marital and gender differentials in mortality.

Subjects and methods

The causes of death in Germany were analyzed in detail to determine odds ratios (OR) for all causes and the four main causes of death.

Results

Mortality rates were nearly twice as high for men as for women. Mortality rates for unmarried men were more than twice as high as those for married men (OR 2.43–2.50); the ORs for women were considerably lower (1.74 to 1.75). For men, the ORs were higher for those causes of death influenced by health-risk behaviour.

Conclusion

In terms of health gains, marriage seems to be more beneficial to men than to women. Particularly for men, marriage provides stronger protection against causes of death that are related to health-risk behaviour (smoking, drinking, risky driving) and to unhealthy working conditions.

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Notes

  1. Routine statistics only include age and sex. The author wishes to thank Stefan Rübenach (German Federal Statistical Office) for putting the expanded tables at the author’s disposal.

References

  • Berkman LF, Syme SL (1979) Social networks, host resistance, and mortality: a nine year follow-up study of Alameda County residents. Am J Epidemiol 109:186–204

    PubMed  Google Scholar 

  • Berkman LF, Leo-Summers L, Horwitz RL (1992) Emotional support and survival after myocardial infarction. A prospective, population-based study of the elderly. Ann Intern Med 117:1003–1009

    PubMed  Google Scholar 

  • Doll R, Peto R (1981) The causes of cancer: quantitative estimates of avoidable risks of cancer in the United States today. J Natl Cancer Inst 66:1191–1308

    PubMed  Google Scholar 

  • Durkheim E (1897) Le suicide. Alcan, Paris

  • Felton GM, Parsons MA, Bartoces MG (1997) Demographic factors: interaction effects on health-promoting behavior and health related factors. Public Health Nurs 14:361–367

    PubMed  Google Scholar 

  • Gärtner K (1990) Sterblichkeit nach dem Familienstand. Z Bevoelkerungswissenschaft 16:53–66

    Google Scholar 

  • Goldman N (1993) Marriage selection and mortality patterns: inferences and fallacies. Demography 30:189–208

    PubMed  Google Scholar 

  • Gove WR (1973) Sex, marital status, an mortality. Am J Sociol 79:45–67

    Article  PubMed  Google Scholar 

  • Hart N (1991) The social and economic environment and human health. In: Holland WW, Detels R, Knox G (eds) Oxford textbook of public health. Vol 1: Influences of public health. Oxford University Press, Oxford, pp 151–180

    Google Scholar 

  • House JS, Robbins C, Metzner HL (1982) The association of social relationships and activities with mortality. Prospective evidence from the Tecumseh Community Health Study. Am J Epidemiol 116:123–140

    PubMed  Google Scholar 

  • Hu Y, Goldman N (1990) Mortality differentials by marital status: an international comparison. Demography 27:233–250

    PubMed  Google Scholar 

  • Joung IM, van de Mheen HD, Stronks K, van Poppel FW, Mackenbach JP (1998) A longitudinal study of health selection in marital transitions. Soc Sci Med 46:425–435

    Article  PubMed  Google Scholar 

  • Künzler J, Walter W, Reichart E, Pfister G (2001) Gender division of labour in unified Germany. WORC Report. European Network on Policies and the Division of Unpaid and Paid Work. Tilburg, Tilburg University Press

  • Lademann J, Kolip P (2005) Gesundheit von Frauen und Männern im mittleren Lebensalter. Gesundheitsberichterstattung des Bundes, Schwerpunktheft des Robert Koch-Instituts. Berlin

  • Lopez AD (1983) The sex mortality differential in developed countries. In: Lopez AD, Ruzicka LT (eds) Sex differentials in mortality. Department of Demography, Australian National University, Canberra

  • Martikainen P (1995) Women’s employment, marriage, motherhood and mortality: a test of the multiple role and role accumulation hypotheses. Soc Sci Med 40:199–212

    Article  PubMed  Google Scholar 

  • Mendes de Leon CF, Appels AW, Otten FW, Schouten EG (1992) Risk of mortality and coronary heart disease by marital status in middle-aged men in the Netherlands. Int J Epidemiol 21:460–466

    PubMed  Google Scholar 

  • Ortmeyer CE (1974) Variations in mortality, morbidity, and health care by marital status. In: Erhardt CL, Berlin JE (eds) Mortality and morbidity in the United States. Harvard University Press, Cambridge, pp 159–188

  • Shumaker SA, Hill DR (1991) Gender differences in social support and physical health. Health Psychol 10:102–111

    Article  PubMed  Google Scholar 

  • Statistisches Bundesamt (2000) Statistisches Jahrbuch für die Bundesrepublik Deutschland 1999. Metzler-Poeschel, Stuttgart

  • Statistisches Bundesamt (2001) Fachserie 1, Reihe 3. Metzler-Poeschel, Stuttgart

  • Trovato F, Lauris G (1989) Marital status and mortality in Canada. J Marriage Family 51:907–922

    Google Scholar 

  • Umberson D (1992) Gender, marital status and the social control of health behavior. Soc Sci Med 34:907–917

    Article  PubMed  Google Scholar 

  • Verbrugge L (1983) Multiple roles and physical health of men and women. J Health Soc Behav 24:16

    PubMed  Google Scholar 

  • Waldron I (2000) Trends in gender differences in mortality: relationships to changing gender differences in behaviour and other causal factors. In: Annandale E, Hunt K (eds) Gender inequalities in health. Open University Press, Milton Keynes, pp 150–181

  • Waldron I, Hughes ME, Brooks TL (1996) Marriage protection and marriage selection—prospective evidence for reciprocal effects of marital status and health. Soc Sci Med 43:113–123

    Article  PubMed  Google Scholar 

  • Wyke S, Ford G (1992) Competing explanations for associations between marital status and health. Soc Sci Med 34:523–532

    Article  PubMed  Google Scholar 

Download references

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Correspondence to Petra Kolip.

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Kolip, P. The association between gender, family status and mortality. J Public Health 13, 309–312 (2005). https://doi.org/10.1007/s10389-005-0129-7

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  • DOI: https://doi.org/10.1007/s10389-005-0129-7

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