Does one's own and one's spouse's education affect overall and cause-specific mortality in the elderly?

Abstract:

OBJECTIVES:To examine educational gradients in overall and cause-specific mortality among elderly married men and women and their spouses. METHODS:Using the census-based Israel Longitudinal Mortality Study (1983-92), 13 573 married men and 6563 married women were identified who were aged 70-89 years at baseline. Cox proportional hazard models were used to assess the strength of the association between education and overall and cause-specific mortality. RESULTS:Educational gradients for own and spouse's mortality varied by gender and cause of death. In particular, in relation to cardiovascular disease, men married to uneducated wives experienced elevated mortality risks [hazard ratio (HR) = 1.30; 95% confidence interval (95% CI) 1.11-1.52]. Women were generally unaffected by their husband's education, except for those who died from non-breast cancer, for whom husband's low education had a harmful effect (HR = 1.98; 95% CI 1.26-3.11). CONCLUSIONS:Mortality among elderly married persons is associated with one's own and one's spouse's educational achievement. Research using partner's education as a proxy for one's own attainment may be omitting valuable information regarding these and other health risks.

journal_name

Int J Epidemiol

authors

Jaffe DH,Eisenbach Z,Neumark YD,Manor O

doi

10.1093/ije/dyi185

keywords:

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

1409-16

issue

6

eissn

0300-5771

issn

1464-3685

pii

dyi185

journal_volume

34

pub_type

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