当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF EPIDEMIOLOGY期刊下所有文献 > Excess mortality for the unmarried in rural Bangladesh.

Excess mortality for the unmarried in rural Bangladesh.

Abstract：

:Prospective data from the Matlab surveillance area in rural Bangladesh, 1974-1982, were used in this study to show that divorced and never-married adults (aged 15-44 years) had significantly higher mortality than their currently married peers with differences in disability status accounting for some of this excess risk. Widowed individuals on the other hand had no excess mortality relative to the currently married. A certain proportion of the sharp reduction in mortality associated with remarriage after divorce for men could be attributed to differences in disability between the remarried group and those who remained divorced. Household economic status indicators could account for little of the excess mortality of divorced and never-married individuals relative to their married counterparts. These findings provide support for the hypothesis that a certain proportion of mortality differentials by marital status in this population can be attributed to selection into marriage and remarriage on the basis of underlying disability status. The evidence for the protective effect of increased economic status associated with the currently married state is less convincing. :In developed countries, being married is considered to be related to lower mortality risks compared with the widowed, divorced, and never married. In this study, mortality differences are examined by marital status for 31,415 men and 32,848 women aged 15-44 years in rural Bangladesh. The Matlab demographic surveillance system provided longitudinal data between 1974 and 1982 on disability status, educational level, and household assets. Discrete time hazard models, with 1-year time intervals, were developed based on the log odds of dying in any given year. The female population is described as 84.35% married before the age of 24 years; 85.45% of males were married before the age of 34 years. The proportion divorced was 0.76% for men and 1.63% for women; the proportion widowed was 0.25% for men and 5.10% for women. 68% of men remarried within the 8 years of the study and 46% of the females remarried. Divorce occurred primarily for men between the ages of 25-34 years and 15-24 years for women. There were more disabled men and then women; of the disabled, more were never married or divorced than currently married. For the never married, the proportion disabled increased with age. Economically, those who were never married for the 8-year study period were the same or better off than their married peers. The lowest economic status was among the widowed. Higher mortality rates were found among the never married and divorced persons than among the currently married peers. Widower deaths were too small in number for analysis. Women had significantly higher mortality up to the age of 30 years, which was probably due to maternal mortality. Although the number of never married decreases over time, the excess mortality risk of the never married increased with age for men and women. The odd ratios confirmed that the never married and divorced females and males had a higher risk of dying than married; adding economic status did not significantly modify the risk for women, but improved the risk for never married men. Educational status did not significantly predict mortality for men. Remarried men has lower risks of mortality than their peers in a first marriage. A very small, tenuous sample of mortality among divorced males showed significantly higher mortality within the first year after divorce than in subsequent years. Access to resources and low socioeconomic status may account for excess female mortality under 30 years of age.

journal_name

Int J Epidemiol

journal_title

International journal of epidemiology

authors

Rahman O

doi

10.1093/ije/22.3.445

subject

Has Abstract

pub_date

1993-06-01 00:00:00

pages

445-56

issue

eissn

0300-5771

issn

1464-3685

journal_volume

pub_type

杂志文章

在线工具

Excess mortality for the unmarried in rural Bangladesh.