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首页> 外文期刊>Journal of Epidemiology & Community Health >Mortality after death of spouse in relation to duration of bereavement in Finland
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Mortality after death of spouse in relation to duration of bereavement in Finland

机译：配偶死亡后的死亡率与丧亲的时间有关

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Study objectives - (1) To assess the extent to which death of a spouse causes excess mortality by controlling for the effects of confounding and other sources of bias. Three possible sources of bias are considered: accidents common to spouses, common socioeconomic environment, and common lifestyles. (2) To assess the duration specific effects of death of a spouse on mortality. Design and setting - Prospective study of mortality in Finland among all 35-84 year old married Finnish men and women (1 580 000 people). Baseline socio-demographic measurement from the 1985 census records. Follow up by computerised record linkage to death certificate registers for the period 1986-91 (about 116 000 deaths, of which almost 10 000 among the bereaved) using personal identification codes. Results - (1) After controlling for confounding effects, excess mortality was 17% in men and 6% in women. (2) Excess mortality was higher for short durations than long durations of bereavement. (3) Excess mortality after bereavement was higher in men than women. Conclusions - Controlling for confounding does not seem to have a crucial modifying effect on the relationship between spousal bereavement and mortality. It seems that death of a spouse has a causal effect on mortality. However, although spousal bereavement is a major stressful life event, this causal effect seems to be relatively small and short lived.
机译：研究目标-（1）通过控制混杂因素和其他偏见的影响，评估配偶的死亡在多大程度上导致过高的死亡率。考虑了三种可能的偏见源：配偶共同的事故，共同的社会经济环境和共同的生活方式。 （2）评估配偶死亡对死亡率的持续时间的具体影响。设计和设置-对所有35-84岁已婚芬兰男人和女人（1 580 000人）中的芬兰死亡率进行前瞻性研究。 1985年人口普查记录中的社会人口统计基线。随后使用个人识别码将计算机记录链接到1986-91年期间的死亡证明书登记处（约116,000例死亡，其中近10,000人丧生）。结果-（1）控制混杂因素后，男性的超额死亡率为17％，女性为6％。 （2）短期内的过高死亡率高于长期的丧亲。 （3）丧亲后的死亡率高于男性。结论-控制混杂因素似乎对配偶丧亲与死亡率之间的关系没有至关重要的改变作用。看来，配偶的死亡对死亡率具有因果关系。但是，尽管丧亲是主要的压力性生活事件，但这种因果关系似乎相对较小且寿命短。

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