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首页> 外文期刊>Annals of epidemiology >The protective effect of marriage on mortality in a dynamic society.
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The protective effect of marriage on mortality in a dynamic society.

机译：在充满活力的社会中，婚姻对死亡率的保护作用。

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摘要

PURPOSE: We sought to assess whether the protective effect of marriage on overall and cause-specific mortality has changed over time in a dynamic society. METHODS: Data from the census-based Israel Longitudinal Studies (ILMS) I (1983-1992) and II (1995-2004) were analyzed. Cox proportional hazard modeling adjusting for sociodemographic factors was applied to 152,150 and 209,125 individuals, ages 45-89 years from the ILMS I and II, respectively. During each study period 31,749 (ILMS I) and 37,656 (ILMS II) deaths were reported. RESULTS: Mortality inequalities by marital status remained significant and widened over time for middle-aged and elderly men and women. Changes in cause-specific mortality indicated a widening of cardiovascular disease mortality inequalities by marital status. An increasing trend was also noted for deaths from cancer (+25%) and other causes (+38%, p < 0.05) in middle-aged men, but not women (cancer = 0%; other causes = -3%). CONCLUSIONS: The stronger beneficial effect of marriageover time may reflect societal changes that have differentially affected men and women.
机译：目的：我们试图评估在一个充满活力的社会中，婚姻对总体死亡率和特定原因死亡率的保护作用是否随时间而改变。方法：分析了基于人口普查的以色列纵向研究（ILMS）I（1983-1992）和II（1995-2004）的数据。根据社会人口学因素调整的Cox比例风险模型分别应用于来自ILMS I和II的152,150和209,125个人，年龄分别为45-89岁。在每个研究期间，据报告死亡31,749（ILMS I）和37,656（ILMS II）。结果：按婚姻状况划分的死亡率不平等现象仍然很严重，并且随着时间的流逝，中老年人和老年男女之间的差距越来越大。特定原因死亡率的变化表明，按婚姻状况划分的心血管疾病死亡率不平等现象正在扩大。还注意到中年男性死于癌症（+ 25％）和其他原因（+ 38％，p <0.05）的趋势有所增加，而女性则没有（癌症= 0％;其他原因= -3％）。结论：结婚随着时间的推移产生的更大的有利影响可能反映了对男人和女人有不同影响的社会变化。

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