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Social mobility, marital status, and mortality risk in an adult life course perspective: the Malmö Preventive Project.
Scand J Public Health. 2005; 33(6):412-23.SJ

Abstract

AIMS

Adverse social factors predict increased mortality. This study aimed to assess the influence of social class and marital status on mortality, adding an adult life course perspective.

METHODS

In total, 32,907 males and 20,204 females were evaluated based on census data in Malmö, Sweden. Of these subjects, 22,444 males and 10,902 females also took part in health screening. The main outcomes were all-cause and cause-specific mortality rates in subgroups based on social class and marital status, either measured once or repeatedly in adult life. Results were based on a total of 522,807 years of follow-up in men (5,761 deaths) and 239,815 in women (1,354 deaths).

RESULTS

Total and cardiovascular mortality were significantly higher in manual male employees with age-adjusted risk ratios (RR) of 1.7 (95% CI 1.5-1.9) and 1.6 (1.3-2.0) in skilled manual workers, and 2.0 (1.7-2.2) and 1.9 (1.6-2.3) in unskilled manual workers, compared with high-level non-manual employees. The differences remained after adjustment for baseline risk factors and prevalent cardiovascular disease, and were similar for women. Increased mortality risk was also documented for subjects who were divorced or unmarried (adjusted for social class), as well as being downward socially mobile or in a permanent low social class (manual) position.

CONCLUSIONS

Social class based on occupation, either measured once or repeatedly in adult life, is associated with marked differences in mortality risk in middle-aged subjects. People who remain married/cohabiting or remarry are at lower risk of early death than people who remain unmarried or divorced.

Authors+Show Affiliations

Department of Medicine, University Hospital, Malmö, Sweden. Peter.Nilsson@medforsk.mas.lu.seNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16332606

Citation

Nilsson, Peter M., et al. "Social Mobility, Marital Status, and Mortality Risk in an Adult Life Course Perspective: the Malmö Preventive Project." Scandinavian Journal of Public Health, vol. 33, no. 6, 2005, pp. 412-23.
Nilsson PM, Nilsson JA, Ostergren PO, et al. Social mobility, marital status, and mortality risk in an adult life course perspective: the Malmö Preventive Project. Scand J Public Health. 2005;33(6):412-23.
Nilsson, P. M., Nilsson, J. A., Ostergren, P. O., & Berglund, G. (2005). Social mobility, marital status, and mortality risk in an adult life course perspective: the Malmö Preventive Project. Scandinavian Journal of Public Health, 33(6), 412-23.
Nilsson PM, et al. Social Mobility, Marital Status, and Mortality Risk in an Adult Life Course Perspective: the Malmö Preventive Project. Scand J Public Health. 2005;33(6):412-23. PubMed PMID: 16332606.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Social mobility, marital status, and mortality risk in an adult life course perspective: the Malmö Preventive Project. AU - Nilsson,Peter M, AU - Nilsson,Jan-Ake, AU - Ostergren,Per-Olof, AU - Berglund,Göran, PY - 2005/12/8/pubmed PY - 2006/1/13/medline PY - 2005/12/8/entrez SP - 412 EP - 23 JF - Scandinavian journal of public health JO - Scand J Public Health VL - 33 IS - 6 N2 - AIMS: Adverse social factors predict increased mortality. This study aimed to assess the influence of social class and marital status on mortality, adding an adult life course perspective. METHODS: In total, 32,907 males and 20,204 females were evaluated based on census data in Malmö, Sweden. Of these subjects, 22,444 males and 10,902 females also took part in health screening. The main outcomes were all-cause and cause-specific mortality rates in subgroups based on social class and marital status, either measured once or repeatedly in adult life. Results were based on a total of 522,807 years of follow-up in men (5,761 deaths) and 239,815 in women (1,354 deaths). RESULTS: Total and cardiovascular mortality were significantly higher in manual male employees with age-adjusted risk ratios (RR) of 1.7 (95% CI 1.5-1.9) and 1.6 (1.3-2.0) in skilled manual workers, and 2.0 (1.7-2.2) and 1.9 (1.6-2.3) in unskilled manual workers, compared with high-level non-manual employees. The differences remained after adjustment for baseline risk factors and prevalent cardiovascular disease, and were similar for women. Increased mortality risk was also documented for subjects who were divorced or unmarried (adjusted for social class), as well as being downward socially mobile or in a permanent low social class (manual) position. CONCLUSIONS: Social class based on occupation, either measured once or repeatedly in adult life, is associated with marked differences in mortality risk in middle-aged subjects. People who remain married/cohabiting or remarry are at lower risk of early death than people who remain unmarried or divorced. SN - 1403-4948 UR - https://www.unboundmedicine.com/medline/citation/16332606/Social_mobility_marital_status_and_mortality_risk_in_an_adult_life_course_perspective:_the_Malmö_Preventive_Project_ L2 - http://journals.sagepub.com/doi/full/10.1080/14034940510005905?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -