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Mortality differences according to living arrangements.
Int J Epidemiol. 2007 Dec; 36(6):1255-64.IJ

Abstract

BACKGROUND

Research has revealed mortality differences between marital status groups in different societies and different periods of time. Due to the increase in consensual unions, living alone and other changes in living arrangements, it is necessary to apply a more detailed classification of living arrangements that incorporates partnership situation and household composition.

METHODS

We analyse mortality by cause-of-death in the total Finnish population aged 30 or over in 1996-2000. The linked register dataset includes 15.7 million person-years and 210,139 deaths.

RESULTS

In the working aged population, cohabiters had nearly 70% excess mortality when compared with married people. Among working aged men living with someone other than a partner and among men living alone, mortality was three times higher than among married men. Among women, mortality in these groups was close to that of cohabiters. In the older population, mortality in the other groups was 15-40% higher than among married persons. Adjusting for education, social class and employment status attenuated the mortality differences by 7-31%. Having no children was associated with excess mortality in working aged women and men in each living arrangement group. The relative differences were greatest in deaths from alcohol-related causes, followed by deaths from accidents among men and working aged women and lung cancer in women.

CONCLUSIONS

We observed wide mortality differences according to living arrangements, particularly among the working aged. These differences were partly explained by socioeconomic factors. Excessive alcohol use seems to be one major cause of mortality differences.

Authors+Show Affiliations

Koskinen S
National Public Health Institute, Department of Health and Functional Capacity, Helsinki, Finland. seppo.koskinen@ktl.fi
Joutsenniemi K
No affiliation info available
Martelin T
No affiliation info available
Martikainen P
No affiliation info available

MeSH

AdultAge DistributionAgedAged, 80 and overCause of DeathCensusesEducational StatusFamily CharacteristicsFemaleFinlandHealth StatusHumansMaleMarital StatusMiddle AgedMortalityResidence CharacteristicsRisk AssessmentSocioeconomic Factors

Pub Type(s)

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

Language

eng

PubMed ID

17971389

Citation

Koskinen, Seppo, et al. "Mortality Differences According to Living Arrangements." International Journal of Epidemiology, vol. 36, no. 6, 2007, pp. 1255-64.
Koskinen S, Joutsenniemi K, Martelin T, et al. Mortality differences according to living arrangements. Int J Epidemiol. 2007;36(6):1255-64.
Koskinen, S., Joutsenniemi, K., Martelin, T., & Martikainen, P. (2007). Mortality differences according to living arrangements. International Journal of Epidemiology, 36(6), 1255-64.
Koskinen S, et al. Mortality Differences According to Living Arrangements. Int J Epidemiol. 2007;36(6):1255-64. PubMed PMID: 17971389.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mortality differences according to living arrangements. AU - Koskinen,Seppo, AU - Joutsenniemi,Kaisla, AU - Martelin,Tuija, AU - Martikainen,Pekka, Y1 - 2007/10/30/ PY - 2007/11/1/pubmed PY - 2008/4/18/medline PY - 2007/11/1/entrez SP - 1255 EP - 64 JF - International journal of epidemiology JO - Int J Epidemiol VL - 36 IS - 6 N2 - BACKGROUND: Research has revealed mortality differences between marital status groups in different societies and different periods of time. Due to the increase in consensual unions, living alone and other changes in living arrangements, it is necessary to apply a more detailed classification of living arrangements that incorporates partnership situation and household composition. METHODS: We analyse mortality by cause-of-death in the total Finnish population aged 30 or over in 1996-2000. The linked register dataset includes 15.7 million person-years and 210,139 deaths. RESULTS: In the working aged population, cohabiters had nearly 70% excess mortality when compared with married people. Among working aged men living with someone other than a partner and among men living alone, mortality was three times higher than among married men. Among women, mortality in these groups was close to that of cohabiters. In the older population, mortality in the other groups was 15-40% higher than among married persons. Adjusting for education, social class and employment status attenuated the mortality differences by 7-31%. Having no children was associated with excess mortality in working aged women and men in each living arrangement group. The relative differences were greatest in deaths from alcohol-related causes, followed by deaths from accidents among men and working aged women and lung cancer in women. CONCLUSIONS: We observed wide mortality differences according to living arrangements, particularly among the working aged. These differences were partly explained by socioeconomic factors. Excessive alcohol use seems to be one major cause of mortality differences. SN - 0300-5771 UR - https://www.unboundmedicine.com/medline/citation/17971389/Mortality_differences_according_to_living_arrangements_ DB - PRIME DP - Unbound Medicine ER -