ArticlePloS one2011
Marital status and mortality among middle age and elderly men and women in urban Shanghai.
Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Association of Marital Status With Total and Cause-Specific Mortality in Asia.JAMA network open · 2022Pooled it
- Sex differences in the association between marital status and the risk of cardiovascular, cancer, and all-cause mortality: a systematic review and meta-analysis of 7,881,040 individuals.Global health research and policy · 2020Pooled it
- Meta-analysis of marital dissolution and mortality: reevaluating the intersection of gender and age.Social science & medicine (1982) · 2012Pooled it
- Prediction of first marriage age in China and factors associated with marriage delay: Analysis of the 2020 national census data.PloS one · 2025Article
- The Role of Psychosocial Stress on Cardiovascular Disease in Women: JACC State-of-the-Art Review.Journal of the American College of Cardiology · 2024Review
- A trend analysis of Black American women with cardiovascular disease and chronic medical conditions, sociodemographic factors from NHANES From 2011 to 2020.PLOS global public health · 2023Article
- Exploring the national prevalence of mental health risk, multimorbidity and the associations thereof: a repeated cross-sectional panel study.Frontiers in public health · 2023Article
- Article
- Gender differences in the association between adverse events in childhood or adolescence and the risk of premature mortality.Scientific reports · 2022Article
- Marital Status and Subclinical Coronary Atherosclerosis in Asymptomatic Individuals.Journal of the American Heart Association · 2022Article
- PROTOCOL: The association between marital transitions and physical and mental health in late life: A systematic review.Campbell systematic reviews · 2022Article
- Gait speed as a predictor of mortality in older men with cancer: A longitudinal study in Peru.Heliyon · 2022Article
- The Chinese version of the Revised Dyadic Adjustment Scale for gynaecological cancer patients and their partners: Translation and psychometric evaluation.Asia-Pacific journal of oncology nursing · 2022Article
- Health-related quality of life among elderly individuals living alone in an urban area of Shaanxi Province, China: a cross-sectional study.The Journal of international medical research · 2020Article
- Socio-Demographic Determinants of Mortality from Chronic Noncommunicable Diseases in Women of Reproductive Age in the Republic of Georgia: Evidence from the National Reproductive Age Mortality Study (2014).International journal of women's health · 2020Article
- Article
- Marital Status and Outcomes in Patients With Cardiovascular Disease.Journal of the American Heart Association · 2017Article
- Article
- Physical activity to overcome the adversity of widowhood: Benefits beyond physical health.Medicine · 2016Article
- Associations of military divorce with mental, behavioral, and physical health outcomes.BMC psychiatry · 2015Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundPrevious studies have suggested that marital status is associated with mortality, but few studies have been conducted in China where increasing aging population and divorce rates may have major impact on health and total mortality.
methodsWe examined the association of marital status with mortality using data from the Shanghai Women's Health Study (1996-2009) and Shanghai Men's Health Study (2002-2009), two population-based cohort studies of 74,942 women aged 40-70 years and 61,500 men aged 40-74 years at the study enrollment. Deaths were identified by biennial home visits and record linkage with the vital statistics registry. Marital status was categorized as married, never married, divorced, widowed, and all unmarried categories combined. Cox regression models were used to derive hazard ratios (HR) and 95% confidence interval (CI).
resultsUnmarried and widowed women had an increased all-cause HR = 1.11, 95% CI: 1.03, 1.21 and HR = 1.10, 95% CI: 1.02, 1.20 respectively) and cancer (HR = 1.17, 95% CI: 1.04, 1.32 and HR = 1.18, 95% CI: 1.04, 1.34 respectively) mortality. Never married women had excess all-cause mortality (HR = 1.46, 95% CI: 1.03, 2.09). Divorce was associated with elevated cardiovascular disease (CVD) mortality in women (HR = 1.47, 95% CI: 1.01, 2.13) and elevated all-cause mortality (HR = 2.45, 95% CI: 1.55, 3.86) in men. Amongst men, not being married was associated with excess all-cause (HR = 1.45, 95% CI: 1.12, 1.88) and CVD (HR = 1.65, 95% CI: 1.07, 2.54) mortality.
conclusionsMarriage is associated with decreased all cause mortality and CVD mortality, in particular, among both Chinese men and women.
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