ArticleBMC medicine2014
Marital status and ischemic heart disease incidence and mortality in women: a large prospective study.
Article in BMC medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.
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Who cites it
48 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association of Marital Status With Total and Cause-Specific Mortality in Asia.JAMA network open · 2022Pooled it
- Sex Differences in Clinical Characteristics, Psychosocial Factors, and Outcomes Among Patients With Stable Coronary Heart Disease: Insights from the STABILITY (Stabilization of Atherosclerotic Plaque by Initiation of Darapladib Therapy) Trial.Journal of the American Heart Association · 2017Trial
- Impact of Legal Protection on Life-Support Interventions and 3-Month Mortality in the Intensive Care Unit: The Vulne-Rea Study.Healthcare (Basel, Switzerland) · 2026Article
- Overlap of Frailty and Depression and Its Association With Cardiovascular Disease: A Population-Based Study.Clinical Medicine Insights. Cardiology · 2026Article
- Association between marital status and in-hospital mortality in patients with acute coronary syndrome: a multivariable logistic regression analysis.Frontiers in cardiovascular medicine · 2026Article
- Marital Failure and Subsequent Heart Failure: A Prospective Study.Journal of the American Heart Association · 2025Article
- Electrocardiogram abnormalities and CVD mortality: prospective cohort study of Tehran lipid and glucose study.BMC public health · 2025Article
- Social Support and 10-Year Mortality Following Acute Myocardial Infarction.Journal of cardiovascular development and disease · 2025Article
- Risk factors of CVDs among residents of resource-limited rural settings. Preliminary findings based on a cross-sectional study, Ghana.BMC cardiovascular disorders · 2025Article
- Article
- Marital status and long-term cardiovascular risk in general population-RIFLE project (Italy).Irish journal of medical science · 2024Article
- Social Risk Profile and Cardiovascular-Kidney-Metabolic Syndrome in US Adults.Journal of the American Heart Association · 2024Article
- 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 wide landscape of morbidity and mortality risk associated with marital status in 0.5 million Chinese men and women: a prospective cohort study.The Lancet regional health. Western Pacific · 2024Article
- Marital status and cause-specific mortality: A population-based prospective cohort study in southern Sweden.Preventive medicine reports · 2024Article
- Spinning Your Wheels: Psychological Overinvolvement and Actigraphy-Assessed Sleep Efficiency Following Marital Separation.International journal of behavioral medicine · 2023Article
- Marital status and long-term cardiovascular risk in general population (Gubbio, Italy).Scientific reports · 2023Article
- Association between poor self-reported health and unmarried status among adults: examining the hypothesis of marriage protection and marriage selection in the Indian context.BMC public health · 2022Article
- Article
- Separations of romantic relationships are experienced differently by initiators and noninitiators.Proceedings of the National Academy of Sciences of the United States of America · 2022Article
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Abstract
backgroundBeing married has been associated with a lower mortality from ischemic heart disease (IHD) in men, but there is less evidence of an association for women, and it is unclear whether the associations with being married are similar for incident and for fatal IHD. We examined the relation between marital status and IHD incidence and mortality in the Million Women Study.
methodsA total of 734,626 women (mean age 60 years) without previous heart disease, stroke or cancer, were followed prospectively for hospital admissions and deaths. Adjusted relative risks (RRs) for IHD were calculated using Cox regression in women who were married or living with a partner versus women who were not. The role of 14 socio-economic, lifestyle and other potential confounding factors was investigated.
results81% of women reported being married or living with a partner and they were less likely to live in deprived areas, to smoke or be physically inactive, but had a higher alcohol intake than women who were not married or living with a partner. During 8.8 years of follow-up, 30,747 women had a first IHD event (hospital admission or death) and 2,148 died from IHD. Women who were married or living with a partner had a similar risk of a first IHD event as women who were not (RR = 0.99, 95% confidence interval (CI) 0.96 to 1.02), but a significantly lower risk of IHD mortality (RR = 0.72, 95% CI 0.66 to 0.80, P <0.0001). This lower risk of IHD death was evident both in women with and without a prior IHD hospital admission (respectively: RR = 0.72, 95% CI 0.60 to 0.85, P <0.0001, n = 683; and 0.70, 95% CI 0.62 to 0.78, P <0.0001, n = 1,465). These findings did not vary appreciably between women of different socio-economic groups or by lifestyle and other factors.
conclusionsAfter adjustment for socioeconomic, lifestyle and other factors, women who were married or living with a partner had a similar risk of developing IHD but a substantially lower IHD mortality compared to women who were not married or living with a partner.
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