ArticleCirculation. Cardiovascular quality and outcomes2015
Association between divorce and risks for acute myocardial infarction.
Article in Circulation. Cardiovascular quality and outcomes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- Gender and Social Connections as Determinants of Hypertension: A Systematic Review of Longitudinal Studies.Reviews in cardiovascular medicine · 2024Pooled it
- Sex differences in the impact of marital status on coronary artery disease outcomes in Korea.Coronary artery disease · 2025Observational
- Marital Failure and Subsequent Heart Failure: A Prospective Study.Journal of the American Heart Association · 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
- Marital status and long-term cardiovascular risk in general population-RIFLE project (Italy).Irish journal of medical science · 2024Article
- Association of marital status with cardiovascular death risk in patients with lung cancer: A population-based study.Preventive medicine reports · 2024Article
- Adverse childhood experiences, marital status and depressive symptoms in later life among the Chinese middle-aged and older adults : the mediating role of marital status.BMC public health · 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
- The clinical value of inflammation index in predicting ICU mortality of critically ill patients with intracerebral hemorrhage.Frontiers in public health · 2024Article
- Marital status and long-term cardiovascular risk in general population (Gubbio, Italy).Scientific reports · 2023Article
- Article
- Marital Loss and Cognitive Function: Does Timing Matter?The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- Intimate Relationships and Coronary Heart Disease: Implications for Risk, Prevention, and Patient Management.Current cardiology reports · 2022Review
- The neural correlates of psychosocial stress: A systematic review and meta-analysis of spectral analysis EEG studies.Neurobiology of stress · 2022Review
- Sex-differences in psychosocial sequelae after spontaneous cervical artery dissection.Scientific reports · 2022Article
- Effects of divorce and widowhood on subsequent health behaviours and outcomes in a sample of middle-aged and older Australian adults.Scientific reports · 2021Article
- Marital loss and risk of dementia: Do race and gender matter?Social science & medicine (1982) · 2021Article
- Immune Mechanisms of Plaque Instability.Frontiers in cardiovascular medicine · 2021Review
- Sociodemographic Determinants of Acute Myocardial Infarction Hospitalization Risks in Florida.Journal of the American Heart Association · 2020Article
- Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundDivorce is a major life stressor that can have economic, emotional, and physical health consequences. However, the cumulative association between divorce and risks for acute myocardial infarction (AMI) is unknown. This study investigated the association between lifetime exposure to divorce and the incidence of AMI in US adults. METHODS AND
resultsWe used nationally representative data from a prospective cohort of ever-married adults aged 45 to 80 years (n=15,827) who were followed biennially from 1992 to 2010. Approximately 14% of men and 19% of women were divorced at baseline and more than one third of the cohort had ≥1 divorce in their lifetime. In 200,524 person-years of follow-up, 8% (n=1211) of the cohort had an AMI and age-specific rates of AMI were consistently higher in those who were divorced compared with those who were continuously married (P<0.05). Results from competing-risk hazard models showed that AMI risks were significantly higher in women who had 1 divorce (hazard ratio, 1.24; 95% confidence interval, 1.01-1.55), ≥2 divorces (hazard ratio, 1.77; 95% confidence interval, 1.30-2.41), and among the remarried (hazard ratio, 1.35; 95% confidence interval, 1.07-1.70) compared with continuously married women after adjusting for multiple risk factors. Multivariable-adjusted risks were elevated only in men with a history of ≥2 divorces (hazard ratio, 1.30; 95% confidence interval, 1.02-1.66) compared with continuously married men. Men who remarried had no significant risk for AMI. Interaction terms for sex were not statistically significant.
conclusionsDivorce is a significant risk factor for AMI. The risks associated with multiple divorces are especially high in women and are not reduced with remarriage.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.