ArticleSSM - population health2020
Life expectancy and active life expectancy by marital status among older U.S. adults: Results from the U.S. Medicare Health Outcome Survey (HOS).
Article in SSM - population health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 46 citations in OpenAlex.
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- Factors associated with unmet medical needs among people with disabilities using Andersen's model in South Korea.Frontiers in public health · 2026Article
- Gender differences in the association between marriage and epigenetic age.Frontiers in aging · 2026Article
- The effects of marital status, partner drinking, and sex differences on the likelihood of remission from alcohol use disorder.Alcohol and alcoholism (Oxford, Oxfordshire) · 2025Article
- Patterns of spatial inequality in China's longevity population and its socio-economic influences.BMC public health · 2025Article
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- Cause-specific mortality after spousal bereavement in a Danish register-based cohort.Scientific reports · 2025Article
- Estimating the Sex Gap in Depression-Free Life Expectancy Among Widowed Americans Aged 50 and Older: An Application Using the Interpolated Markov Chain Approach.Journal of aging and health · 2025Article
- ICT, health expenditures, and healthy life expectancy: empirical evidence from the Sub-Saharan African states.Frontiers in public health · 2025Article
- Characteristics of older adults receiving enteral feeding at a geriatric medical center.BMC geriatrics · 2024Article
- Is Social Connection the Solution for Reducing Widower Suicide in Late Life?The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024Article
- Review
- Relationship between Health Inequalities and Breast Cancer Survival in Mexican Women.International journal of environmental research and public health · 2023Article
- Relationship Status-Based Health Disparities during the COVID-19 Pandemic.Social currents · 2023Article
- Improving Access to Cardiovascular Care Through Telehealth: A Single-Center Experience.Cardiology research · 2023Article
- A SEER database retrospective cohort of 547 patients with penile non-squamous cell carcinoma: demographics, clinical characteristics, and outcomes.Frontiers in oncology · 2023Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious investigations of the relationship between marital status and life expectancy and healthy life expectancy rely on the assumption that participants will remain in a given marital status until death. This study estimated total life expectancy (TLE) and active life expectancy (ALE) for respondents by their baseline marital status using a large longitudinal sample of the U.S. community-dwelling elderly population.
methodsData were from the Medicare Health Outcomes Survey Cohort 15 (2012 baseline, 2014 follow-up). We included respondents aged ≥65 years (n = 164,597). Multi-state models estimated TLE and ALE by marital status to allow participants' marital status to change during the remaining lifetime.
resultsBetween 65 and 85 years, married men and women had a longer TLE and ALE than unmarried men and women. For example, at 65 years, TLE for married men was 18.6 years, 2.2 years longer than unmarried men, and ALE for married men was 12.3 years, 2.4 years longer than unmarried men. Similarly, at 65 years, TLE for married women was 21.1 years, 1.5 years longer than unmarried women, and ALE for married women was 13.0 years, 2.0 years longer than unmarried women. Such marriage protection effects decreased with age. In subgroups of unmarried persons, never married persons had the shortest TLE and ALE among men, and never married, divorced, and widowed persons had a similar, and shorter, TLE and ALE among women. The difference in TLE between married and unmarried persons was smaller after adjusting for baseline activity limitation status.
conclusionsThis study provides additional evidence for marriage's protective effect, with the magnitude of protection being greater for younger as compared to older persons. Selection bias was a large contributor to longer life expectancy among married persons.
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