ArticleBMJ open2022
How do cohabitation and marital status affect mortality risk? Results from a cohort study in Thailand.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 6 citations in OpenAlex.
- Pair-bond and survival in historical population: Marriage, widowhood, and social class.iScience · 2026Article
- Association between the triglyceride-glucose-frailty index and all-cause and cardiovascular mortality in individuals with cardiovascular-kidney-metabolic syndrome: the mediating role of the poverty-income ratio.Cardiovascular diabetology · 2026Article
- Attitudes toward active aging and their association with social determinants and views on older adults in Japan: a cross-sectional study.BMC geriatrics · 2024Article
- Predictors of premarital cohabitation timing among young women in Ethiopia: insights from the 2016 demographic and health survey using a shared frailty model.Frontiers in global women's health · 2024Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveTo examine the relationship between baseline union status (ie, including marriage and cohabitation) and mortality, paying attention to gender differentials, through an 11-year follow-up of a large cohort in Thailand.
designCohort data from Thai Cohort Study (TCS) were linked official death records over an 11-year follow-up period.
settingCommunity-based adults in Thailand.
participants87 151 Thai adults participated in TCS cohort.
methodCox regression models measured longitudinal associations between union status and 11-year mortality.
resultsFrom 2005 (baseline) to 2016, persons who cohabited and lived with a partner, married persons but not living with a partner and separated/divorced/widowed people were more likely to die compared with those married and living together with a partner. Those who did not have good family support had a higher death risk than those having good family support.Single or cohabiting women had higher risks of mortality than women who were married and living together with a partner throughout follow-up, while separated/divorced/widowed men had higher risks of mortality than counterpart males.
conclusionsOur study reveals the protective effect of marriage and living together on mortality in Thailand, an understudied setting where institutionalisation of cohabitation is low leading to a limited mortality protection. Public policies for moderating mortality should thus be gender nuanced, culturally and institutionally specific. Also, we demonstrate that in settings such as Thailand, where marital status is not always defined in the same way as in western cultures, the need to measure cohabitation in locally relevant terms is important.
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