ArticleHealth psychology and behavioral medicine2025
Marital dissatisfaction and adverse health and psychosocial outcomes among community-dwelling persons 45 years and older in Thailand.
Article in Health psychology and behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Only a small number of research have evaluated marital dissatisfaction and adverse health and psychosocial outcomes in lower-resourced countries. The aim of the study was to estimate the long-term associations of marital dissatisfaction with adverse health outcomes using four waves (7 years) of the national community-dwelling Health, Aging, and Retirement in Thailand (HART) study in people 45 years and older (also stratified by sex) from 2015 to 2022. Methods: HART data from the 2015, 2017, 2020, and 2022 waves were analysed, including community-dwelling individuals aged 45 and above (average age 65.1 years) who indicated marital dissatisfaction (analytic pooled sample: Results: The average marital dissatisfaction score (0-10) was 1.8 (SD = 2.3). Fixed effects regressions showed that marital dissatisfaction was associated with low self-reported mental health, depressive symptoms, low quality of life, loneliness, functional limitations, poor self-rated physical health, low mastication, low exercise frequency, low meal skipping, and high subjective life expectancy. In addition, marital dissatisfaction was associated with all-cause mortality. Conclusions: Our knowledge of the connection between marital discontent and negative health outcomes-four markers of physical and mental health, including mortality-is improved by this longitudinal study. Measures of marriage happiness and the health advantages of marital education programs for couples should be part of health promotion initiatives for the aging population as a whole.
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