Residential status and health in middle and late life: a population-based study with new data from Spain.
epidemiology
public health
social medicine
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
30 01 2020
30 01 2020
Historique:
entrez:
2
2
2020
pubmed:
2
2
2020
medline:
10
2
2021
Statut:
epublish
Résumé
To address how different residential situations impact the likelihood of death among mature adults and elderly persons. Population-based study with administrative data linked to census data. Spain. Spanish population alive on 1 January 2012, observed between 1 January 2012 and 31 December 2012. A 10% random sample of the Spanish population, including 2 054 427 person years and 28 736 deaths, is used. Registered deaths in the 2012 Spanish vital statistics. Using a new data set based on linked administrative registers, we estimate unadjusted and adjusted mortality rates by coresidential situation. Differential mortality is measured by rate ratios (RR) estimated with Poisson regression. Cause of death data are used to explore the mechanisms involved in excess mortality by residential status. Compared with men 45-54 living with partners, the risk of death is much higher for those without partners living with others (RR 2.0, 95% CI 1.7 to 2.4) or for those living alone (RR 1.9, 95% CI 1.5 to 2.4). After 84, excess mortality among men living with others persists (RR 1.4, 95% CI 1.3 to 1.5), but disappears for those living alone (RR 1.0, 95% CI 0.9 to 1.1). Both among women 45-64 living with others but without partner (RR 1.8, 95% CI 1.5 to 2.3) and among those living alone (RR 2.2, 95% CI 1.5 to 3.1) the pattern is similar to men. At higher ages, however, excess mortality for women living alone decreases (RR 1.2, 95% CI 1.1 to 1.2), though it persists for women living with others (RR 1.9, 95% CI 1.7 to 2.0). These findings indicate direct effects of living arrangements on mortality and health-related selection effects influencing residential choices. These effects may be partially affected by age and prevailing societal and cultural contexts.
Identifiants
pubmed: 32005782
pii: bmjopen-2019-033330
doi: 10.1136/bmjopen-2019-033330
pmc: PMC7044967
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e033330Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Br J Gen Pract. 2007 Apr;57(537):271-6
pubmed: 17394729
Demography. 1990 May;27(2):233-50
pubmed: 2332088
BMJ. 1992 Oct 24;305(6860):1001-4
pubmed: 1458108
Eur J Ageing. 2017 Feb 17;14(3):311-322
pubmed: 28936140
Ann Epidemiol. 2000 May;10(4):224-38
pubmed: 10854957
Soc Sci Med. 2002 Aug;55(4):673-9
pubmed: 12188471
PLoS Med. 2010 Jul 27;7(7):e1000316
pubmed: 20668659
Soc Sci Med. 2009 Jan;68(2):220-7
pubmed: 19019514
Soc Sci Med. 2007 Jan;64(1):77-94
pubmed: 17011690
Perspect Psychol Sci. 2011 Sep;6(5):454-74
pubmed: 26168197
Int J Epidemiol. 2013 Apr;42(2):559-78
pubmed: 23482379
BMC Public Health. 2007 Nov 16;7:335
pubmed: 18336722
Maturitas. 2012 Dec;73(4):295-9
pubmed: 23007006
Demography. 2011 May;48(2):481-506
pubmed: 21526396
Eur J Popul. 2017 May 22;34(1):87-118
pubmed: 30976244
J Gerontol B Psychol Sci Soc Sci. 2008 Mar;63(2):S99-109
pubmed: 18441275
J Health Soc Behav. 2004 Mar;45(1):81-98
pubmed: 15179909
Soc Sci Med. 2008 Nov;67(9):1456-64
pubmed: 18675500
Am J Epidemiol. 2001 Jan 15;153(2):123-31
pubmed: 11159156
J Gerontol B Psychol Sci Soc Sci. 2002 Jul;57(4):S209-20
pubmed: 12084791
Asian Popul Stud. 2012 Mar;8(1):87-101
pubmed: 28868080
Eur Heart J Qual Care Clin Outcomes. 2019 Jul 1;5(3):208-217
pubmed: 30689783
Int J Epidemiol. 2007 Dec;36(6):1255-64
pubmed: 17971389
AJS. 1973 Jul;79(1):45-67
pubmed: 4740470
Ann Behav Med. 2019 Mar 1;53(3):255-266
pubmed: 29796660
Soc Sci Med. 2015 May;133:93-100
pubmed: 25863724
J Health Econ. 2008 Sep;27(5):1326-42
pubmed: 18513810
Soc Sci Med. 2009 Mar;68(6):1106-13
pubmed: 19157666
Eur J Public Health. 2016 Feb;26(1):182-7
pubmed: 25817209
Demography. 2000 Nov;37(4):511-21
pubmed: 11086576
Public Health. 1998 Mar;112(2):113-7
pubmed: 9581453
J Epidemiol Community Health. 2012 Jul;66(7):e22
pubmed: 22012962
Soc Sci Med. 2012 Dec;75(12):2267-74
pubmed: 22995666