Dissatisfaction with Married Life in Men Is Related to Increased Stroke and All-Cause Mortality
The objectives of this study were to assess the association between marital satisfaction and specific and all-cause mortality, and to examine whether this association is independent of other known risk factors for early mortality. In this prospective cohort, male Israeli civil servants and municipal...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/8/1729 |
| _version_ | 1797537467008548864 |
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| author | Shahar Lev-ari Yftach Gepner Uri Goldbourt |
| author_facet | Shahar Lev-ari Yftach Gepner Uri Goldbourt |
| author_sort | Shahar Lev-ari |
| collection | DOAJ |
| description | The objectives of this study were to assess the association between marital satisfaction and specific and all-cause mortality, and to examine whether this association is independent of other known risk factors for early mortality. In this prospective cohort, male Israeli civil servants and municipal employees (<i>n</i> = 8945) underwent an extensive appraisal of health and behavioral patterns and were followed for more than three decades. Cox proportional hazards analysis was used to estimate the relative risks for stroke and all-cause mortality over time across marital satisfaction categories. During the 32 years of follow-up, 5736 (64.1%) died. Dissatisfaction with married life was related to increased long-term risk of stroke (HR = 1.94; 95%CI, 1.41–2.90) and all-cause mortality (HR = 1.21; 95%CI, 1.04–1.41). The latter association was of a similar order of magnitude to other known risk factors for early mortality, such as people with a history of smoking (HR = 1.37; 95%CI, 1.30–1.48) compared to people who have never smoked and for physically inactive participants (HR = 1.21; 95%CI, 1.14–1.37) compared to physically active participants. The results of our study suggest that marital dissatisfaction may predict an elevated risk of all-cause mortality. Assessing marital satisfaction and measuring the health benefits of marital education programs for couples should be implemented as part of health promotion strategies for the general population. |
| first_indexed | 2024-03-10T12:15:31Z |
| format | Article |
| id | doaj.art-889ca47378f942b699ea2f041e7b8491 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T12:15:31Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-889ca47378f942b699ea2f041e7b84912023-11-21T15:53:31ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01108172910.3390/jcm10081729Dissatisfaction with Married Life in Men Is Related to Increased Stroke and All-Cause MortalityShahar Lev-ari0Yftach Gepner1Uri Goldbourt2Department of Health Promotion, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, IsraelDepartment of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Sylvan Adams Sports Institute, Tel-Aviv University, Tel-Aviv 6997801, IsraelDepartment of Epidemiology and Preventive Medicine, School of Public Health, and the Henry N. Neufeld Cardiac Research Institute, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, IsraelThe objectives of this study were to assess the association between marital satisfaction and specific and all-cause mortality, and to examine whether this association is independent of other known risk factors for early mortality. In this prospective cohort, male Israeli civil servants and municipal employees (<i>n</i> = 8945) underwent an extensive appraisal of health and behavioral patterns and were followed for more than three decades. Cox proportional hazards analysis was used to estimate the relative risks for stroke and all-cause mortality over time across marital satisfaction categories. During the 32 years of follow-up, 5736 (64.1%) died. Dissatisfaction with married life was related to increased long-term risk of stroke (HR = 1.94; 95%CI, 1.41–2.90) and all-cause mortality (HR = 1.21; 95%CI, 1.04–1.41). The latter association was of a similar order of magnitude to other known risk factors for early mortality, such as people with a history of smoking (HR = 1.37; 95%CI, 1.30–1.48) compared to people who have never smoked and for physically inactive participants (HR = 1.21; 95%CI, 1.14–1.37) compared to physically active participants. The results of our study suggest that marital dissatisfaction may predict an elevated risk of all-cause mortality. Assessing marital satisfaction and measuring the health benefits of marital education programs for couples should be implemented as part of health promotion strategies for the general population.https://www.mdpi.com/2077-0383/10/8/1729marital satisfactionall-cause mortalitycohort study |
| spellingShingle | Shahar Lev-ari Yftach Gepner Uri Goldbourt Dissatisfaction with Married Life in Men Is Related to Increased Stroke and All-Cause Mortality Journal of Clinical Medicine marital satisfaction all-cause mortality cohort study |
| title | Dissatisfaction with Married Life in Men Is Related to Increased Stroke and All-Cause Mortality |
| title_full | Dissatisfaction with Married Life in Men Is Related to Increased Stroke and All-Cause Mortality |
| title_fullStr | Dissatisfaction with Married Life in Men Is Related to Increased Stroke and All-Cause Mortality |
| title_full_unstemmed | Dissatisfaction with Married Life in Men Is Related to Increased Stroke and All-Cause Mortality |
| title_short | Dissatisfaction with Married Life in Men Is Related to Increased Stroke and All-Cause Mortality |
| title_sort | dissatisfaction with married life in men is related to increased stroke and all cause mortality |
| topic | marital satisfaction all-cause mortality cohort study |
| url | https://www.mdpi.com/2077-0383/10/8/1729 |
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