Marital History and Survival After Stroke
BackgroundStroke is among the leading causes of disability and death in the United States, and nearly 7 million adults are currently alive after experiencing a stroke. Although the risks associated with having a stroke are well established, we know surprisingly little about how marital status influe...
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| Format: | Article |
| Language: | English |
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Wiley
2016-12-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.116.004647 |
| _version_ | 1819205633423966208 |
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| author | Matthew E. Dupre Renato D. Lopes |
| author_facet | Matthew E. Dupre Renato D. Lopes |
| author_sort | Matthew E. Dupre |
| collection | DOAJ |
| description | BackgroundStroke is among the leading causes of disability and death in the United States, and nearly 7 million adults are currently alive after experiencing a stroke. Although the risks associated with having a stroke are well established, we know surprisingly little about how marital status influences survival in adults with this condition. This study is the first prospective investigation of how marital history is related to survival after stroke in the United States. Methods and ResultsData from a nationally representative sample of older adults who experienced a stroke (n=2351) were used to examine whether and to what extent current marital status and past marital losses were associated with risks of dying after the onset of disease. Results showed that the risks of dying following a stroke were significantly higher among the never married (hazard ratio [HR], 1.71; 95% CI, 1.31–2.24), remarried (HR, 1.23; 95% CI, 1.06–1.44), divorced (HR, 1.23; 95% CI, 1.01–1.49), and widowed (HR, 1.25; 95% CI, 1.10–1.43) relative to those who remained continuously married. We also found that having multiple marital losses was especially detrimental to survival—regardless of current marital status and accounting for multiple socioeconomic, psychosocial, behavioral, and physiological risk factors. ConclusionsMarital history is significantly associated with survival after stroke. Additional studies are needed to further examine the mechanisms contributing to the associations and to better understand how this information can be used to personalize care and aggressively treat vulnerable segments of the population. |
| first_indexed | 2024-12-23T04:54:48Z |
| format | Article |
| id | doaj.art-c1f3f7f2ba824b8197ca15a6c470ad9f |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-12-23T04:54:48Z |
| publishDate | 2016-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-c1f3f7f2ba824b8197ca15a6c470ad9f2022-12-21T17:59:23ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802016-12-0151210.1161/JAHA.116.004647Marital History and Survival After StrokeMatthew E. Dupre0Renato D. Lopes1Duke Clinical Research Institute, Duke University, Durham, NCDuke Clinical Research Institute, Duke University, Durham, NCBackgroundStroke is among the leading causes of disability and death in the United States, and nearly 7 million adults are currently alive after experiencing a stroke. Although the risks associated with having a stroke are well established, we know surprisingly little about how marital status influences survival in adults with this condition. This study is the first prospective investigation of how marital history is related to survival after stroke in the United States. Methods and ResultsData from a nationally representative sample of older adults who experienced a stroke (n=2351) were used to examine whether and to what extent current marital status and past marital losses were associated with risks of dying after the onset of disease. Results showed that the risks of dying following a stroke were significantly higher among the never married (hazard ratio [HR], 1.71; 95% CI, 1.31–2.24), remarried (HR, 1.23; 95% CI, 1.06–1.44), divorced (HR, 1.23; 95% CI, 1.01–1.49), and widowed (HR, 1.25; 95% CI, 1.10–1.43) relative to those who remained continuously married. We also found that having multiple marital losses was especially detrimental to survival—regardless of current marital status and accounting for multiple socioeconomic, psychosocial, behavioral, and physiological risk factors. ConclusionsMarital history is significantly associated with survival after stroke. Additional studies are needed to further examine the mechanisms contributing to the associations and to better understand how this information can be used to personalize care and aggressively treat vulnerable segments of the population.https://www.ahajournals.org/doi/10.1161/JAHA.116.004647marital statusmortalitystroke |
| spellingShingle | Matthew E. Dupre Renato D. Lopes Marital History and Survival After Stroke Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease marital status mortality stroke |
| title | Marital History and Survival After Stroke |
| title_full | Marital History and Survival After Stroke |
| title_fullStr | Marital History and Survival After Stroke |
| title_full_unstemmed | Marital History and Survival After Stroke |
| title_short | Marital History and Survival After Stroke |
| title_sort | marital history and survival after stroke |
| topic | marital status mortality stroke |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.116.004647 |
| work_keys_str_mv | AT matthewedupre maritalhistoryandsurvivalafterstroke AT renatodlopes maritalhistoryandsurvivalafterstroke |