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05.01.2016 | Original Article

Marital breakup in later adulthood and self-rated health: a cross-sectional survey in Switzerland

verfasst von: Bina Knöpfli, Stéphane Cullati, Delphine S. Courvoisier, Claudine Burton-Jeangros, Pasqualina Perrig-Chiello

Erschienen in: International Journal of Public Health | Ausgabe 3/2016

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Abstract

Objectives

This research examines the impact of relationship status on self-rated health (SRH) by taking into account intrapersonal and social resources.

Methods

Data stem from a Swiss-based survey of 1355 participants aged 40–65 years. Three groups are compared: continuously married (n = 399), single divorcees (n = 532) and repartnered divorcees (n = 424). Linear regression models are used to examine the predictive role of relationship status on SRH and to investigate the moderating role of intrapersonal and social resources on SRH.

Results

Single divorcees show the lowest SRH scores, whereas their repartnered counterparts reported scores comparable to the continuously married—even after controlling for socio-demographic and economic variables. Although single divorcees reported higher levels of loneliness and agreeableness in addition to lower levels of resilience when compared with the other groups, none of these variables had a significant moderation effect on SRH.

Conclusions

Our results underscore the positive effect of relationship status on SRH, and contribute new insights on the impact of later-life divorce. Given the growing number of divorcees, related public health challenges are likely to increase.

Amato PR (2000) The consequences of divorce for adults and children. J Marriage Fam 62:1269–1287. doi:10.1111/j.1741-3737.2000.01269.x CrossRef

Amato PR (2010) Research on divorce: continuing trends and new developments. J Marriage Fam 72:650–666. doi:10.1111/j.1741-3737.2010.00723.x CrossRef

Amato PR, Hohmann-Marriott B (2007) A comparison of high- and low-distress marriages that end in divorce. J Marriage Fam 69:621–638. doi:10.1111/j.1741-3737.2007.00396.x CrossRef

Angner E, Ray MN, Saag KG, Allison JJ (2009) Health and happiness among older adults: a community-based study. J Health Psychol 14:503–512. doi:10.1177/1359105309103570 CrossRefPubMed

Arber S, Fenn K, Meadows R (2014) Subjective financial well-being, income and health inequalities in mid and later life in Britain. Soc Sci Med 100:12–20. doi:10.1016/j.socscimed.2013.10.016 CrossRefPubMed

Artazcoz L, Cortes I, Borrell C, Escriba-Aguir V, Cascant L (2011) Social inequalities in the association between partner/marital status and health among workers in Spain. Soc Sci Med 72:600–607. doi:10.1016/j.socscimed.2010.11.035 CrossRefPubMed

Avison WR (1999) Family structure and processes. In: Horwitz AV, Scheid TL (eds) A handbook for the study of mental health: social contexts, theories, and systems. Cambridge University Press, New York, pp 228–240

Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc Ser B (Methodological) 57:289–300

Bonanno GA (2004) Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely aversive events? Am Psychol 59:20–28. doi:10.1037/0003-066X.59.1.20 CrossRefPubMed

Bookwala J, Marshall KI, Manning SW (2014) Who needs a friend? Marital status transitions and physical health outcomes in later life. Health Psychol 33:505–515. doi:10.1037/hea0000049 CrossRefPubMed

Brown SL, Lin IF (2012) The gray divorce revolution: rising divorce among middle-aged and older adults, 1990-2010. J Gerontol Ser B Psycholog Sci Soc Sci 67B:731–741. doi:10.1093/geronb/gbs089 CrossRef

Caspi A, Roberts BW, Shiner RL (2005) Personality development: stability and change. Annu Rev Psychol 56:453–484. doi:10.1146/annurev.psych.55.090902.141913 CrossRefPubMed

Cullati S, Rousseaux E, Gabadinho A, Courvoisier DS, Burton-Jeangros C (2014) Factors of change and cumulative factors in self-rated health trajectories: a systematic review. Adv Life Course Res 19:14–27. doi:10.1016/j.alcr.2013.11.002 CrossRefPubMed

De Jong Gierveld J, Van Tilburg T (2006) A 6-Item scale for overall, emotional, and social loneliness: confirmatory tests on survey data. Res Aging 28:582–598. doi:10.1177/0164027506289723 CrossRef

Dykstra PA, Fokkema T (2007) Social and emotional loneliness among divorced and married men and women: comparing the deficit and cognitive perspectives. Basic Appl Soc Psychol 29:1–12. doi:10.1080/01973530701330843 CrossRef

Eurostat (2014) Eheschliessungen und Ehescheidungen. Eurostat. http://epp.eurostat.ec.europa.eu/portal/page/portal/statistics/search_database. Accessed 01 December 2014

Hughes ME, Waite LJ (2009) Marital biography and health at mid-life. J Health Soc Behav 50:344–358. doi:10.1177/002214650905000307 CrossRefPubMedPubMedCentral

Knox D, Corte U (2007) “Work it out/see a counselor”: advice from spouses in the separation process. J Divorce Remarriage 48:79–90. doi:10.1300/J087v48n01_04 CrossRef

Kondo N, Sembajwe G, Kawachi I, van Dam RM, Subramanian SV, Yamagata Z (2009) Income inequality, mortality, and self rated health: meta-analysis of multilevel studies. BMJ. doi:10.1136/bmj.b4471 PubMedPubMedCentral

Kulik L, Heine-Cohen E (2011) Coping resources, perceived stress and adjustment to divorce among Israeli women: assessing effects. J Soc Psychol 151:5–30. doi:10.1080/00224540903366453 CrossRefPubMed

Liu H (2012) Marital dissolution and self-rated health: age trajectories and birth cohort variations. Soc Sci Med 74:1107–1116. doi:10.1016/j.socscimed.2011.11.037 CrossRefPubMed

Liu H, Umberson DJ (2008) The times they are a changin’: marital status and health differentials from 1972 to 2003. J Health Soc Behav 49:239–253. doi:10.1177/002214650804900301 CrossRefPubMedPubMedCentral

Liu H, Waite L (2014) Bad marriage, broken heart? Age and gender differences in the link between marital quality and cardiovascular risks among older adults. J Health Soc Behav 55:403–423. doi:10.1177/0022146514556893 CrossRefPubMedPubMedCentral

Lucas RE (2005) Time does not heal all wounds. A longitudinal study of reaction and adaptation to divorce. Psychol Sci 16:945–950. doi:10.1111/j.1467-9280.2005.01642.x CrossRefPubMed

Ong AD, Bergeman C, Bisconti TL, Wallace KA (2006) Psychological resilience, positive emotions, and successful adaptation to stress in later life. J Pers Soc Psychol 91:730–749. doi:10.1037/0022-3514.91.4.730 CrossRefPubMed

Perneger TV (1998) What’s wrong with Bonferroni adjustments. BMJ 316:1236–1238. doi:10.1136/bmj.316.7139.1236 CrossRefPubMedPubMedCentral

Perneger TV, Gayet-Ageron A, Courvoisier DS, Agoritsas T, Cullati S (2013) Self-rated health: analysis of distances and transitions between response options. Qual Life Res 22:2761–2768. doi:10.1007/s11136-013-0418-5 CrossRefPubMed

Perrig-Chiello P, Hutchison S, Morselli D (2015) Patterns of psychological adaptation to divorce after a long-term marriage. J Soc Pers Relatsh 32:386–405. doi:10.1177/0265407514533769 CrossRef

Perruccio AV, Katz JN, Losina E (2012) Health burden in chronic disease: multimorbidity is associated with self-rated health more than medical comorbidity alone. J Clin Epidemiol 65:100–106. doi:10.1016/j.jclinepi.2011.04.013 CrossRefPubMedPubMedCentral

Pudrovska T, Carr D (2008) Psychological adjustment to divorce and widowhood in mid- and later life: do coping strategies and personality protect against psychological distress? Adv Life Course Res 13:283–317. doi:10.1016/S1040-2608(08)00011-7 CrossRef

Rammstedt B, John OP (2007) Measuring personality in one minute or less: a 10-item short version of the Big Five Inventory in English and German. J Res Pers 41:203–212. doi:10.1016/j.jrp.2006.02.001 CrossRef

Schoenborn CA (2004) Marital status and health: United States, 1999–2002. Adv Data 15:1–32

Schumacher J, Leppert K, Gunzelmann T, Strauß B, Brähler E (2005) Die Resilienzskala—Ein Fragebogen zur Erfassung der psychischen Widerstandsfähigkeit als Personmerkmal. Z Klin Psychol Psychiatri Psychother 53:16–39

Staehelin K, Schindler C, Spoerri A, Zemp Stutz E for the Swiss National Cohort Study Group (2012) Marital status, living arrangement and mortality: does the association vary by gender? J Epidemiol Community Health 66:e22. doi:10.1136/jech.2010.128397 CrossRefPubMed

Swiss Federal Office of Statistics (2011) Scheidungen nach gegenseitigem Alter der Ehegatten. http://www.bfs.admin.ch/bfs/portal/de/index/themen/01/06/blank/data/03.Document.67601.xls. Accessed 21 Oct 2012

Umberson D, Williams K, Powers DA, Liu H, Needham B (2006) You make me sick: marital quality and health over the life course. J Health Soc Behav 47:1–16. doi:10.1177/002214650604700101 CrossRefPubMedPubMedCentral

Waite LJ, Luo Y, Lewin AC (2009) Marital happiness and marital stability: consequences for psychological well-being. Soc Sci Res 38:201–212. doi:10.1016/j.ssresearch.2008.07.001 CrossRef

Wang H, Amato PR (2000) Predictors of divorce adjustment: stressors, resources, and definitions. J Marriage Fam 62:655–668. doi:10.1111/j.1741-3737.2000.00655.x CrossRef

Williams K, Umberson D (2004) Marital status, marital transitions, and health: a gendered life course perspective. J Health Soc Behav 45:81–98. doi:10.1177/002214650404500106 CrossRefPubMedPubMedCentral

Wu Z, Hart R (2002) The effects of marital and nonmarital union transition on health. J Marriage Fam 64:420–432. doi:10.1111/j.1741-3737.2002.00420.x CrossRef

Titel: Marital breakup in later adulthood and self-rated health: a cross-sectional survey in Switzerland
verfasst von: Bina Knöpfli
Stéphane Cullati
Delphine S. Courvoisier
Claudine Burton-Jeangros
Pasqualina Perrig-Chiello
Publikationsdatum: 05.01.2016
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 3/2016
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-015-0776-6

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

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Marital breakup in later adulthood and self-rated health: a cross-sectional survey in Switzerland

Abstract

Objectives

Methods

Results

Conclusions

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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