Family Network and Mortality: Survival Chances through the Lifespan of an Entire Age Cohort

1993 ◽  
Vol 37 (4) ◽  
pp. 277-295 ◽  
Author(s):  
Gillis Samuelsson ◽  
Ove Dehlin
Keyword(s):  
Survival Analysis ◽  
Marital Status ◽  
Social Mobility ◽  
Rural Areas ◽  
Survival Rates ◽  
Dropout Rate ◽  
Family Network ◽  
Men And Women ◽  
Never Married ◽  
Number Of Children

This study relates certain family network variables (marital status and number of children) to chances of survival. Through multivariate analysis, survival is also related to social class, social mobility, migration and local environment, and legitimacy of birth. All persons in a local birth cohort born in the years 1902 and 1903 were followed in population records from birth until eighty years of age. The group comprised 487 individuals with a dropout rate of 4 percent. Univariate survival analysis between twenty to eighty years of age showed widows and also divorced women to have a significantly higher survival than those still married and never married. Never married men and women had the lowest survival rates. The number of children was not associated with survival for neither men nor women when controlled for marital status. Multiple regression survival analysis showed different patterns for males and females. The risk of not surviving to eighty years of age for men resulted from a combination of being single, downward social mobility, a father in the manual working class group and few children, with being single as the strongest predictor. For women the strongest predictor for death before eighty was the category single and/or married (as opposed to earlier married). The combination of being single/married, high migration, earlier life mainly in rural areas, and having few children were predictors in the model of death before eighty. Thus, for both men and women marital status was the strongest predictor for survival but in different ways.

Advancing the Use and Quality of Peritoneal Dialysis by Developing a Peritoneal Dialysis Satellite Center Program

2011 ◽  
Vol 31 (2) ◽  
pp. 121-126 ◽  
Author(s):  
Zongpei Jiang ◽  
Xueqing Yu
Keyword(s):  
Peritoneal Dialysis ◽  
Rural Areas ◽  
Southern China ◽  
Survival Rates ◽  
Dropout Rate ◽  
Full Time ◽  
Technique Survival ◽  
Treatment Practices ◽  
Center Program

BackgroundPeritoneal dialysis (PD) is developing rapidly in China, but because there are not enough well-trained PD doctors and nurses in more rural areas, this expansion is occurring mainly in larger cities. To address this imbalance, our center established a PD satellite center program across Guangdong Province, with the aim of extending the use and improving the quality of PD.MethodsSun Yat-sen University PD center is responsible for running the satellite program. The PD satellite centers are selected using specific criteria. The full-time PD physicians and nurses in the satellite centers accept a unified training program and treatment practices, and their clinical outcomes are carefully followed by our center.ResultsThe program began in January 2008, and there are now 12 PD centers from which 26 doctors and 32 nurses received PD training. Several hundred patients are now receiving PD through this program. The total number of PD patients treated by our center and the satellites increased to 1860 from 1010. The number treated in the satellite units increased to 1165 from 601. The annual dropout rate fell to 17.6% from 28.2%, and the average peritonitis incidence fell from 1 episode in 39.4 patient–months to 1 episode in 46.2 patient–months. The 1-year patient and technique survival rates increased to 84.2% from 82.0% and to 93% from 88.7% respectively.ConclusionsOur PD satellite center program is a good model for increasing the use and improving the quality of PD in rural areas. We plan to expand this program to other parts of southern China.

scholarly journals Parents survive longer after stroke than childless individuals: a prospective cohort study of Swedes over the age of 65

2019 ◽  
Vol 29 (6) ◽  
pp. 1090-1095
Author(s):  
Anna C Meyer ◽  
Jenny Torssander ◽  
Mats Talbäck ◽  
Karin Modig
Keyword(s):  
Cohort Study ◽  
Marital Status ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Functional Limitations ◽  
Relative Survival ◽  
Older Individuals ◽  
Swedish Population ◽  
Men And Women ◽  
Number Of Children

Abstract Background Parents have lower mortality than childless individuals, and one possible explanation is support provided by adult children. Since stroke often results in functional limitations, support from children may be of particular importance. Here, we examine whether the presence of children matters for survival after stroke among older Swedish men and women. Methods This prospective cohort study linked data from several Swedish population registers. Individuals aged 65 years and older hospitalized for their first ischemic stroke between 1998 and 2002 (33 960 men and 36 189 women) were followed 12 years for survival. Hazard ratios for all-cause mortality were calculated by number of children using Cox proportional hazard regression stratified by sex and marital status and adjusted for education, income and comorbidities. Results Childlessness and having only one child was associated with higher mortality after stroke compared with having two children among men and women. The relative survival disadvantage of childless individuals was largest among married women [HR 1.28 (1.18–1.39)] and smallest among married men [1.09 (1.03–1.15)]. The differences in predicted median survival between childless individuals and those with two children were 4 and 7 months among married and unmarried men, and 15 and 9 months among married and unmarried women, respectively. Conclusions Having children is associated with a longer survival after stroke among men and women regardless of marital status. Our findings further suggest that the presence of children is especially connected to married women’s survival. These results may have implications for the improvement of informal care for childless older individuals.

scholarly journals Social aspects of patients with carcinoma breast presented to Sir Ganga Ram Hospital Lahore

2016 ◽  
Vol 10 (2) ◽  
Author(s):  
Andleeb Khanam ◽  
Aamer Zaman Khan ◽  
Absar Nazir ◽  
Muhammad Saleem ◽  
Amer Riaz Bhutta ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Family History ◽  
Marital Status ◽  
Rural Areas ◽  
Social Aspects ◽  
Carcinoma Breast ◽  
Number Of Children ◽  
Average Size ◽  
Breast Fed ◽  
Lower Group

This study was carried out in Sir Ganga Ram Hospital from January 2001 to December 2003. 525 patients with carcinoma breast were selected and a detailed demographic record was maintained. It was seen that the largest no. of cases were between 30-39 years i.e., 37.33% Socioeconomic status showed that 47.24 % belong to lower group 80.38% were house wives Marital status showed 97.14% were married 66.67% patients belong to rural areas. Age at the time of first pregnancy was between 22-27 years i.e., 75% of cases. Average number of children was 5 seen in 52.78% cases. Lactation status showed 41.67% had breast fed their children for 18 months. Family history was positive in 2.7% patients.. Average size of the lump was 6-10cm i.e 55.6%. It was T3 tumor in 47.22% of cases.

scholarly journals Marital status and risk of cardiovascular diseases: a systematic review and meta-analysis

Heart ◽  
2018 ◽  
Vol 104 (23) ◽  
pp. 1937-1948 ◽  
Author(s):  
Chun Wai Wong ◽  
Chun Shing Kwok ◽  
Aditya Narain ◽  
Martha Gulati ◽  
Anastasia S Mihalidou ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Marital Status ◽  
Meta Analysis ◽  
Stroke Incidence ◽  
Men And Women ◽  
Never Married ◽  
Search Terms ◽  
Incidence And Mortality ◽  
Language Restriction ◽  
Stroke Death

BackgroundThe influence of marital status on the incidence of cardiovascular disease (CVD) and prognosis after CVD is inconclusive. We systematically reviewed the literature to determine how marital status influences CVD and prognosis after CVD.MethodsA search of MEDLINE and Embase in January 2018 without language restriction was performed to identify studies that evaluated the association between marital status and risk of CVD. Search terms related to both marital status and CVD were used and included studies had to be prospective in design. The outcomes of interest were CVD, coronary heart disease (CHD) or stroke incidence and mortality. We performed random effects meta-analysis stratified by the types of population by calculating odds ratios (OR) and 95% confidence intervals (95% CI).ResultsOur analysis included 34 studies with more than two million participants. Compared with married participants, being unmarried (never married, divorced or widowed) was associated with increased odds of CVD (OR 1.42; 95% CI 1.00 to 2.01), CHD (OR 1.16,95% CI 1.04 to 1.28), CHD death (OR 1.43,95% CI 1.28 to 1.60) and stroke death (OR 1.55,95% 1.16 to 2.08). Being divorced was associated with increased odds of CHD (P<0.001) for both men and women while widowers were more likely to develop a stroke (P<0.001). Single men and women with myocardial infarction had increased mortality (OR 1.42, 95% CI 1.14 to 1.76) compared with married participants.ConclusionsMarital status appears to influence CVD and prognosis after CVD. These findings may suggest that marital status should be considered in the risk assessment for CVD and outcomes of CVD based on marital status merits further investigation.

Age and marital status predictors of binge alcohol use among adults with major depressive episode

2020 ◽  
Author(s):  
Areen Omary
Keyword(s):  
At Risk ◽  
Alcohol Use ◽  
Marital Status ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
Age Groups ◽  
Future Research ◽  
Major Depressive ◽  
Never Married ◽  
At Risk Populations

Aims: This study aims to examine if age and marital status can predict the risk for binge alcohol use (BAU) among adults with a major depressive episode (MDE). Methods: Data from the Substance Abuse and Mental Health Services Administration’s (SAMHSA) 2018 National Survey for Drug Use and Health (NSDUH) were analyzed. The unweighted sample included 6,999 adults representing a weighted population size of 33,900,452.122 in the US. Results and Conclusions: The findings of this retrospective research confirmed that age and marital status significantly predicted BAU in the past month among adults with MDE. Adults with MDE at higher risk for BAU were adults under the age of 50, adults who were never married, and adults who were divorced/separated. Special attention must be paid to those in age groups under 50, never married, and have been separated/divorced who are particularly at-risk for future alcohol abuse. Future research should consider examining additional potential confounders for BAU among other at-risk populations.

Gender Differences in the Link Between Marital Status and the Risk of Cognitive Impairment: Results From the Korean Longitudinal Study of Aging

2021 ◽  
pp. 009141502110241
Author(s):  
Yujin Kim
Keyword(s):  
Cognitive Impairment ◽  
Longitudinal Study ◽  
Marital Status ◽  
Event History Analysis ◽  
Population Aging ◽  
Event History ◽  
Never Married ◽  
History Analysis ◽  
Married Men ◽  
And Gender

In the context of South Korea, characterized by increasing population aging and a changing family structure, this study examined differences in the risk of cognitive impairment by marital status and investigated whether this association differs by gender. The data were derived from the 2006–2018 Korean Longitudinal Study of Aging. The sample comprised 7,568 respondents aged 45 years or older, who contributed 30,414 person-year observations. Event history analysis was used to predict the odds of cognitive impairment by marital status and gender. Relative to their married counterparts, never-married and divorced people were the most disadvantaged in terms of cognitive health. In addition, the association between marital status and cognitive impairment was much stronger for men than for women. Further, gender-stratified analyses showed that, compared with married men, never-married men had a higher risk of cognitive impairment, but there were no significant effects of marital status for women.

scholarly journals The impact of socio-demographic factors on the survival of cancer patients in Zimbabwe

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Idika E. Okorie ◽  
Ricardo Moyo ◽  
Saralees Nadarajah
Keyword(s):  
Risk Factors ◽  
Survival Analysis ◽  
Marital Status ◽  
Cancer Patients ◽  
Hazard Rate ◽  
Significant Risk ◽  
Demographic Factors ◽  
Female Cancer Patients ◽  
Socio Demographic Factors ◽  
The Impact

AbstractWe provide a survival analysis of cancer patients in Zimbabwe. Our results show that young cancer patients have lower but not significant hazard rate compared to old cancer patients. Male cancer patients have lower but not significant hazard rate compared to female cancer patients. Race and marital status are significant risk factors for cancer patients in Zimbabwe.

scholarly journals Increased VEGF-A in solid type of lung adenocarcinoma reduces the patients’ survival

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Woon Yong Jung ◽  
Kyueng-Whan Min ◽  
Young Ha Oh
Keyword(s):  
Immune Response ◽  
Survival Analysis ◽  
Lung Adenocarcinoma ◽  
Survival Rates ◽  
Treatment Strategies ◽  
Enrichment Analysis ◽  
Genetic Alterations ◽  
Gene Set Enrichment Analysis ◽  
The Cancer Genome Atlas ◽  
Solid Type

AbstractThe histological classification of lung adenocarcinoma includes 5 types: lepidic, acinar, papillary, micropapillary and solid. The complex gene interactions and anticancer immune response of these types are not well known. The aim of this study was to reveal the survival rates, genetic alterations and immune activities of the five histological types and provide treatment strategies. This study reviewed the histological findings of 517 patients with lung adenocarcinoma from The Cancer Genome Atlas (TCGA) database and classified them into five types. We performed gene set enrichment analysis (GSEA) and survival analysis according to the different types. We found six oncogenic gene sets that were higher in lung adenocarcinoma than in normal tissues. In the survival analysis of each type, the acinar type had a favorable prognosis, and the solid subtype had an unfavorable prognosis; however, the survival differences between the other types were not significant. Our study focused on the solid type, which had the poorest prognosis. The solid type was related to adaptive immune resistance associated with elevated CD8 T cells and high CD274 (encoding PD-L1) expression. In the pathway analyses, the solid type was significantly related to high vascular endothelial growth factor (VEGF)-A expression, reflecting tumor angiogenesis. Non-necrosis/low immune response affected by high VEGF-A was associated with worse prognosis. The solid type associated with high VEGF-A expression may contribute to the development of therapeutic strategies for lung adenocarcinoma.

scholarly journals Diet profiles in a population sample from Mediterranean southern France

2001 ◽  
Vol 4 (2) ◽  
pp. 173-182 ◽  
Author(s):  
Jacqueline Scali ◽  
Aurélia Richard ◽  
Mariette Gerber
Keyword(s):  
Rural Areas ◽  
Dietary Habits ◽  
Population Sample ◽  
Distribution Patterns ◽  
Healthy Diet ◽  
Prevention Policy ◽  
Men And Women ◽  
Southern France ◽  
Poor Diet ◽  
The Mediterranean

AbstractObjectiveA Mediterranean diet quality index (MDQI) was devised to give an overall assessment of dietary habits and to identify groups at risk.DesignThe MDQI was based on scores given for selected levels of consumption of selected nutrients and foods.SettingMediterranean southern France.SubjectsThe sample included 473 men and 491 women in three age classes recruited at random.ResultsOnly 9.5% of men, 9.0% of women, 4.7% of 20–34 year old subjects, 6.6% of 35–54 year old subjects and 14.0% of 55–76 year old subjects were shown to have a healthy diet. However, 10.1% of men, 8.6% of women, 19.4% of 20–34 year old subjects, 10.2% of 35–54 year old subjects and 4.6% of 55–76 year old subjects were shown to have a poor diet. There were significantly fewer smokers among subjects with a good diet but the distribution of moderate wine drinkers was comparable between those with a good diet and those with a poor diet. Correspondence analysis associated a healthy diet with 55–76 year old men and women living in rural areas, who had received primary schooling only and who were manual workers. Both men and women with a poor MDQI score tended to be young and smokers. In addition, women with a poor MDQI tended to be heavy drinkers and obese.ConclusionsThis study showed that the Mediterranean model, which is generally recognized as a healthy diet, appears restricted to older people and to rural areas, whereas urbanized young people depart from it. A nutritional prevention policy targeted at young adults is required to encourage them to adhere to the Mediterranean model. Smoking and drinking showed different distribution patterns in the sample under study.

Sign in / Sign up

Export Citation Format

Share Document