European Journal of Ageing

, Volume 12, Issue 1, pp 71–79 | Cite as

The relationship between health and partnership history in adulthood: insights through retrospective information from Europeans aged 50 and over

  • Jordi Gumà
  • Antonio D. Cámara
  • Rocío Treviño
Original Investigation


The association between health and partnership status is a growing concern within the social sciences. Some partnership situations exhibit positive effects on health, while partnership breakdowns display negative impacts. However, case studies show that these associations may change with age, due to potential sources of heterogeneity within a population. The current analysis explored this association over the adult life course (ages 30–64) of Europeans aged 50 years and older based on retrospective information on health and partnership from SHARELIFE (N = 23,535 after data screening). The data allowed us to control for socio-demographic covariates as well as for individual infirmity, measured by childhood health. We also considered contextual survival selection effects by comparing 13 European countries for which pre-adult mortality levels largely differed among the cohorts involved (1907–1958). Discrete-time hazard analyses examined the risk of suffering from a major episode of poor health (self-reported) in adulthood as a function of partnership history, using two approaches: a pooled model and country-specific models. The results revealed no differences between those who lived with a partner (first union) and single individuals in terms of the retrospective hazards of poor health. We hypothesize that this result stems from the cumulative effect of survival selection on individuals in advanced ages according to partnership status. The results also partially point to the plausibility of a contextual survival selection, which should be confirmed by further research based on additional health indicators.


Partnership status Health Biographical information Survival Selection SHARE 



This study uses data from SHARELIFE release 1, as of November 24, 2010. The collection of SHARE data has been primarily funded by the European Commission through the fifth framework programme (project QLK6-CT-2001- 00360 in the thematic programme Quality of Life), through the sixth framework programme (projects SHARE-I3, RII-CT- 2006-062193, COMPARE, CIT5-CT-2005-028857, and SHARELIFE, CIT4-CT-2006-028812) and through the seventh framework programme (SHARE-PREP, 211909 and SHARE-LEAP, 227822). Additional funding from the U.S. National Institute on Aging (U01 AG09740-13S2, P01 AG005842, P01 AG08291, P30 AG12815, Y1-AG-4553-01 and OGHA 04-064, IAG BSR06-11, R21 AG025169) as well as from various national sources is gratefully acknowledged.


  1. Andress H-J, Borgloh B, Bröckel M, Giesselmann M (2006) The economic consequences of partnership dissolution: a comparative analysis of panel studies from Belgium, Germany, Great Britain, Italy, and Sweden. Eur Sociol Rev 22(5):533–560CrossRefGoogle Scholar
  2. Bardage C, Pluijm SM, Pedersen NL, Deeg DJ, Jylhä M, Noale M, Blumstein T, Otero A (2005) Self-rated health among older adults: a cross-national comparison. Eur J Ageing 2:149–158CrossRefGoogle Scholar
  3. Biró A (2013) Adverse effects of widowhood in Europe. Adv Life Course Res 18(1):68–82CrossRefGoogle Scholar
  4. Börsch-Supan A, Karsten H, Jürges H (2005) A new comprehensive and international view on ageing: introducing the ‘Survey of Health, Ageing and Retirement in Europe’. Eur J Ageing 2(4):245–253CrossRefGoogle Scholar
  5. Brockmann H, Klein T (2004) Love and death in Germany: the marital biography and its effect on mortality. J Marriage Fam 66:567–581Google Scholar
  6. Chesnais J-C (1986) La transition démographique: étapes, forms, implications économiques. Etude de series temporelles (1720–1984) relatives à 67 pays. Presses Universitaires de France, ParisGoogle Scholar
  7. De Lange AH, Taris TW, Kompier M, Houtman I, Bongers P (2005) Different mechanisms to explain the reversed effects of mental health on work characteristics. Scand J Work Environ Health 31(1):3–14CrossRefGoogle Scholar
  8. Demakakos P, Nazroo J, Breeze E, Marmot M (2008) Socioeconomic status and health: the role of subjective social status. Soc Sci Med 67:330–340CrossRefGoogle Scholar
  9. Duncan G, Wilkerson B, England P (2006) Cleaning up their act: the effects of marriage and cohabitation on licit and illicit drug use. Demography 43(4):691–710CrossRefGoogle Scholar
  10. Goldman N, Korenman S, Weinstein R (1995) Marital status and health among the elderly. Soc Sci Med 40(2):1717–1730CrossRefGoogle Scholar
  11. González L, Viitanen T (2009) The effect of divorce laws on divorce rates in Europe. Eur Econ Rev 53:127–138CrossRefGoogle Scholar
  12. Hughes M, Waite L (2009) Marital biography and health at mid-life. J Health Soc Behav 50:344–358CrossRefGoogle Scholar
  13. Idler EL (1993) Age differences in self-assessments of health: age changes, cohort differences, or survivorship? J Gerontol 48:289–300CrossRefGoogle Scholar
  14. Joung I, Van de Mheen H, Stronks K, Van Poppel F, Mackenbach J (1994) Differences in self-reported morbidity by marital status and by living arrangement. Int J Epidemiol 23(1):91–97CrossRefGoogle Scholar
  15. Joung I, Dike H, Stronks K, Van Poppel F, Mackenbach J (1998) A longitudinal study of health selection in marital transitions. Soc Sci Med 46(3):425–435CrossRefGoogle Scholar
  16. Joutsenniemi K (2007) Living arrangements and health. Dissertation, University of HelsinkiGoogle Scholar
  17. Lesthaeghe R (1995) The second demographic transition in western countries. In: Mason KO, Jensen AM (eds) Gender and family in industrialized countries. Clarendon Press, Oxford, pp 17–62Google Scholar
  18. Lillard L, Panis C (1996) Marital status and mortality: the role of health. Demography 33(3):313–327CrossRefGoogle Scholar
  19. Lillard L, Waite L (1995) Til death do us part: marital disruption and mortality. Am J Sociol 100(5):1131–1156CrossRefGoogle Scholar
  20. Liu H, Umberson D (2008) The times are a changin´: marital status and health differentials from 1972 to 2003. J Health Soc Behav 49:239–253CrossRefGoogle Scholar
  21. Marmot M (2005) Social determinants of health inequalities. Lancet 365:1099–1104CrossRefGoogle Scholar
  22. Martikainen P, Martelin T, Nihtilä E, Majamaa K, Koskinen S (2005) Differences in mortality by marital status in Finland from 1976 to 2000: analyses of changes in marital-status distributions, socio-demographic and household composition, and cause of death. Popul Stud 59(1):99–115CrossRefGoogle Scholar
  23. Oksuzyan A, Brønnum-Hansen H, Jeune B (2010) Gender gap in health expectancy. Eur J Ageing 7(4):213–218CrossRefGoogle Scholar
  24. Regidor E, Calle M, Domínguez V, Navarro P (2001) Mortalidad según características sociales y económicas: Estudio de mortalidad de la Comunidad Autónoma de Madrid. Med Clin 116:726–731CrossRefGoogle Scholar
  25. Rendall MS, Weden MM, Favreault MM, Waldron H (2011) The protective effect of marriage for survival: a review and update. Demography 48:481–506Google Scholar
  26. Ross C, Wu CH (1996) Education, age, and the cumulative advantage in health. J Health Soc Behav 37(1):104–120CrossRefGoogle Scholar
  27. Schröder M (2011) Retrospective data collection in the survey of health, ageing and retirement in Europe. SHARELIFE Methodology. MannheimGoogle Scholar
  28. Simon W (2002) Revisiting the relationships among gender, marital status, and mental health. Am J Sociol 107:1065–1096CrossRefGoogle Scholar
  29. Valkonen T, Martikainen P, Blomgren J (2004) Increasing excess mortality among non-married elderly people in developed countries. Demogr Res 2:305–330CrossRefGoogle Scholar
  30. Vaupel JW, Yashin AI (1985) Heterogeneity’s ruses: some surprising effects of selection on population dynamics. Am Stat 39(3):176–185Google Scholar
  31. Vaupel JW, Manton KG, Stallard E (1979) The impact of heterogeneity in individual frailty on the dynamics of mortality. Demography 16:439–454CrossRefGoogle Scholar
  32. Wade T, Pevalin D (2004) Marital transitions and mental health. J Health Soc Behav 45:155–170CrossRefGoogle Scholar
  33. Waite L (1995) Does marriage matter? Demography 32(4):483–507CrossRefGoogle Scholar
  34. World Health Organization (WHO) (1946) Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 JuneGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Jordi Gumà
    • 1
  • Antonio D. Cámara
    • 1
  • Rocío Treviño
    • 1
  1. 1.Centre d’Estudis DemogràficsBarcelonaSpain

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