Annals of Behavioral Medicine

, Volume 45, Issue 3, pp 338–347 | Cite as

Consistency and Timing of Marital Transitions and Survival During Midlife: the Role of Personality and Health Risk Behaviors

  • Ilene C. Siegler
  • Beverly H. Brummett
  • Peter Martin
  • Michael J. Helms
Original Article

Abstract

Background

Marital status is associated with survival.

Purpose

The aims of this study are to evaluate marital history and timing on mortality during midlife, test the role of pre-marital personality, and quantify the role of health risk behaviors.

Methods

Cox proportional hazard models were run with varying classifications of marital history and sets of covariates.

Results

In fully adjusted models compared to the currently married, lifetime marital history predicts premature mortality with never married at 2.33 times risk of death and ever married at 1.64 risk of death. Midlife marital history shows that not having a partner during midlife (hazard ratio (HR) = 3.10 formerly married; HR = 2.59 remaining single) has the highest risk of death. Controlling for personality and health risk behaviors reduces but does not eliminate the impact of marital status.

Conclusion

Consistency of marital status during midlife suggests that lack of a partner is associated with midlife mortality.

Keywords

Marital history Midlife mortality Longitudinal study UNC Alumni Heart Study 

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Copyright information

© The Society of Behavioral Medicine 2012

Authors and Affiliations

  • Ilene C. Siegler
    • 1
    • 3
  • Beverly H. Brummett
    • 1
  • Peter Martin
    • 2
  • Michael J. Helms
    • 1
  1. 1.Department of Psychiatry and Behavioral SciencesDuke University Medical CenterDurhamUSA
  2. 2.Department of Human Development and Family StudiesIowa State UniversityAmesUSA
  3. 3.Behavioral Medicine Research CenterDurhamUSA

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