Abstract
The theory that marriage has protective effects for survival has itself lived for more than 100 years since Durkheim’s groundbreaking study of suicide (Durkheim 1951 [1897]). Investigations of differences in this protective effect by gender, by age, and in contrast to different unmarried statuses, however, have yielded inconsistent conclusions. These investigations typically either use data in which marital status and other covariates are observed in cross-sectional surveys up to 10 years before mortality exposure, or use data from panel surveys with much smaller sample sizes. Their conclusions are usually not based on formal statistical tests of contrasts between men and women or between never-married, divorced/separated, and widowed statuses. Using large-scale pooled panel survey data linked to death registrations and earnings histories for U.S. men and women aged 25 and older, and with appropriate contrast tests, we find a consistent survival advantage for married over unmarried men and women, and an additional survival “premium” for married men. We find little evidence of mortality differences between never-married, divorced/separated, and widowed statuses.
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Aziz, F., & Buckler, W. (1980). Mortality and the continuous work history sample. 1980 proceedings of the Section on Survey Research Methods (pp. 461–466). Washington, DC: American Statistical Association.
Aziz, F., & Buckler, W. (1992). The status of death information in Social Security Administration files. 1992 Proceedings of the Social Statistics Section (pp. 262–267). Washington, DC: American Statistical Association.
Becker, G. S. (1991). A treatise on the family (2nd ed.). Cambridge, MA: Harvard University Press.
Ben-Shlomo, Y., Smith, G. D., Shipley, M., & Marmot, M. G. (1993). Magnitude and causes of mortality differences between married and unmarried men. Journal of Epidemiology and Community Health, 47, 200–205.
Brown, R. L., & McDaid, J. (2003). Factors affecting retirement mortality. North American Actuarial Journal, 7, 24–43.
Cameron, A. C., & Trivedi, P. K. (2005). Microeconometrics: Methods and applications. New York: Cambridge University Press.
Cheung, Y. B. (2000). Marital status and mortality in British women: A longitudinal study. International Journal of Epidemiology, 29, 93–99.
Cockerham, W. C. (2005). Health lifestyle theory and the convergence of agency and structure. Journal of Health and Social Behavior, 46, 51–67.
Cristia, J. P. (2009). Increasing differential mortality by lifetime earnings in the United States (Working Paper No. WP-665). Washington, DC: Inter-American Development Bank.
Duggan, J. E., Gillingham, R., & Greenlees, J. S. (2007). Mortality and lifetime income: Evidence from U.S. Social Security records (IMF Working Paper No. 07/15). Washington, DC: International Monetary Fund.
Duleep, H. O. (1986). Measuring the effect of income on adult mortality using longitudinal administrative record data. The Journal of Human Resources, 21, 238–251.
Duleep, H. O. (1989). Measuring socioeconomic mortality differentials over time. Demography, 26, 345–351.
Durkheim, E. (1951 [1897]). Suicide: A study in sociology. New York: Free Press.
Ebrahim, S., Wannamethee, G., McCallum, A., Walker, M., & Shaper, A. G. (1995). Marital status, change in marital status, and mortality in middle-aged British men. American Journal of Epidemiology, 142, 834–842.
Espinosa, J., & Evans, W. N. (2008). Heightened mortality after the death of a spouse: Marriage protection or marriage selection? Journal of Health Economics, 27, 1326–1342.
Furstenberg, F. F. (2005). Banking on families: How families generate and distribute social capital. Journal of Marriage and Family, 67, 809–821.
Gelman, A., & Stern, H. (2006). The difference between “significant” and “nonsignificant” is not itself statistically significant. American Statistician, 60, 328–331.
Goldman, N. (1993). Marriage selection and mortality patterns: Inferences and fallacies. Demography, 30, 189–208.
Goldman, N., Korenman, S., & Weinstein, R. (1995). Marital status and health among the elderly. Social Science & Medicine, 40, 1717–1730.
Gove, W. R. (1973). Sex, marital status, and mortality. The American Journal of Sociology, 70, 45–67.
Hemström, O. (1996). Is marriage dissolution linked to differences in mortality risks for men and women? Journal of Marriage and the Family, 58, 366–378.
Henretta, J. (2007). Early childbearing, marital status, and women’s health and mortality after age 50. Journal of Health and Social Behavior, 48, 254–266.
Hibbard, J. H., & Pope, C. R. (1993). The quality of social roles as predictors of morbidity and mortality. Social Science & Medicine, 36, 217–225.
Hill, M. E., & Rosenwaike, I. (2002). The Social Security Administration’s Death Master File: The completeness of death reporting at older ages. Social Security Bulletin, 64(1), 45–51.
House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241, 540–545.
House, J. S., Robbins, C., & Metzner, H. L. (1982). The association of social relationships and activities with mortality. American Journal of Epidemiology, 116, 123–140.
Hu, Y., & Goldman, N. (1990). Mortality differentials by marital status: An international comparison. Demography, 27, 233–250.
Hummer, R. A., Rogers, R. G., & Eberstein, I. W. (1998). Sociodemographic differentials in adult mortality: A review of analytic approaches. Population and Development Review, 24, 553–578.
Jaffe, D. H., Manor, O., Eisenbach, Z., & Neumark, Y. D. (2007). The protective effect of marriage on mortality in a dynamic society. Annals of Epidemiology, 17, 540–547.
Johnson, N. J., Backlund, E., Sorlie, P. D., & Loveless, C. A. (2000). Marital status and mortality: The National Longitudinal Mortality Study. Annals of Epidemiology, 10, 224–238.
Kallan, J. (1997). Effects of sociodemographic variables on adult mortality in the United States: Comparison by sex, age, and cause of death. Social Biology, 44, 136–147.
Kaplan, R. M., & Kronick, R. G. (2006). Marital status and longevity in the United States population. Journal of Epidemiology and Community Health, 60, 760–765.
Kiecolt-Glaser, J. K., & Newton, T. L. (2001). Marriage and health: His and hers. Psychological Bulletin, 127, 472–503.
Kobrin, F. E., & Hendershot, G. E. (1977). Do family ties reduce mortality? Evidence from the United States, 1966–1968. Journal of Marriage and the Family, 39, 737–745.
Korenman, S., Goldman, N., & Fan, H. (1997). Misclassification bias in estimates of bereavement effects. American Journal of Epidemiology, 145, 995–1002.
Kotler, P., & Wingard, D. (1989). The effect of occupational, marital and parental roles on mortality: The Alameda County Study. American Journal of Public Health, 79, 607–612.
Kung, H.-C., Hoyert, D. L., Xu, J., & Murphy, R. N. (2008). Deaths: Final data 2005. National Vital Statistics Reports, 56(10).
Lash, T., & Silliman, R. (2001). A comparison of the National Death Index and Social Security Administration databases to ascertain vital status. Epidemiology, 12, 259–261.
Liao, T. F. (1994). Interpreting probability models: Logit, probit, and other generalized linear models. Thousand Oaks, CA: Sage Publications.
Lillard, L. A., & Panis, C. W. A. (1996). Marital status and mortality: The role of health. Demography, 33, 313–327.
Lillard, L. A., & Waite, L. J. (1995). “Til death do us part”: Marital disruption and mortality. The American Journal of Sociology, 100, 1131–1156.
Lund, R., Due, P., Modvig, J., Holstein, B. E., Damsgaard, M. T., & Andersen, P. K. (2002). Cohabitation and marital status as predictors of mortality—An eight year follow-up study. Social Science & Medicine, 55, 673–679.
Macintyre, S. (1992). The effects of family position and status on health. Social Science & Medicine, 35, 453–464.
Manzoli, L., Villari, P., Pirone, G. M., & Boccia, A. (2007). Marital status and mortality in the elderly: A systematic review and meta-analysis. Social Science & Medicine, 64, 77–94.
Martikainen, P. (1995). Women’s employment, marriage, motherhood and mortality: A test of the multiple role and role accumulation hypotheses. Social Science & Medicine, 40, 199–212.
Meinow, B., Kareholt, I., Parker, M., & Thorslund, M. (2004). The effect of the duration of follow-up in mortality analysis: The temporal pattern of different predictors. Journal of Gerontology: Social Sciences, 59B(3), S181–S189.
Murphy, M., Grundy, E., & Kalogirou, S. (2007). The increase in marital status differences in mortality up to the oldest age in seven European countries, 1990–99. Population Studies, 61, 287–298.
Murray, J. E. (2000). Marital protection and marital selection: Evidence from a historical-prospective sample of American men. Demography, 37, 511–521.
Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22, 337–356.
Preston, S. H. (1976). Mortality patterns in national populations. New York: Academic.
Preston, S. H., Elo, I. T., Rosenwaike, I., & Hill, M. (1996). African-American mortality at older ages: Results of a matching study. Demography, 33, 193–209.
Robles, T. F., & Kiecolt-Glaser, J. K. (2003). The physiology of marriage: Pathways to health. Physiology & Behavior, 79, 409–416.
Rogers, R. G. (1995). Marriage, sex, and mortality. Journal of Marriage and the Family, 57, 515–526.
Rogers, R. G. (1996). The effect of family composition, health, and social support linkages on mortality. Journal of Health and Social Behavior, 37, 326–338.
Rogers, R. G., Hummer, R. A., & Nam, C. B. (2000). Living and dying in the USA: Behavioral, health, and social differentials of adult mortality. New York: Academic.
Ross, C. E. (1995). Reconceptualizing marital-status as a continuum of social attachment. Journal of Marriage and the Family, 57, 129–140.
Ross, C. E., Mirowsky, J., & Goldsteen, K. (1990). The impact of the family on health: The decade in review. Journal of Marriage and the Family, 52, 1059–1078.
Rupp, K., Davies, P. S., & Strand, A. (2008). Disability benefit coverage and program interactions in the working-age population. Social Security Bulletin, 68(1), 1–30.
Schisterman, E., & Whitcomb, B. (2004). Use of the Social Security Administration Death Master File for ascertainment of mortality status. Population Health Metrics, 2, 2.
Smith, K. R., & Waitzman, N. J. (1994). Double jeopardy: Interaction effects of marital and poverty status on the risk of mortality. Demography, 31, 487–507.
Smith, K. R., & Waitzman, N. J. (1997). Effects of marital status on the risk of mortality in poor and non-poor neighborhoods. Annals of Epidemiology, 7, 343–349.
Smith, K. R., & Zick, C. D. (1994). Linked lives, dependent demise? Survival analysis of husbands and wives. Demography, 31, 81–93.
Social Security Administration. (2009). Average Wage Index (AWI). Retrieved from http://www.ssa.gov/OACT/COLA/awidevelop.html
Sorlie, P. D., Backlund, E., & Keller, J. B. (1995). U.S. mortality by economic, demographic, and social characteristics: The National Longitudinal Mortality Study. American Journal of Public Health, 85, 949–956.
Umberson, D. (1987). Family status and health behaviors: Social control as a dimension of social integration. Journal of Health and Social Behavior, 28, 306–319.
Umberson, D. (1992). Gender, marital status and the social control of health behavior. Social Science & Medicine, 34, 907–917.
Valkonen, T., Martikainen, P.,& Blomgren, J. (2004). Increasing excess mortality among non-married elderly people in developed countries. Demographic Research, special collection 2, article 12, 305–330. doi:10.4054/DemRes.2004.S2.12.
Waite, L. J. (1995). Does marriage matter? Demography, 32, 483–507.
Waldron, H. (2007). Trends in mortality differentials and life expectancy for male Social Security-covered workers, by socioeconomic status. Social Security Bulletin, 67, 1–29.
Waldron, I. (1990). What do we know about the causes of sex differences in mortality? A review of the literature. In P. Conrad & R. Kern (Eds.), The sociology of health and illness (3rd ed., pp. 45–63). New York: St. Martin’s Press.
Waldron, I., Weiss, C., & Hughes, M. (1997). Marital status effects on health: Are there differences between never married women and divorced and separated women? Social Science & Medicine, 45, 1387–1397.
Weaver, D. A. (2000). The accuracy of survey-reported marital status: Evidence from survey records matched to Social Security records. Demography, 37, 395–399.
Weinberg, D. H. (2002). The Survey of Income and Program Participation—Recent History and Future Developments (SIPP Working Paper No. 232). Washington, DC: U.S. Census Bureau.
Westat. (2001). Survey of Income and Program Participation users’ guide (3 rd ed.). Washington, DC: U.S. Census Bureau. Retrieved from http://www.census.gov/sipp
Williams, D. R., & Collins, C. (1995). U.S. Socioeconomic and racial differences in health: Patterns and explanations. Annual Review of Sociology, 21, 349–386.
Zayatz, T. (2005). Social security disability insurance program worker experience (Actuarial Study No. 118). Baltimore, MD: Office of the Chief Actuary of the Social Security Administration.
Zick, C., & Smith, K. (1991). Marital transitions, poverty, and gender differences in mortality. Journal of Marriage and the Family, 53, 327–336.
Acknowledgements
This work was partially supported by contracts from the Social Security Administration to the Urban Institute (Contract No. SS0600-01-60123, Task Order No. SS0440-03-52450) and to the RAND Corporation (Contract No. SS00-06-60111, Task Order No. SS00-08-30752). We thank Alice Beckman, David Cashin, Tim Dore, and Adria Jewell for their valuable research assistance.
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Rendall, M.S., Weden, M.M., Favreault, M.M. et al. The Protective Effect of Marriage for Survival: A Review and Update. Demography 48, 481–506 (2011). https://doi.org/10.1007/s13524-011-0032-5
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DOI: https://doi.org/10.1007/s13524-011-0032-5