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Patterns of widowhood mortality. | LitMetric

Patterns of widowhood mortality.

J Gerontol B Psychol Sci Soc Sci

Correspondence should be addressed to Andrew Fenelon, Population Studies & Training Center, Brown University, 68 Waterman Street, Providence, RI 02912. E-mail:

Published: January 2014

AI Article Synopsis

Article Abstract

Objectives: Becoming widowed is a known risk factor for mortality. This article examines the magnitude of, explanations for, and variation in the association between widowhood and mortality. Previous research on widowhood mortality has revealed variation by socioeconomic status (SES), in that SES is not protective in widowhood, and by gender, such that men's mortality increases more than women's mortality after the death of spouse.

Method: Using data from the Health and Retirement Study, we estimated Cox proportional hazard models to estimate the association between widowhood and mortality.

Results: Becoming widowed is associated with a 48% increase in risk of mortality. Approximately one third of the increase can be attributed to selection, in that those who become widows are socioeconomically disadvantaged. In contrast to previous studies, SES is protective for widows. Widowhood mortality risk increases for men if their wives' deaths were unexpected rather than expected; for women, the extent to which their husbands' death was expected matters less.

Discussion: Widowhood's harmful association with mortality show how strongly social support and individual's health and mortality are related. These findings support the larger literature on the importance of social support for health and longevity.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3968855PMC
http://dx.doi.org/10.1093/geronb/gbt079DOI Listing

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Importance: The widowhood effect, in which mortality increases and function decreases in the period following spousal death, may be heightened in older adults with functional impairment and serious illnesses, such as cancer, dementia, or organ failure, who are highly reliant on others, particularly spouses, for support. Yet there are limited data on widowhood among people with these conditions.

Objective: To determine the association of widowhood with function and mortality among older adults with dementia, cancer, or organ failure.

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