Presentation is loading. Please wait.

Presentation is loading. Please wait.

Abstract Unmarried Working Men and Unhappily Married at Age 40-65 Carry Excess Risk of 34-year Stroke Mortality Uri Goldbourt, Department of Epidemiology.

Similar presentations


Presentation on theme: "Abstract Unmarried Working Men and Unhappily Married at Age 40-65 Carry Excess Risk of 34-year Stroke Mortality Uri Goldbourt, Department of Epidemiology."— Presentation transcript:

1 Abstract Unmarried Working Men and Unhappily Married at Age Carry Excess Risk of 34-year Stroke Mortality Uri Goldbourt, Department of Epidemiology and Preventive Medicine, Sackler Medical Faculty, Tel Aviv University, Israel #####

2 Financial Disclosures No financial disclosure.

3 Background Sparse data exist to permit examination of marital status/satisfaction and the incidence of stroke.

4 Participants 10,059 tenured male civil servants and municipal employees (mean age 49.2 years), who participated in the Israeli Ischemic Heart Disease study in Of these 86% had migrated from Europe, Asia or Africa.

5 Participants In 1963: Married once % Married twice or more-12.8% Never married – 2.3% (n=235) Divorced, separated, widower- 2.6% (n=257). Self-report of marriage In 1965 (n=8945 responders): Successful (43%), quite successful (45%), not so successful (8%), or unsuccessful (3.6%, n=323).

6 Men with different self-reports of marital success Mean( SD) or % for: Success- ful Quite success- ful Not quite Unsucces s-ful Age49.5 (6.9) 48.8 (6.6) 49.1 (6.7) 49.4 (6.8) Systolic BP 135 (21) 135 (20) 134 (20) 134 (21) Ever smoked (%) Diabetic (%) Mean Socio- economic index (1-5) 2.58 (1.25) 2.62 (1.23) 2.59 (1.15) 2.33 (1.20)

7 Methods Mortality was ascertained by matching with the national death registry using the national ID and verifying names. Underlying cause of death through 1997 was determined from ICD-8, ICD-9 and ICD-10 coding with a re- ascertainment and editing process at the central Bureau of Statistics. Cox proportional hazards using age at death of stroke as time variable. Adjustment for Socio-economic status, body mass index, blood pressure, smoking habits, and baseline prevalence of diabetes and CHD,

8 Results Mortality ( ): Unmarried- 343 of 492 (69.7%) Married of 9537 (64.9%) Corresponding unadjusted fatal stroke rates were 8.4 and 7.1%, respectively. HR of subsequent fatal stroke for unmarried men in 1963 was 1.64 (95%CI ).

9 Results Adjusted HR, marriage reportedly: Successful HR= 1.0 “Quite” HR= 1.18 (95% CI ) “Not Quite” HR= 1.09 ( ) “Unsuccessful”, HR= 1.64 ( )

10 Conclusions Hazard ratio associated with being unmarried or reporting failed marriage (HR=1.64 for both) was identical to that associated with baseline diabetes mellitus (HR=1.65, CI ). Married men were at a lower risk of long- term fatal stroke, excluding those reporting utter dissatisfaction with their married life.


Download ppt "Abstract Unmarried Working Men and Unhappily Married at Age 40-65 Carry Excess Risk of 34-year Stroke Mortality Uri Goldbourt, Department of Epidemiology."

Similar presentations


Ads by Google