作者
Ari Seifter, Sarabdeep Singh, Patrick F McArdle, Kathleen A Ryan, Alan R Shuldiner, Braxton D Mitchell, Alejandro A Schäffer
发表日期
2014/1/1
期刊
BMJ open
卷号
4
期号
1
页码范围
e003670
出版商
British Medical Journal Publishing Group
简介
Objective
This study investigates the association between bereavement and the mortality of a surviving spouse among Amish couples. We hypothesised that the bereavement effect would be relatively small in the Amish due to the unusually cohesive social structure of the Amish that might attenuate the loss of spousal support.
Design
Population-based cohort study.
Setting
The USA.
Participants
10 892 Amish couples born during 1725–1900 located in Pennsylvania, Ohio and Indiana. All the participants are deceased.
Outcome measures
The survival time is ‘age’; event is ‘death’. Hazard ratios (HRs) of widowed individuals with respect to gender, age at widowhood, remarriage, the number of surviving children and time since bereavement.
Results
We observed HRs for widowhood ranging from 1.06 to 1.26 over the study period (nearly all differences significant at p<0.05). Mortality risks tended to be higher in …
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A Seifter, S Singh, PF McArdle, KA Ryan, AR Shuldiner… - BMJ open, 2014