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Divorce and physical health: A three-level meta-analysis

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  • Pellón-Elexpuru, Inés
  • Van Dijk, Rianne
  • Van der Valk, Inge
  • Martínez-Pampliega, Ana
  • Molleda, Asier
  • Cormenzana, Susana

Abstract

Divorce is often considered a major and stressful life transition. Given that divorcees are overrepresented in primary care and there is a association between individuals' physical health and psychological adjustment, potential post-divorce health problems are of concern. Yet, empirical evidence is lacking on the magnitude of the overall physical health risk after divorce, on possible differences across specific pathologies, and on factors that may increase or reduce this risk. The current meta-analysis addresses these issues. We identified 94 studies including u = 248 relevant effect sizes, based on N = 1,384,507 participants. Generally, compared to married individuals, divorcees showed significantly worse self-reported health (OR = 1.20, [1.08–1.33]), experienced more physical symptoms (OR = 1.34, [1.17–1.53]), and had a higher risk for diabetes (OR = 1.18 [1.05–1.33]), joint pathologies (OR = 1.24, [1.14–1.34]), cardiovascular (OR = 1.24, [1.09–1.41]) and cerebrovascular conditions (OR = 1.31, [1.14–1.51]), and sexually transmitted diseases (OR = 2.48, [1.32–4.64]). However, they had no increased risk of hypertension, hypercholesterolemia, cancer and cancer development, disabilities or limitations, or cognitive pathologies. Nor did divorcees significantly differ from married individuals when aggregating all pathologies to measure overall physical health problems (OR = 1.14, [0.85 to 1.54]). Yet, moderation analyses revealed that being female, unemployed, childless, or having a lower education constitutes a higher risk for overall physical health problems after divorce. The same applied to having a heavy alcohol consumption, lack of exercise, and being overweight. Our meta-analysis shows that divorcees are at heightened risk of certain pathologies, with sexually transmitted diseases as a particular post-divorce hazard. These findings call for more awareness among counsellors and physicians on divorcees’ health conditions and the characteristics that make divorcees even more vulnerable to health problems.

Suggested Citation

  • Pellón-Elexpuru, Inés & Van Dijk, Rianne & Van der Valk, Inge & Martínez-Pampliega, Ana & Molleda, Asier & Cormenzana, Susana, 2024. "Divorce and physical health: A three-level meta-analysis," Social Science & Medicine, Elsevier, vol. 352(C).
    • Handle: RePEc:eee:socmed:v:352:y:2024:i:c:s0277953624004490
    DOI: 10.1016/j.socscimed.2024.117005
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    1. Bina Knöpfli & Stéphane Cullati & Delphine S. Courvoisier & Claudine Burton-Jeangros & Pasqualina Perrig-Chiello, 2016. "Marital breakup in later adulthood and self-rated health: a cross-sectional survey in Switzerland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(3), pages 357-366, April.
    2. Alice Zulkarnain & Sanders Korenman, 2019. "Divorce and health in middle and older ages," Review of Economics of the Household, Springer, vol. 17(4), pages 1081-1106, December.
    3. Karsten Hank, 2010. "Childbearing History, Later Life Health, and Mortality in Germany," SOEPpapers on Multidisciplinary Panel Data Research 305, DIW Berlin, The German Socio-Economic Panel (SOEP).
    4. Yannakoulia, Mary & Panagiotakos, Demosthenes & Pitsavos, Christos & Skoumas, Yannis & Stafanadis, Christodoulos, 2008. "Eating patterns may mediate the association between marital status, body mass index, and blood cholesterol levels in apparently healthy men and women from the ATTICA study," Social Science & Medicine, Elsevier, vol. 66(11), pages 2230-2239, June.
    5. Sara Zella, 2017. "Marital Status Transitions and Self-Reported Health among Canadians: A Life Course Perspective," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 12(2), pages 303-325, June.
    6. Hui Liu & Zhenmei Zhang & Seung-won Choi & Kenneth M Langa & Deborah Carr, 2020. "Marital Status and Dementia: Evidence from the Health and Retirement Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 75(8), pages 1783-1795.
    7. Whisman, Mark A. & Robustelli, Briana L. & Sbarra, David A., 2016. "Marital disruption is associated with shorter salivary telomere length in a probability sample of older adults," Social Science & Medicine, Elsevier, vol. 157(C), pages 60-67.
    8. Viechtbauer, Wolfgang, 2010. "Conducting Meta-Analyses in R with the metafor Package," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 36(i03).
    9. Matthew Lee Smith & Caroline D. Bergeron & Heather H. Goltz & Tammy Coffey & Ali Boolani, 2020. "Sexually Transmitted Infection Knowledge among Older Adults: Psychometrics and Test–Retest Reliability," IJERPH, MDPI, vol. 17(7), pages 1-10, April.
    10. Susan Averett & Laura Argys & Julia Sorkin, 2013. "In sickness and in health: an examination of relationship status and health using data from the Canadian National Public Health Survey," Review of Economics of the Household, Springer, vol. 11(4), pages 599-633, December.
    11. Lee Lillard & Constantijn Panis, 1996. "Marital status and mortality: The role of health," Demography, Springer;Population Association of America (PAA), vol. 33(3), pages 313-327, August.
    12. Hui Liu & Zhenmei Zhang, 2013. "Disability Trends by Marital Status Among Older Americans, 1997–2010: An Examination by Gender and Race," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 32(1), pages 103-127, February.
    13. Justin T Denney & Jason D Boardman & Anna Zajacova, 2021. "Hearing Impairment, Household Composition, Marital Status, and Mortality Among U.S. Adults [Social support, social networks, social cohesion and health]," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(1), pages 201-208.
    14. Carol Parise & Vincent Caggiano, 2018. "The influence of marital status and race/ethnicity on risk of mortality for triple negative breast cancer," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-11, April.
    15. Grzegorz Wójcik & Katarzyna Zawisza & Katarzyna Jabłońska & Tomasz Grodzicki & Beata Tobiasz-Adamczyk, 2021. "Transition out of Marriage and its Effects on Health and Health–Related Quality of Life among Females and Males. COURAGE and COURAGE-POLFUS–Population Based Follow-Up Study in Poland," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 16(1), pages 13-49, February.
    16. Arber, Sara & Fenn, Kirsty & Meadows, Robert, 2014. "Subjective financial well-being, income and health inequalities in mid and later life in Britain," Social Science & Medicine, Elsevier, vol. 100(C), pages 12-20.
    17. Molloy, Gerard John & Stamatakis, Emmanuel & Randall, Gemma & Hamer, Mark, 2009. "Marital status, gender and cardiovascular mortality: Behavioural, psychological distress and metabolic explanations," Social Science & Medicine, Elsevier, vol. 69(2), pages 223-228, July.
    18. Tosi, Marco & van den Broek, Thijs, 2020. "Gray divorce and mental health in the United Kingdom," Social Science & Medicine, Elsevier, vol. 256(C).
    19. Matthew R Wright & Anna M Hammersmith & Susan L Brown & I-Fen Lin & Deborah Carr, 2020. "The Roles of Marital Dissolution and Subsequent Repartnering on Loneliness in Later Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 75(8), pages 1796-1807.
    20. Goldman, Noreen & Korenman, Sanders & Weinstein, Rachel, 1995. "Marital status and health among the elderly," Social Science & Medicine, Elsevier, vol. 40(12), pages 1717-1730, June.
    21. Konstantopoulos, Spyros, 2011. "Fixed Effects and Variance Components Estimation in Three-Level Meta-Analysis," IZA Discussion Papers 5678, Institute of Labor Economics (IZA).
    22. Shor, Eran & Roelfs, David J. & Bugyi, Paul & Schwartz, Joseph E., 2012. "Meta-analysis of marital dissolution and mortality: Reevaluating the intersection of gender and age," Social Science & Medicine, Elsevier, vol. 75(1), pages 46-59.
    23. Liu, Hui, 2012. "Marital dissolution and self-rated health: Age trajectories and birth cohort variations," Social Science & Medicine, Elsevier, vol. 74(7), pages 1107-1116.
    24. Thomas Leopold, 2018. "Gender Differences in the Consequences of Divorce: A Study of Multiple Outcomes," Demography, Springer;Population Association of America (PAA), vol. 55(3), pages 769-797, June.
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