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The impact of marital status on cancer survival

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  • Kravdal, Øystein

Abstract

Marital differentials in survival from 12 common types of cancer are assessed by estimating a mixed additive-multiplicative hazard regression model on the basis of individual register and census data for the whole Norwegian population. These data cover the period 1960-91 and include more than 100,000 cancer deaths. The data and method make it possible to take into account the marital mortality differentialsin the absence of cancer. The excess all-cause mortality among cancer patients compared with similar persons without a cancer diagnosis is, on the whole, more than 15% higher for never-married men, never-married women and divorced men, than for the married of the same sex. Other previously married have an excess mortality elevated by about 7%. This protective effect of marriage is not due to stage, which is controlled for. The possible importance of treatment and host factors is discussed.

Suggested Citation

  • Kravdal, Øystein, 2001. "The impact of marital status on cancer survival," Social Science & Medicine, Elsevier, vol. 52(3), pages 357-368, February.
    • Handle: RePEc:eee:socmed:v:52:y:2001:i:3:p:357-368
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    Citations

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    Cited by:

    1. Yuandi Wang & Nadine Roijakkers & Wim Vanhaverbeke, 2014. "How fast do Chinese firms learn and catch up? Evidence from patent citations," Scientometrics, Springer;Akadémiai Kiadó, vol. 98(1), pages 743-761, January.
    2. Kravdal, Øystein, 2009. "The Importance of Municipality Characteristics for Cancer Survival in Norway: A Multilevel Analysis," HERO Online Working Paper Series 2004:8, University of Oslo, Health Economics Research Programme.
    3. María Elena Martínez & Jonathan T Unkart & Li Tao & Candyce H Kroenke & Richard Schwab & Ian Komenaka & Scarlett Lin Gomez, 2017. "Prognostic significance of marital status in breast cancer survival: A population-based study," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-14, May.
    4. Ernesto R. Ferreira & João D. Monteiro, 2019. "In an Era of Social, Civic and Political Disengagement, do Health Care and Social Welfare Protection Still Matter to Population Health? Evidence from OECD Mortality Data," Society and Economy, Akadémiai Kiadó, Hungary, vol. 41(4), pages 415-432, December.
    5. Jon H. Fiva & Torbjørn Hægeland & Marte Rønning, 2009. "Health Status After Cancer. Does It Matter Which Hospital You Belong To?," Discussion Papers 590, Statistics Norway, Research Department.
    6. Astri Syse & Bjorn H. Strand & Oyvind Naess & Ólöf Anna Steingrímsdóttir & Bernadette N. Kumar, 2016. "Differences in all-cause mortality," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 34(22), pages 615-656.
    7. Klein, Jens & von dem Knesebeck, Olaf, 2015. "Socioeconomic inequalities in prostate cancer survival: A review of the evidence and explanatory factors," Social Science & Medicine, Elsevier, vol. 142(C), pages 9-18.
    8. Anna Oksuzyan & Sven Drefahl & Jennifer Caputo & Siddartha Aradhya, 2023. "Is it Better to Intermarry? Immigration Background of Married Couples and Suicide Risk Among Native-Born and Migrant Persons in Sweden," European Journal of Population, Springer;European Association for Population Studies, vol. 39(1), pages 1-26, December.
    9. Astrid Lindman & Annemette Krintel Petersen & Gitte Olesen & Charlotte Handberg, 2019. "Patients´ experiences and perspectives of challenges and needs related to nonmyeloablative stem cell transplantation: Involving patients in developing a targeted rehabilitation programme," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(7-8), pages 1260-1272, April.
    10. Kravdal, Øystein, 2013. "The poorer cancer survival among the unmarried in Norway: Is much explained by comorbidities?," Social Science & Medicine, Elsevier, vol. 81(C), pages 42-52.

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