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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

Author

Listed:
  • Grzegorz Wójcik

    (Jagiellonian University Medical College)

  • Katarzyna Zawisza

    (Jagiellonian University Medical College)

  • Katarzyna Jabłońska

    (Jagiellonian University Medical College)

  • Tomasz Grodzicki

    (Jagiellonian University Medical College)

  • Beata Tobiasz-Adamczyk

    (Jagiellonian University Medical College)

Abstract

The study explores short-term effects of dissolution of union through divorce/separation and widowhood on physical and mental health as well as health-related quality of life (HRQoL) among females and males in Poland. Considering social selection and social causation theories, the study poses following research questions: are there differences in physical and mental health as well as health-related quality of life that are caused by a marital transition compared to remaining married/cohabiting? Do marital status transitions have different effects concerning physical and mental health and health-related quality of life among females and males? Data for the analysis were available for 1073 people (18+) who participate in the COURAGE-Poland population-based study from 2011 (baseline) and 2015–2016 COURAGE-POLFUS (follow-up). Health status was measured by the WHODAS II and the presence of depression based on the Composite International Diagnostic Interview. Health-related quality of life was assessed by WHOQOL-AGE scale. The analysis has been conducted using the analysis of variance, multinomial logistic regression and generalized liner mixed model according to the dependent variable. Results do suggest that transition out of marriage weakens mental health although the differences in physical health seemed to not be significant compared to the continuously married/cohabiting. The marital dissolution especially causes a decline in the mental health as well as health-related quality of life of males who transitioned to a widowed life. There has not been observed statistically significant change in terms of healthrelated quality of life between first and second wave of the survey among both widowed and divorced males and females.

Suggested Citation

  • 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.
    • Handle: RePEc:spr:ariqol:v:16:y:2021:i:1:d:10.1007_s11482-019-09742-z
    DOI: 10.1007/s11482-019-09742-z
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    References listed on IDEAS

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    1. Robert Schoen & Nancy Landale & Kimberly Daniels, 2007. "Family transitions in Young Adulthood," Demography, Springer;Population Association of America (PAA), vol. 44(4), pages 807-820, November.
    2. Judith G. Chipperfield & Betty Havens, 2001. "Gender Differences in the Relationship Between Marital Status Transitions and Life Satisfaction in Later Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(3), pages 176-186.
    3. 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.
    4. Umberson, Debra, 1992. "Gender, marital status and the social control of health behavior," Social Science & Medicine, Elsevier, vol. 34(8), pages 907-917, April.
    5. Jonathan Gardner & Andrew J. Oswald, 2006. "Do divorcing couples become happier by breaking up?," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 169(2), pages 319-336, March.
    6. Strohschein, Lisa & McDonough, Peggy & Monette, Georges & Shao, Qing, 2005. "Marital transitions and mental health: Are there gender differences in the short-term effects of marital status change?," Social Science & Medicine, Elsevier, vol. 61(11), pages 2293-2303, December.
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    2. Yunjie Luo & Yoko Sato, 2021. "Health-Related Quality of Life and Risk Factors among Chinese Women in Japan Following the COVID-19 Outbreak," IJERPH, MDPI, vol. 18(16), pages 1-13, August.

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