Journal article
Relationship Between Marital Transitions, Health Behaviors, and Health Indicators of Postmenopausal Women: Results from the Women's Health Initiative
Journal of women's health (Larchmont, N.Y. 2002), Vol.26(4), pp.313-320
04/01/2017
DOI: 10.1089/jwh.2016.5925
PMCID: PMC5397241
PMID: 28072926
Abstract
Background:
Historically, marital status has been associated with lower mortality and transitions into marriage were generally accompanied by improved health status. Conversely, divorce has been associated with increased mortality, possibly mediated by changes in health behaviors.
Methods:
This study uses data from a prospective cohort of 79,094 postmenopausal women participating in the Women's Health Initiative Observational Study (WHI-OS) to examine the relationship between marital transition and health indicators (blood pressure, waist circumference, body mass index [BMI]) as well as health behaviors (diet pattern, alcohol use, physical activity, and smoking) in a sample of relatively healthy and employed women. Linear and logistic regression modeling were used to test associations, controlling for confounding factors.
Results:
Women's transitions into marriage/marriage-like relationship after menopause were associated with greater increase in BMI (β = 0.22; confidence interval (95% CI), 0.11–0.33) and alcohol intake (β = 0.08; 95% CI, 0.04–0.11) relative to remaining unmarried. Divorce/separation was associated with a reduction in BMI and waist circumference, changes that were accompanied by improvements in diet quality (β = 0.78, 95% CI, 0.10–1.47) and physical activity (β = 0.98, 95% CI, 0.12–1.85), relative to women who remained married.
Conclusion:
Contrary to earlier literature, these findings among well-educated, predominantly non-Hispanic white women suggest that marital transitions after menopause are accompanied by modifiable health outcomes/behaviors that are more favorable for women experiencing divorce/separation than those entering a new marriage.
Details
- Title: Subtitle
- Relationship Between Marital Transitions, Health Behaviors, and Health Indicators of Postmenopausal Women: Results from the Women's Health Initiative
- Creators
- Randa M Kutob - 1Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, ArizonaNicole P Yuan - 2Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, ArizonaBetsy C Wertheim - 3University of Arizona Cancer Center, Tucson, ArizonaDavid A Sbarra - 4Department of Psychology, University of Arizona, Tucson, ArizonaEric B Loucks - 5Department of Epidemiology, Brown University School of Public Health, Providence, Rhode IslandRami Nassir - 7Department of Internal Medicine, University of California, Davis, CaliforniaGihan Bareh - 8Division of Reproductive Endocrinology and Infertility, University of Texas Health Science Center, San Antonio, TexasMimi M Kim - 9Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, North CarolinaLinda G Snetselaar - 10Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IowaCynthia A Thomson - 2Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona
- Resource Type
- Journal article
- Publication Details
- Journal of women's health (Larchmont, N.Y. 2002), Vol.26(4), pp.313-320
- DOI
- 10.1089/jwh.2016.5925
- PMID
- 28072926
- PMCID
- PMC5397241
- NLM abbreviation
- J Womens Health (Larchmt)
- ISSN
- 1540-9996
- eISSN
- 1931-843X
- Publisher
- Mary Ann Liebert, Inc
- Language
- English
- Date published
- 04/01/2017
- Academic Unit
- Epidemiology; Internal Medicine
- Record Identifier
- 9983995129302771
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