期刊论文详细信息
Health and Quality of Life Outcomes
Is marital status associated with quality of life?
Sohee Park3  Sun Jung Kim2  Jae-Hyun Kim2  Eun-Cheol Park1  Kyu-Tae Han2 
[1] Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea;Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea;Department of Biostatistics, Graduate School of Public Health, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Republic of Korea
关键词: Quality of life;    Marital status;    EQ-5D;    EQ-VAS;   
Others  :  1164546
DOI  :  10.1186/s12955-014-0109-0
 received in 2013-10-07, accepted in 2014-06-24,  发布年份 2014
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【 摘 要 】

Background

The divorce rate has been increasing rapidly in Korea; the single rate and trends in divorce are also changing rapidly. This study aimed to examine the relationship between marital status and quality of life (QOL) in an attempt to understand these changes. We also investigated the relationship between QOL and marital status by age group.

Methods

We used data from the Community Health Survey (2008: n = 200,800; 2009: n = 227,700; 2010: n = 229,229) administered by the Korean Centers for Disease Control and Prevention. After excluding 63,527 participants with incomplete information on QOL and/or marital status, the final analysis involved 594,202 participants. The analysis used t-tests and Chi-square tests to compare demographic variables between men and women, and ANOVA to compare QOL scores among comparison groups. We also performed a multilevel analysis on the relationship between QOL and marital status while accounting for the provincial differences.

Results

The multilevel analysis by marital status showed that single men had significantly worse QOL (both EQ-VAS and EQ-5D) than married men. On the other hand, the QOL measured by EQ-VAS was better in single women than in married, and separated or divorced women. When QOL was assessed using EQ-5D, single and separated or divorced women had worse scores than married women. In the analysis by age group, the QOL of married men under the age of 30 years was lower than that of single men or men with marriage problems as measured by EQ-VAS. However, among 40–69-year-old men, married men had the highest QOL values. Similarly, for women in their 30s, single women had the highest EQ-VAS values, but for 40–69-year-old women, single women had lower EQ-VAS scores than married women.

Conclusion

There was significant relationship between marital status and QOL, and this relationship appeared to differ by gender and age.

【 授权许可】

   
2014 Han et al. licensee BioMed Central Ltd.

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【 参考文献 】
  • [1][http://www.oecd.org/newsroom/BLI2013-Country-Notes.pdf] webcite Organization for Economic Cooperation and Development: Better Life Index.ᅟ ᅟ, ᅟ:ᅟ []
  • [2]Gove WR: The relationship between sex roles, mental illness, and marital status. Soc Forces 1972, 51:34-44.
  • [3]Quercioli C: Importance of sociodemographic and morbidity aspects in measuring health-related quality of life: performances of three tools. Eur J Dermatol 2009, 10:389-397.
  • [4]Umberson D: Family status and health behaviors: social control as a dimension of social integration. J Health Soc Behav 1987, 28:306-319.
  • [5][http://www.oecd.org/els/family/oecdfamilydatabase.htm] webcite Organization for Economic Cooperation and Development: OECD Family database.ᅟ ᅟ, ᅟ:ᅟ []
  • [6][http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B85011&conn_path=I2] webcite Statistics Korea: Population Trends Survey.ᅟ ᅟ, ᅟ:ᅟ []
  • [7][http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B83A05&conn_path=I2] webcite Statistics Korea: Population and housing census.ᅟ ᅟ, ᅟ:ᅟ []
  • [8]Wang K-Y: Health-related quality of life and marital quality of vitiligo patients in China. J Eur Acad Dermatol Venereol 2011, 25:429-435.
  • [9]Cotten SR: Marital status and mental health revisited: examining the importance of risk factors and resources. Family Relations 1999, ᅟ:225-233.
  • [10]Tabolli S: Limited role of marital status in the impact of dermatological diseases on quality of life. Eur J Dermatol 2012, 22:672-677.
  • [11]Inaba A: Depression in the United States and Japan: gender, marital status, and SES patterns. Soc Sci Med 2005, 61:2280-2292.
  • [12]Wang T-F: Assessing the effects of oral health-related variables on quality of life in Taiwanese adults. Qual Life Res 2013, 22:811-825.
  • [13]Bierman A: Marital status as contingency for the effects of neighborhood disorder on older adults’ mental health. J Gerontol 2009, 64B:425-434.
  • [14]Caputo J, Simon RW: Physical limitation and emotional well-being gender and marital status variations. J Health Soc Behav 2013, 54:241-257.
  • [15]Williams K: Has the future of marriage arrived? A contemporary examination of gender, marriage, and psychological well-being. J Health Soc Behav 2003, 44:470.
  • [16][https://chs.cdc.go.kr/chs/index.do] webcite Korea Centers for Disease Control and Prevention: Community Health Survey.ᅟ ᅟ, ᅟ:ᅟ []
  • [17][http:/ / kosis.kr/ statisticsList/ statisticsList_02List.jsp?vwcd=MT_G TITLE01&parmTabId=M_02_02_01] webcite Statistics Korea: e-Local Indicators.ᅟ ᅟ, ᅟ:ᅟ []
  • [18]Bierman A: A multifaceted approach to the mental health advantage of the married assessing how explanations vary by outcome measure and unmarried group. J Fam Issues 2006, 27:554-582.
  • [19]Pearlin LI: Marital status, life-strains and depression. Am Sociol Rev 1977, 42:704-715.
  • [20]Thoits PA: Multiple identities: examining gender and marital status differences in distress. Am Sociol Rev 1986, 51:259-272.
  • [21]Joung I: Differences in self-reported morbidity by marital status and by living arrangement. Int J Epidemiol 1994, 23:91-97.
  • [22]Hu Y: Mortality differentials by marital status: an international comparison. Demography 1990, 27:233-250.
  • [23]Macintyre S: The patterning of health by social position in contemporary Britain: directions for sociological research. Soc Sci Med 1986, 23:393-415.
  • [24]Diener E, Gohm CL, Suh E, Oishi S: Similarity of the relations between marital status and subjective well-being across cultures. J Cross-Cult Psychol 2000, 31:419-436.
  • [25]Robert H, Aseltine J: Marital disruption and depression in a community sample. J Health Soc Behav 1993, 34:237-251.
  • [26]Bulanda JR: Gender, marital power, and marital quality in later life. J Women Aging 2011, 23:3-22.
  • [27]Evans DR, Pellizzari JR, Culbert BJ, Metzen ME: Personality, marital and occupational factors associated with quality of life. J Clin Psychol 1993, 49:477-485.
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