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The association between marital history and cardiovascular disease

Mazhari, T; (2015) The association between marital history and cardiovascular disease. Doctoral thesis , UCL (University College London). Green open access

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Abstract

Background Lower rates of mortality and morbidity from cardiovascular disease (CVD) have been found for married, relative to single, divorced and widowed persons. Relatively little work has investigated the association between marital history and CVD, and this is the first study to do so in British samples. Methods Data came from the National Survey for health and development (NSHD) at 60-64 years (N=2259) and 43 years (N=3239), and National Child Development Survey (NCDS) at 44-45 years (N=9080), of age. To assess the effect of a previous marital loss on current CVD risk, regressions were employed to compare remarried persons with their counterparts in a first marriage on CVD prevalence, systolic blood pressure (SBP mmHg), diastolic blood pressure (DBP mmHg), body mass index (BMI kg/m2) and waist circumference (cm). CVD prevalence and scores on risk factors for CVD for continually married persons was also compared with single, widowed and divorced persons. Confounding from SEP and behavioural problems pre-adulthood were explored. Random coefficient models were employed to assess whether differences in SBP, DBP and BMI between continually married and divorced persons change with divorce duration. Results CVD prevalence at 60-64 years was higher for widowed women. Divorced status was associated with lower blood pressure, among women of the NSHD, and SBP at 43 years was higher for single men of this cohort. BMI for members of the NSHD at 43 years and members of the NCDS who were previously married, was relatively lower than that of their continually married counterparts. Relative differences in BMI between married and divorced persons converge with divorce duration. Discussion CVD prevalence at 60-64 years was higher for widowed women but not men, compared with their continually married counterparts. Differences in BMI and systolic blood pressure by marital status appear to vary by, gender, cohort and divorce duration.

Type: Thesis (Doctoral)
Title: The association between marital history and cardiovascular disease
Event: University College London
Open access status: An open access version is available from UCL Discovery
Language: English
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
URI: https://discovery.ucl.ac.uk/id/eprint/1470352
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