Widowhood and Mortality: A Meta-Analysis
J Robin Moon,
Naoki Kondo,
M Maria Glymour and
S V Subramanian
PLOS ONE, 2011, vol. 6, issue 8, 1-9
Abstract:
Background: While the "widowhood effect" is well known, there is substantial heterogeneity in the magnitude of effects reported in different studies. We conducted a meta-analysis of widowhood and mortality, focusing on longitudinal studies with follow-up from the time of bereavement. Methods and Findings: A random-effects meta-analysis was conducted to calculate the overall relative risk (RR) for subsequent mortality among 2,263,888 subjects from 15 prospective cohort studies. We found a statistically significant positive association between widowhood and mortality, but the widowhood effect was stronger in the period earlier than six months since bereavement (overall RR = 1.41, 95% CI: 1.26, 1.57) compared to the effect after six months (overall RR = 1.14, 95% CI: 1.10, 1.18). Meta-regression showed that the widowhood effect was not different for those aged younger than 65 years compared to those older than 65 (P = 0.25). There was, however, a difference in the magnitude of the widowhood effect by gender; for women the RR was not statistically significantly different from the null (overall RR = 1.04, 95% CI: 1.00, 1.08), while it was for men (overall RR = 1.23, 95% CI: 1.18, 1.28). Conclusions: The results suggest that further studies should focus more on the mechanisms that generate this association especially among men.
Date: 2011
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0023465
DOI: 10.1371/journal.pone.0023465
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