Abstract
Researchers have long wondered whether marital-status differences in mortality arise largely from selection mechanisms or from causal processes typically known as marriage protection. Unfortunately, many investigators have relied on aggregate patterns of mortality differentials—such as age schedules of excess mortality in the single population or the relationship between the level of excess mortality and the relative size of the single population—to make inferences about the relative importance of selection and causal processes. In this paper, a simple mathematical simulation model is used to demonstrate that many inferences derived from observed patterns are simply not justified. This finding highlights the importance of prospective data for assessing the relative importance of selection and causal factors in accounting for the excess mortality of the unmarried.
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References
Anson, Ofra (
1989
). Marital Status and Women’s Health Revisited: The Importance of a Proximate Adult
. Journal of Marriage and the Family
, 51
, 185
–94
. 10.2307/352379Berkman, Lisa F., & Breslow, Lester (
1983
). Health and Ways of Living
. New York
: Oxford University Press
.Blazer, Dan G. (
1982
). Social Support and Mortality in an Elderly Community Population
. American Journal of Epidemiology
, 115
, 684
–94
.Carter, Hugh, & Glick, Paul C. (
1970
). Marriage and Divorce: A Social and Economic Study
. Cambridge, MA
: Harvard University Press
.Coale, Ansley I., & McNeil, Donald R. (
1972
). The Distribution by Age of the Frequency of First Marriage in a Female Cohort
. Journal of the American Statistical Association
, 67
(340
), 743
–49
. 10.2307/2284631Dodge, David L., & Martin, Walter T. (
1970
). Social Stress and Chronic Illness
. Notre Dame, IN
: University of Notre Dame Press
.Farr, William (
1858
). The Influence of Marriage on the Mortality of the French People
. In Hastings, G.W. (Ed.), Transactions of the National Association for the Promotion ofSocial Science
(pp. 504
–13
). London
: John W. Parker
.Fuchs, Victor R. (
1974
). Some Economic Aspects of Mortality in Developed Countries
. In Perlman, Mark (Ed.), The Economics of Health and Medical Care
. New York
: Wiley
.Gibbs, Jack P. (
1982
). Testing the Theory of Status Integration and Suicide Rates
. American Sociological Review
, 47
, 227
–37
. 10.2307/2094965Gibbs, Jack P., & Martin, Walter T. (
1958
). A Theory of Status Integration and Its Relationship to Suicide
. American Sociological Review
, 23
, 266
–77
. 10.2307/2089240Goldman, Noreen and Yuanreng Hu. 1992. “Excess Mortality among the Unmarried: A Case Study of Japan.” Forthcoming in Social Science and Medicine.
Goldman, Noreen, Graham Lord, and Yuanreng Hu. 1992. “Marriage Selection and Age Patterns of Mortality: A Mathematical Investigation.” Paper presented at Annual Meetings of the Population Association of America, CO. Forthcoming in Mathematical Population Studies.
Gove, Walter R. (
1973
). Sex, Marital Status, and Mortality
. American Journal of Sociology
, 79
, 45
–66
. 10.1086/225505Higashi, T., Ishihara, O., & Wada, T. (
1979
). Medicosocial Aspect of People with Epilepsy in Japan: A Survey from Standpoint of Epilepsy Center
. Folia Psychiatrica et Neurologica Japonica
, 33
(3
), 399
–405
.House, James S., Landis, Karl R., & Umberson, Debra (
1988
). Social Relationships and Health
. Science
, 241
, 540
–45
. 10.1126/science.3399889House, James S., Robbins, Cynthia, & Metzner, Helen L. (
1982
). The Association of Social Relationships and Activities with Mortality: Prospective Evidence from the Tecumsah Community Health Study
. American Journal of Epidemiology
, 116
, 123
–40
.Hu, Yuanreng, & Goldman, Noreen (
1990
). Mortality Differentials by Marital Status: An International Comparison
. Demography
, 27
(2
), 233
–50
. 10.2307/2061451Imaizumi, Yoko (
1989
). Mortality Rate of Huntington Disease in Japan: Secular Trends, Marital Status, and Geographic Variations
. Japan Journal of Human Genetics
, 34
, 169
–78
. 10.1007/BF01912485Keyfitz, Nathan (
1988
). A Markov Chain for Calculating the Durability of Marriage
. Mathematical Population Studies
, 1
, 101
–22
. 10.1080/08898488809525262Kiernan, Kathleen E. (
1988
). Who Remains Celibate?
. Journal of Biosocial Science
, 20
, 253
–63
. 10.1017/S0021932000006593Kisker, Ellen E., & Goldman, Noreen (
1987
). Perils of Single Life and Benefits of Marriage
. Social Biology
, 34
, 135
–52
.Kobrin, Frances E., & Hendershot, Gerry E. (
1977
). Do Family Ties Reduce Mortality? Evidence from the United States, 1966–1968
. Journal of Marriage and the Family
, 39
, 737
–45
. 10.2307/350478Livi-Bacci, Massimo (
1985
). Selectivity of Marriage and Mortality: Notes for Future Research
. In Keyfitz, Nathan (Ed.), Population and Biology
(pp. 99
–108
). Liège, Belgium
: Ordina Editions
.Murstein, Bernard I. (
1972
). Physical Attractiveness and Marital Choice
. Journal of Personality and Social Psychology
, 22
(1
), 8
–12
. 10.1037/h0032394Murstein, Bernard I. (
1980
). Mate Selection in the 1970s
. Journal of Marriage and the Family
, 42
, 777
–92
. 10.2307/351824Rahman, M. Omar (
1991
). Marriage and Young Adult Mortality in Rural Bangladesh: The Impact of Selection
. Santa Monica
: RAND
.Rodríguez, Germán, & Trussell, James (
1980
). Maximum Likelihood Estimation of the Parameters of Coale’s Model Nuptiality Schedule from Survey Data
. Voorburg, Netherlands
: International Statistical Institute
.Schoenbach, Victor J., Kaplan, Berton H., Fredman, Lisa, & Kleinbaum, David G. (
1986
). Ties and Mortality in Evans County, Georgia
. American Journal of Epidemiology
, 123
, 577
–91
.Sheps, Mindel C. (
1961
). Marriage and Mortality
. American Journal of Public Health
, 51
, 547
–55
. 10.2105/AJPH.51.4.547Shurtleff, Donald A. (
1956
). Mortality among the Married
. Journal of the American Geriatrics Society
, 4
, 654
–654
.Stafford, Mark C., & Gibbs, Jack P. (
1985
). A Major Problem with the Theory of Status Integration and Suicide
. Social Forces
, 63
, 643
–60
. 10.2307/2578484Umberson, Debra (
1987
). Family Status and Health Behaviors: Social Control as a Dimension of Social Integration
. Journal of Health and Social Behavior
, 28
, 306
–19
. 10.2307/2136848Vaupel, James W., Manton, Kenneth G., & Stallard, E. (
1979
). The Impact of Heterogeneity in Individual Frailty on the Dynamics of Mortality
. Demography
, 16
, 439
–54
. 10.2307/2061224Vaupel, James W., & Yashin, Anatoli I. (
1985
). Heterogeneity’s Ruses: Some Surprising Effects of Selection on Population Dynamics
. The American Statistician
, 39
, 176
–85
. 10.2307/2683925Waldron, Ingrid, & Lye, Diane (
1989
). Family Roles and Smoking
. American Journal of Preventive Medicine
, 5
(3
), 136
–4I
.Welin, L., Tibblin, G., Svardsudd, K., Tibblin, B., Ander-Peciva, S., Larsson, B., & Wilhelmsen, L. (
1985
). Prospective Study of Social Influences on Mortality
. Lancet
, 1985
, 915
–918
. 10.1016/S0140-6736(85)91684-8Zalokar, Julia B. (
1960
). Marital Status and Major Causes of Death in Women
. Journal of Chronic Diseases
, 11
, 50
–60
. 10.1016/0021-9681(60)90139-9Zuckerman, Diana M., Kasl, Stanislav V., & Ostfeld, Adrian M. (
1984
). Psychosocial Predictors of Mortality among the Elderly Poor: The Role of Religion, Well-Being, and Social Contacts
. American Journal of Epidemiology
, 119
, 410
–23
.© Population Association of America 1993
1993
