Marriage and remarriage rates among older Americans.
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Several reproductive factors have been found to be associated with breast cancer. Based on an immunologic rather than strictly hormonal interpretation of these observations, we hypothesized that, beyond the observed associations relating to pregnancy per se, multiple marriages would be found to protect women against breast cancer. We obtained cases and controls from linked records from the Utah Cancer Registry and genealogic records. A total of 2,414 women with newly diagnosed breast cancer and 9,138 individually matched controls were included. The unadjusted odds ratio for each marriage after the first was 0.81 [95% confidence interval (CI) = 0.68-0.97]. After adjustment for major reproductive factors, multiple marriages were still found to reduce the risk of breast cancer (odds ratio = 0.86; 95% CI = 0.72-1.03). The findings are consistent with the operation of an immunologic mechanism in the etiology of breast cancer and suggest that the gene/antigen responsible for this effect is quite common in males. Further empirical evaluation of the fetal antigen hypothesis seems warranted.
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Hyperprolactinemia, hypogonadotropinism, and subnormal plasma testosterone were found in a 65-year-old patient who had an enlarged sella turcica, complained of fatigue, and addmitted to decreased sexual interest and potency. Selective nontotal tumorectomy followed by bromocriptine therapy resulted in normoprolactinemia, increased plasma testosterone, and "rejuvenation difficult to follow" according to his wife. This patient described his sexual status as comparable to that of age 24 when he fathered his only child. Both wife and husband attributed the changes to bromocriptine and requested discontinuation (wife) and continuation (husband) of the treatment; because of the clinical indications, treatment was continued. Legally, a medical certification of a normal state of health was required before divorce--and subsequent marriage to a young woman--were permitted.
The study aims at elucidating the fate of orphans in 19th century Sweden. A cohort of all children born in the region of Sundsvall was followed. The Cox regression model was used. The population increased 12-fold in the sawmill parish, and doubled in the other parishes. Every 13th child lost either his or her mother or father. The death risk represented by being a motherless infant exceeded every other death risk for the child, and was further enhanced if parents were crofters or coming from the sawmill parish. For children beyond the age of 1 year, factors other than parental deprivation became decisive. Step-parents had an immense positive influence on the survival of the children. The social network worked relatively well for those children who were orphans beyond the age of 1 year. The motherless infants had the worst outcome. The best chance for survival was found for children with step-parents.
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In this article, the author presents the results of a study of the sexual attitudes and behavior of 402 men and women over 55 among whom all have been widowed and half have remarried. The importance of various factors associated with continued sexual interest and activity in old age is measured for both sexes and three age groups.
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Out-of-wedlock pregnancy, especially for a teenager, and even more for a black teenager, hastens early marriage. The younger the age at first birth, the likelier that the first marriage will dissolve. White women are more likely than black women to remarry. Women under 20 at first birth are more likely to have their second marriage dissolve.