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PubMed1998

A longitudinal study of health selection in marital transitions.

We examined whether differences in health were associated with different probabilities of marital transitions in a longitudinal study, using Cox proportional hazard analysis. Data on approximately 10,000 Dutch persons of the GLOBE study, aged 15-74 years, were used for this purpose. The study started in 1991 and study subjects have been followed for 4.5 years. Of the four marital transitions studied (marriage among never married and divorced persons, and divorce and bereavement among married persons), only divorce among married persons was associated with health status: married persons who reported four or more subjective health complaints or two or more chronic conditions were, respectively, 1.5 and two times more likely to become divorced during follow-up than persons without these health problems. Since hardly any other studies have examined the role of health selection in marital transition with longitudinal data, more research is required before firm conclusions can be drawn. It can be concluded, however, that the frequently made assumption that health selection contributes only little to the explanation of health differences between marital status groups, seems, at least for the divorced, not justified.

Adolescent↗

PubMed2001

Father postdivorce well-being: an exploratory model.

The purpose of this study was to test a theoretical model of the psychological well-being of fathers following divorce. The theory postulated that father postdivorce well-being was related to father role clarity, role satisfaction, age, income, education level, custody arrangement, encouragement from others, time since divorce, and involvement in an intimate relationship following divorce. Participants were 94 fathers from a midwestern city who completed self-administered questionnaires. Data were assessed using path analytic techniques. Involvement in an intimate relationship was found to have the greatest influence on father postdivorce well-being. Role satisfaction had direct effects on father postdivorce well-being and was important as a mediating variable for 4 constructs within the model. The findings suggest that father well-being following divorce is a complex phenomenon, influenced by all of the model variables except income, education level, and time since divorce. Implications for preventive intervention strategies, based on risk factors identified in this study, and suggestions for further research are discussed.

Adult↗

PubMed1989

Marital status and mortality in middle-aged Swedish men.

In a large primary prevention trial among middle-aged men in Gothenburg, Sweden, register data were used to establish marital status, alcohol abuse, and economic problems for nearly all of the study population in 1970-1973. Married men had a higher participation rate in the examinations for the trial than non-married men, with non-married alcoholic men having the lowest participation rates. Among the participants, 26% of divorced men, but only 5% of married men were registered with the social authorities for alcohol problems. Serum cholesterol, body mass index, and diabetes were not associated with marital status, but smoking was more common among widowers and divorced men. Nonfatal myocardial infarction was not related to marital status among participants, after a mean follow-up of 11.8 years. Death from coronary heart disease was more common in non-married men in univariate analysis, but not when other risk factors were taken into consideration. In participants, married men had a mortality rate of 9%, compared with 20% for divorced men. After adjustment for other risk factors, including registration for alcohol problems, smoking, and occupational class, the association between marital status and total mortality was still highly significant. Among nonparticipants in the trial, 13% of married men were registered for alcohol problems, compared with 41% of divorced men. Nonparticipants had higher all-cause mortality, 18% for married men and 33% for divorced men.

Adult↗

PubMedDate not supplied

A prospective study of the effects of marital status and family relations on young children's adjustment among African American and European American families.

The present study investigated the effects of divorce and family relations on young children's development prospectively, using an ethnically diverse sample of approximately 300 low-income families. We also were able to examine the moderating effects of ethnicity on child adjustment in always two-parent, to-be-divorced, already-divorced, and always single-parent families. Results indicated that to-be-divorced European American and African American families demonstrated higher rates of preschool-age behavior problems, and already-divorced families showed similar trends. Parental conflict and behavior problems accounted for predivorce differences in child behavior problems, whereas rejecting parenting accounted for differences in problem behavior between always single-parent and always two-parent families. The results are discussed in terms of the importance of ethnicity in influencing young, low-income children's adjustment to different family structures.

Adolescent↗

PubMed1998

The social consequences of psychiatric disorders, III: probability of marital stability.

OBJECTIVE: The associations of prior DSM-III-R disorders with probability and timing of subsequent divorce were examined. METHOD: The data came from the part II subsample (N=5,877) of the National Comorbidity Survey. The respondents completed a structured diagnostic interview that retrospectively dated age at onset of each of 14 lifetime DSM-III-R disorders and recorded ages at first marriage and divorce. These data were used to estimate survival models describing the relationships between prior disorders and subsequent divorce. In addition, simulations were used to estimate the number of years spent out of marriage because of these causal relationships in the total U.S. population. RESULTS: Prior psychiatric disorders were associated with a substantially higher risk of divorce. The simulations suggested that the effects of these associations in the U.S. population in the survey's age range are approximately 23 million lost years of marriage among men and 48 million lost years of marriage among women. CONCLUSIONS: Psychiatric disorders have a number of adverse consequences for those who suffer from them and for their families and communities. The results reported here suggest that an increase in the number of people who divorce and a decrease in the number of years of marriage in the population may be among them. The debate over whether society can afford to provide universal treatment for psychiatric disorders needs to take these costs into consideration.

Adolescent↗

PubMed1986

Adolescents' perception of self and of immediate environment by parental marital status: a controlled study.

Most studies on children of "broken families" are based on small and unrepresentative samples, are limited to children of divorce and do not control for basic demographic variables. In order to do a survey with fewer methodological deficiencies, we managed to obtain a completely representative sample of a Francophone urban population attending High School I, II and III, with the reasonable sample size of 1519 subjects and including 72 subjects from widowed families in addition to 174 children of divorce; furthermore, we were able to control for the following eight demographic variables: father's and mother's occupation, mother's work, respondent's, father's and mother's age, family size, and respondent's rank of birth. When comparing children from legally intact, widowed, and divorced families, on a wide range of psychosocial variables, we found that on the average, divorce is associated with the greatest disadvantage in children, followed by widowhood; children belonging to intact families show the least disadvantage. Besides, when comparing girls and boys, we did not find striking differences between them in divorced families, but, on the other hand, we found striking differences in widowed families, boys being at much more disadvantage than girls. It is concluded that on the average a family breakup should be considered as a serious risk factor for teenagers and that clinicians would be well advised to monitor the situation carefully when aware of an impending family breakup.

Adolescent↗

PubMed1999

The impact of parental separation/divorce on grandparent-grandchild relationships.

Eighty-six members of the Grandparents' Federation in Britain returned questionnaires about changes in contact with their grandchildren following parental divorce; ten grandparents were also interviewed to obtain more contextual information and measures of health and coping strategies. Three questionnaire measures of the grandparent-grandchild relationship, proximity, contact frequency, and emotional involvement, were interrelated and a significant decrease was reported after parental divorce. There were no significant differences on these measures between grandparents all of whose grandchildren were affected by parental divorce, and grandparents for whom only some grandchildren were so affected; but the latter group did show a greater decline in emotional involvement and also had less recourse to legal action to sustain contact. With grandchildren affected by parental divorce, proximity to grandparents was not significantly less than for grandchildren not so affected, but contact and emotional involvement were significantly less. Many grandparents reported emotional and physical health problems related to the loss of contact. Results are discussed in terms of the extent to which grandparents are victims of the divorce situation, or agents involved in cross-generational family dysfunction; the victim model appears to get more support from our data. Recommendations are made for further research, as well as counseling to help move grandparents through the grief process and to a better quality of life.

Adolescent↗

PubMedDate not supplied

[Marriage disruption and health management within the family].

The divorce rate steadily increases in the industrialized countries. Such a demographic trend may possibly have a significant impact on the health of the divorced people and their children and therefore on the health care system. Three divorced women are interviewed on the basis of sociological survey techniques. They live three specific personal situations. The interviews concern mainly four domains: divorce process, sex, food and parent-children relations. The breaking down of the former living arrangements modifies a number of personal behaviors, however, it is clear that the way health in the family is managed reflects the management of the divorce itself.

Adult↗

PubMed1999

Using data for couples to project the distributional effects of changes in Social Security policy.

Under Social Security program rules, the aged receive Social Security benefits either as retired workers, spouses, divorced spouses, or widow(er)s. Retired-worker benefits are paid to workers who have 40 quarters of coverage over their lives. Auxiliary benefits are paid to spouses, divorced spouses, and widow(er)s of retired workers. Spouse benefits are computed using the earnings history of the current spouse for individuals who are married when they apply for benefits. Divorced spouse and widow(er) benefits are computed using the earnings history of the ex-spouse or deceased spouse with the highest PIA. A large number of retired women are entitled to auxiliary benefits. Some women receive only auxiliary benefits, while the majority of women have their retired-worker benefit supplemented by auxiliary benefits. Because the level of Social Security benefits can reflect the relative lifetime earnings of both spouses, as a couple, using individual data to estimate Social Security benefits will tend to underestimate actual benefits, particularly for women. However, detailed data for couples are often difficult to obtain. There is currently no known single data source that includes both marital and earnings history information. As a result, many researchers resort to estimating Social Security benefits using individual data or aggregate data, such as the average earnings of men and women. The Social Security Administration's Office of Research, Evaluation, and Statistics, with substantial assistance from the Brookings Institution, the Urban Institute, and the RAND Corporation, is developing a model that overcomes this problem by using the marital and earnings histories of both marital partners to estimate Social Security benefits. The Modeling Income in the Near Term (MINT) model projects retirement income (Social Security benefits, pension income, asset income, and earnings of working beneficiaries) from 1997 through 2031 for current and future Social Security beneficiaries using a unique data source--the Survey of Income and Program Participation (SIPP)--matched to Social Security Administration records. Using MINT data, this article establishes the importance of using data for couples rather than individuals by examining the impact of changing Social Security benefits to reflect 40 years of lifetime earnings rather than the 35 years required under current law. We compare the effect of this policy change on married women by estimating their benefits with data for couples and with individual data. Results indicate that: Using individual data overestimates the projected reduction in retirement benefits brought about by the policy change and makes the effects on women look more severe than they actually are. Because older birth cohorts are more likely than younger cohorts to receive auxiliary benefits based on their husbands' average lifetime earnings, the bias created by using individual data is projected to be much larger for older cohorts than for younger cohorts. This article emphasizes the importance of using data for couples to estimate Social Security benefits, particularly for women. Although our focus is on married women, using data for couples is just as important for calculating the retirement benefits of divorced and widowed individuals. For individuals who are divorced or widowed at retirement, their Social Security benefits are based on their own earnings history, as well as the earnings histories of each of their previous spouses.

Age Factors↗

PubMed1988

A.A. Abdulla v. A.B. Mohmuna Saiyadbhai, 18 February 1988.

The Court held that a divorced Muslim woman is entitled to maintenance and that this maintenance is not limited to the period of iddat. It based its decision on Section 3(1)(a) of The Muslim Women (Protection of Rights on Divorce) Act, 1986, of India (Annual Review of Population Law, Vol. 13, 1986, Section 320), which provides that "Notwithstanding anything contained in any other law for the time being in force, a divorced woman shall be entitled to a reasonable and fair provision and maintenance to be made and paid to her within the iddat period by her former husband . . . ." It interpreted this Section to mean that "on or before the expiration of the iddat period, the husband is bound to make and pay a reasonable and fair provision and maintenance to the wife," not that the maintenance is to be given only during the period of iddat. It concluded that to interpret the provision otherwise would be to abrogate the rights of Muslim women under other laws. Iddat is defined in the 1986 Act as "three menstrual courses after the date of divorce," if the wife is subject to menstruation, or "three lunar months after her divorce," if the wife is not subject to menstruation. In 1988, the High Court of Kerala reached a similar decision. (See Ali vs. Sufaria, Kerala Law Times, No. 2, 1988, p. 94.)

Asia↗

PubMed2006

[Study of the follow-up by the general practitioner of the children of separated parents].

In Belgium, on 10 millions of inhabitants, there are more than 31.000 divorces per year and we estimate that 600.000 children are experiencing separation of their parents. The general practitioner (GP) have inevitably the responsability of the medical follow-up of some of these children. The possible professional implications related to these young patients, concerning the GP have never been the subject of a study so far. Consequently the aim of this research was to reveal what is happening in the daily practice of the family practitioner related with the children of separete parents. There were some hypothesis notably about particular working conditions for the GP in connection with possible consequences for these children and possible necessity of special professional attitudes. A qualitative research in focus group was organized with GPs in order to get an interaction between the participants and to go past the concepts supposed before the study. Therefore between September and December 04, 8 focus groups of 10-18 generalist practitioners were set up in Brussels and Mons. Each meeting was axed around couples separated for less than 3 years and children between 0 and 15 years. Finally, 120 GPs discussed about 242 cases of divorces from their practice. The debates totally typed word by word were analysed with assistance of the software QSR N5. The point of view of the GPs is: 1) A divorce affects the working conditions of the general practitioner, for example the parcelling out of the medical follow-up of the child and the fact " of being used" by the family. 2) The conflict between the parents after the separation increases the difficulties for the GP in his daily practice. 3) The parental's separation influences the choice of professional attitudes of the GP, notably vis-a-vis the conflict (for instance to try or not to try the conflict's management). 4) Mainly in conflict situation, parental divorce is a risk for the child; psychological or behavioural disorders, physical health problems, school difficulties, ... 5) Certain professional attitudes of the general practitioner can influence positively the evolution of these children, for example to speak to the two parents. 6) Some professional actions aggravate the situation of the these children, for instance to product certain official written documents (attestations, reports, certificats, ...) in a conflicts context. In conclusion, this study desmonstrates that parental separation affects the medical follow-up of the children by the GPs and that professional attitudes influences positively or negatively the child's evolution. For the first time, some negative consequences of the divorce on children are described in the first line. All this results must be confirmed by quantitative research work.

Adolescent↗

PubMed1991

Ratings of self and parents by youth: are they affected by family status, gender, and birth order?

In the present study, 648 youths from across the state of Kansas voluntarily evaluated themselves and their parents using the Personal Attribute Inventory for Children. Self-concept was found to be significantly higher for those from intact families in comparison with those from divorced remarried families. Evaluations of mothers were significantly higher for those from intact and divorced nonremarried families as compared with those from divorced remarried families. The ratings of fathers by youths from intact families were significantly more favorable than the ratings by those from either divorced nonremarried or divorced remarried families. Interestingly, gender by family status two-way interaction effects were also found for self-concept and ratings of fathers. Possible explanations for these findings, and their implications, are discussed.

Adolescent↗

PubMed1990

The role of behavior therapists in child custody cases.

Given awareness of research, a focus on the present, sensitivity to multiple life events, and preference for active interventions that characterize the social learning tradition, behavior therapists are well equipped to expand their work into the child custody context. However, therapists need to be aware of the multiple potential roles they may be asked to play in child custody cases. All therapists must make clear whether they are functioning as an evaluator, a mediator, or a therapist. These roles overlap somewhat in function, and on occasion the same psychologist may successfully fulfill more than one role. However, the wise course of action is for the therapist to define a single role from the outset of the case and to remain in that one role throughout. Although a social learning background is an excellent starting point, therapy with child custody cases requires specialized knowledge about the emotional, practical, and legal aspects of divorce. Self-education is an especially important precursor to working in the child custody context, because perhaps the single most important intervention with divorcing and divorced families is to educate them. Given the lack of institutionalized guidance on how to handle both the emotional and the practical aspects of divorce, families often turn to therapists for direction. To provide such direction, therapists must educate themselves about the various emotional, social, practical, and legal aspects of divorce. We hope that this chapter is but an initial step that the reader will take toward that goal.

Adult↗

PubMed1990

Mortality differentials by marital status: an international comparison.

Although the greater longevity of married people as compared with unmarried persons has been demonstrated repeatedly, there have been very few studies of a comparative nature. We use log-linear rate models to analyze marital-status-specific death rates for a large number of developed countries. The results indicate that divorced persons, especially divorced men, have the highest death rates among the unmarried groups of the respective genders; the excess mortality of unmarried persons relative to the married has been generally increasing over the past two to three decades; and divorced and widowed persons in their twenties and thirties have particularly high risks of dying, relative to married persons of the same age. In addition, the analysis suggests that a selection process is operating with regard to single and divorced persons: the smaller the proportion of persons who never marry or who are divorced, the higher the resulting death rates.

Adult↗

PubMed1985

A reconsideration of the economic consequences of marital dissolution.

A close look at the income flows in the years following a divorce or separation reveals marked differences in the distribution of effects. The economic consequences of divorce are especially adverse for women. In most cases, children remain with the mother, who usually has considerably lower potential labor market earnings than her former husband, partly because her responsibilities for the children are likely to reduce her labor supply and may have limited her past human capital investments. Alimony and child support are the principal mechanisms for transfers from the ex-husband to the ex-wife, but payments are rarely frequent or sizeable enough to make up for an appreciable amount of the labor income lost through the departure of the ex-husband. Human capital investments on the part of the mother have a modest effect on her economic situation in the years following the divorce. Most men who divorce or separate are immediately better off because they retain most of their labor incomes, typically do not pay large amounts of alimony and child support to their ex-wives, and no longer have to provide for the level of needs associated with their former families. Much more important than growth in the ex-wife's own labor income is the role of a new husband's labor income upon her remarriage. More than half of the white women remarry within five years following a divorce or separation; the comparable fraction for black women is less than half. An interesting question is whether the currently unmarried would enjoy the same kind of economic benefits, were they to remarry, as women who have remarried. Estimates from a model of the new husband's labor income, adjusted for selection bias inherent in the process of remarriage, indicate that the currently unmarried would probably not gain equal benefits if they were to remarry. The expected labor income of potential husbands of black women averages only about $5000--a modest amount when compared with the alternatives available to these women.

Black or African American↗

PubMed1984

Marital adjustment to chronic childhood illness: a critique of the literature.

Thirty-four studies of marital adjustment were selected from the literature on family adjustment to chronic childhood illness. Studies were reviewed to determine whether divorce rates were elevated or marital adjustment was poorer compared with that of families of healthy children. Of 23 studies reporting divorce rates, only six used a group of families without a chronically ill child for comparison. These studies showed no significant differences in the divorce rates between groups. Of 23 studies of marital adjustment, 83% investigated marital distress. Four of seven studies with comparison groups showed that marital distress was increased in parents of chronically ill children. Other areas of marital adjustment, such as communication, decision-making, and role flexibility, have received almost no attention by researchers. It is questioned whether divorce or distress is an adequate indicator of marital adjustment in general. Further studies are needed to understand the relationships between divorce, distress, and other important areas of marital adjustment to chronic childhood illness.

Adaptation, Psychological↗

PubMed1999

Heavy alcohol consumption and marital status: disentangling the relationship in a national study of young adults.

AIMS: To investigate why alcohol consumption varies by marital status, assessing (i) differences in heavy consumption prior to changes in marital status (indicating selection) and increases or decreases in heavy consumption associated with changes in marital status (indicating causation), (ii) whether such increases or decreases are transient, and (iii) the possible mediating effect of parental status. DESIGN: Longitudinal cohort. SETTING: Great Britain. PARTICIPANTS: Data from the 23- and 33-year surveys of the 1958 British birth cohort (all born in England, Wales and Scotland, 3-9 March 1958). MEASUREMENTS: Heavy drinking, defined as more than 35 (men) and 20 (women) units/week; changes between ages 23 and 33 in consumption and marital status. FINDINGS: The divorced had the highest consumption levels at both ages, the married had the lowest. Selection effects were minimal in both sexes. Overall, heavy drinking declined between ages 23 and 33 (21.4-13.0% in men, 6.4-3.4% in women), but increased among individuals who divorced, compared to the continuously married (adjusted OR = 2.05, 95% CI = 1.49, 2.83 for men; OR = 2.61, 95% CI = 1.67, 4.09 for women), most strikingly for recent divorces (adjusted OR = 4.97, 95% CI = 2.86, 8.57 and OR = 5.25, 95% CI = 2.60, 10.65). High rates of heavy drinking persisted for never married men (19.1%) and women (5.2%). CONCLUSIONS: The heavy drinking level of divorced young adults was not due to selection. Marital separation was accompanied by increases in heavy drinking, with pronounced short-term effects. Adverse alcohol-related health consequences may occur in the immediate period around divorce. Individuals who never marry appear to have a chronic heavy consumption pattern that may contribute to their increased mortality.

Adult↗

PubMed2004

Marital dissolution is followed by an increased incidence of stroke.

BACKGROUND: Many studies have reported lower mortality in married people. The relation between marital status and incidence of haemorrhagic and ischaemic stroke is unclear. It is largely unknown whether the risk of stroke is increased the first years after divorce or death of spouse. METHODS: Incidence of first-ever stroke (n = 6,184) was followed over 10 years in a cohort consisting of all 40- to 89-year-old inhabitants (n = 118,134) in the city of Malmö, Sweden. Marital dissolution (i.e. divorce or death of spouse) prior to the date of stroke was compared in a nested case-control design (3,134 initially married stroke cases, 9,402 initially married controls). RESULTS: As compared to the married groups, the incidence of stroke was increased in divorced men and women (RR = 1.23, CI: 1.10-1.39 and RR = 1.26, CI: 1.12-1.41, respectively) and widowed men and women (RR = 1.13, CI: 0.99-1.28 and RR = 1.13, CI: 1.02-1.24, respectively) after adjustments for age, country of birth and socioeconomic indicators. The risk of stroke was not increased in never married men. Marital dissolution was followed by increased risk of stroke, which was significant for men (adjusted odds ratio: 1.23, CI: 1.03-1.5) and borderline significant for women below 65 years of age (odds ratio: 1.45, CI: 0.99-2.14). CONCLUSION: The incidence of stroke is increased in divorced and widowed individuals. Never married men do not have an increased incidence. The risk of stroke is elevated during the first years after divorce or death of spouse.

Adult↗