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Racial Disparities in Mortality Among Middle-Aged and Older Men: Does Marriage Matter?

机译:中老年人死亡率方面的种族差异:婚姻重要吗?

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摘要

Based on longitudinal data from the Health and Retirement Study, this study assesses the importance of marital status in explaining racial disparities in all-cause mortality during an 18-year follow-up among White and African American men aged 51 to 61 years in 1992. Being married was associated with significant advantages in household income, health behaviors, and self-rated health. These advantages associated with marriage at baseline also got translated into better survival chance for married men during the 1992-2010 follow-up. Both marital selection and marital protection were relevant in explaining the mortality advantages associated with marriage. After adjusting for the effect of selected variables on premarital socioeconomic status and health, about 28% of the mortality gap between White and African American men in the Health and Retirement Study can be explained by the relatively low rates of marriage among African American men. Addressing the historically low rates of marriage among African Americans and their contributing factors becomes important for reducing racial disparities in men's mortality.
机译:根据健康与退休研究的纵向数据,该研究评估了1992年年龄在51至61岁的白人和非裔美国人在18年随访中婚姻状况对于解释全因死亡率中的种族差异的重要性。结婚在家庭收入,健康行为和自我评估健康方面具有明显优势。与基线婚姻相关的这些优势也转化为已婚男性在1992-2010年随访期间的更好生存机会。婚姻选择和婚姻保护都与解释婚姻带来的死亡率优势有关。调整所选变量对婚前社会经济状况和健康的影响后,《健康与退休研究》中白人和非裔美国人之间约28%的死亡率差距可以用非裔美国人结婚率相对较低来解释。解决非洲裔美国人历史上较低的结婚率及其影响因素,对于减少男性死亡率中的种族差异至关重要。

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