Marital Status,Marital History,Body Weight,and Obesity

Marital status and marital history are associated with health. Marital history can be represented by the marital trajectory components of timing, transitions, sequence, and duration. We examined whether marital trajectory components add insights beyond marital status in predicting body weight in a retrospective analysis of 3,011 adults. Marital status findings revealed that married men were heavier than separated/divorced men, and never married women were heavier and more often obese than married women. Marital history findings showed that after adjusting for marital status, trajectory measures of age at first marriage, second marriage or second divorce, experiencing widowhood, and duration of separation/divorce were not clearly associated with body weight or obesity. Body weight and obesity appear to be associated with current marital status but not marital history.     

Gender,the Marital Life Course,and Cardiovascular Disease in Late Midlife

Drawing on 5 waves of the Health and Retirement Study, we examine the influence of the marital life course on the prevalence and incidence of cardiovascular disease among 9,434 middle‐aged individuals. Results show that compared to continuously married persons, both men and women with a marital loss have significantly higher prevalence of cardiovascular disease at baseline. Men and women, however, differ in the effects of marital loss on the incidence of cardiovascular disease over the course of the study. Women with a marital loss have a higher risk of cardiovascular disease in late midlife compared to continuously married women, whereas marital loss is not associated with men’s risk of cardiovascular disease. Emotional distress and socioeconomic status account for the higher risk of cardiovascular disease among divorced women.     

The times they are a changin': marital status and health differentials from 1972 to 2003

Although the meanings and rates of being married, divorced, separated, never-married, and widowed have changed significantly over the past several decades, we know very little about historical trends in the relationship between marital status and health. Our analysis of pooled data from the National Health Interview Survey from 1972 to 2003 shows that the self-rated health of the never-married has improved over the past three decades. Moreover, the gap between the married and the never married has steadily converged over time for men but not for women. In contrast, the self-rated health of the widowed, divorced, and separated worsened over time relative to the married, and the adverse effects of marital dissolution have increased more for women than for men. Our findings highlight the importance of social change in shaping the impact of marital status on self-reported health and challenge long-held assumptions about gender, marital status, and health.     

Has the future of marriage arrived? A contemporary examination of gender, marriage, and psychological well-being

A long tradition of research and theory on gender, marriage, and mental health suggests that marital status is more important to men's psychological well-being than women's while marital quality is more important to women's well-being than men's. These beliefs rest largely on a theoretical and empirical foundation established in the 1970s, but, despite changes in gender and family roles, they have rarely been questioned. The present analysis of three waves of a nationally representative survey indicates that, with few exceptions, the effects of marital status, marital transitions, and marital quality on psychological well-being are similar for men and women. Further, for men and women, occupying an unsatisfying marriage undermines psychological well-being to a similar extent--and, in some cases, to a greater extent--than exiting marriage or being continually unmarried.     

You make me sick: marital quality and health over the life course

We work from a life course perspective and identify several reasons to expect age and gender differences in the link between marital quality and health. We present growth curve evidence from a national longitudinal survey to show that marital strain accelerates the typical decline in self-rated health that occurs over time and that this adverse effect is greater at older ages. These findings fit with recent theoretical work on cumulative adversity in that marital strain seems to have a cumulative effect on health over time-an effect that produces increasing vulnerability to marital strain with age. Contrary to expectations, marital quality seems to affect the health of men and women in similar ways across the life course.     

Life Course Transitions and Housework: Marriage,Parenthood, and Time on Housework

We examine the effects of transitions in marital and parenthood status on 1,091 men’s and women’s housework hours using two waves of data from an Australian panel survey titled Negotiating the Life Course. We examine transitions between cohabitation and marriage, and from cohabitation or marriage to separation, as well as transitions to first and higher‐order births. We find extraordinary stability in men’s housework time across most transitions but considerable change for women in relation to transitions in parenthood. Our results suggest that the transition to parenthood is a critical moment in the development of an unequal gap in time spent on routine household labor.     

Racial differences in depression trajectories among older women: socioeconomic, family, and health influences

Despite recent increases in life course research on mental illness, important questions remain about the social patterning of, and explanations for, depression trajectories among women in later life. The authors investigate competing theoretical frameworks for the age patterning of depressive symptoms and the physical health, socioeconomic, and family mechanisms differentiating black and white women. Using data from the National Longitudinal Survey of Mature Women, the authors use linear mixed (growth curve) models to estimate trajectories of distress for women aged 52 to 81 years (N = 3,182). The results demonstrate that: (1) there are persistently higher levels of depressive symptoms among black women relative to white women throughout later life; (2) physical health and socioeconomic status account for much of the racial gap in depressive symptoms; and (3) marital status moderates race differences in distress. The findings highlight the importance of physical health, family, and socioeconomic status in racial disparities in mental health.     

Does Marital History Matter? Marital Status and Wealth Outcomes Among Preretirement Adults

Data from the 1992 Health and Retirement Survey are used to specify ordinary least squares (OLS) regression models predicting wealth. Separate models are estimated for men and women. The results indicate that individuals who are not continuously married have significantly lower wealth than those who remain married throughout the life course. Remarriage offsets the negative effect of a marital dissolution. There are significant gender differences in these effects. The results demonstrate that accounting for the sequence of marital events provides a detailed picture of the life paths that lead to wealth heterogeneity among the older population.     

Family Matters: Research on Family Ties and Health, 2010 to 2020

Family ties have wide-ranging consequences for health, for better and for worse. This decade review uses a life course perspective to frame significant advances in research on the effects of family structure and transitions (e.g., marital status) and family dynamics and quality (e.g., emotional support from family members) on health across the life course. Significant advances include the linking of childhood family experiences to health at older ages, identification of biosocial processes that explain how family ties influence health throughout life, research on social contagion showing how family members influence one another's health, and attention to diversity in family and health dynamics, including gender, sexuality, socioeconomic, and racial diversity. Significant innovations in methods include dyadic and family-level analysis and causal inference strategies. The review concludes by identifying directions for future research on families and health, advocating for a “family biography” framework to guide future research, and calling for more research specifically designed to assess policies that affect families and their health from childhood into later life.     

Changing Patterns of Religious Affiliation,Religiosity, and Marital Dissolution: A 35-Year Study of Three-Generation Families

This article examines multiple aspects of religion and the risk of marital dissolution with a life course lens. Relying on the Longitudinal Study of Generations (LSOG), 1971 to 2005, we explore the effects of religion on the risk of first marital dissolution. Using discrete time-logit analysis, we find that the effect of religion and religiosity on divorce and separation were not significant, after controlling for sociodemographic factors, such as gender, ethnicity, marriage cohort, education, presence of children, household income, and employment status. Our findings support exchange theory that emphasizes educational and financial resources as key factors in divorce rather than religion or religiosity.     

Nonmarital Childbearing, Union History, and Women's Health at Midlife

Despite high rates of nonmarital childbearing in the U.S., little is known about the health of women who have nonmarital births. We use data from the NLSY79 to examine differences in age 40 self-assessed health between women who had a premarital birth and those whose first birth occurred within marriage. We then differentiate women with a premarital first birth according to their subsequent union histories and estimate the effect of marrying or cohabiting versus remaining never-married on midlife self-assessed health, paying particular attention to the paternity status of the mother's partner and the stability of marital unions. To partially address selection bias, we employ multivariate propensity score techniques. Results suggest that premarital childbearing is negatively associated with midlife health for white and black (but not Hispanic) women. We find no evidence that these negative health consequences of nonmarital childbearing are mitigated by either marriage or cohabitation for black women. For other women, only enduring marriage to the biological father is associated with better health than remaining unpartnered.     

Social Selection and Social Causation in Marriage and Health: Longitudinal Evidence of Body Weight Change

Social selection proposes that health influences marriage, whereas social causation proposes that marriage influences health. We used biennial 1979 National Longitudinal Survey of Youth data to examine body weight 6 years before and 6 years after entering and exiting first marriages. For marital entry, social selection occurred as lighter women entered marriage. Social causation was not observed because all marital entry groups gained weight at comparable rates. Cohabitation was not associated with weight change after marital entry. For marital exit, short-term social causation occurred as men and women lost weight after marital exit and then regained equivalent weight. Overall, body weight change sometimes followed transitions into and out of marriage, but the associations were few in number, short-lived, and had no long-term impact on body weight.     

Complex Families and Late‐Life Outcomes Among Elderly Persons: Disability,Institutionalization, and Longevity

The authors examined the effects of marital status and family structure on disability, institutionalization, and longevity for a nationally representative sample of elderly persons using Gompertz duration models applied to longitudinal data from 3 cohorts of the Health and Retirement Study (N = 11,481). They found that parents with only stepchildren have worse outcomes than parents with only biological children. Elderly mothers with only stepchildren become disabled and institutionalized sooner, and elderly men with only stepchildren have shorter longevity relative to their counterparts with only biological children. The effect of membership in a blended family differs by gender. Relative to those with only biological children, women in blended families have greater longevity and become disabled later, whereas men in blended families have reduced longevity. The findings indicate that changing marital patterns and increased complexity in family life have adverse effects on late‐life health outcomes.     

Partnering Across the Life Course: Sex, Relationships, and Mate Selection

Marital delay, relationship dissolution and churning, and high divorce rates have extended the amount of time individuals in search of romantic relationships spend outside of marital unions. The scope of research on intimate partnering now includes studies of "hooking up," Internet dating, visiting relationships, cohabitation, marriage following childbirth, and serial partnering, as well as more traditional research on transitions into marriage. Collectively, we know much more about relationship formation and development, but research often remains balkanized among scholars employing different theoretical approaches, methodologies, or disciplinary perspectives. The study of relationship behavior is also segmented into particular life stages, with little attention given to linkages between stages over the life course. Recommendations for future research are offered.     

Postponement of health care by widowed,divorced, and never-married older men

This longitudinal research investigated the relationship between marital status and postponement of health care, reasons for postponement of treatment, factors associated with delaying care, and changes in health care behavior over a decade among 375 unmarried older men.Almost 30% of the men had not sought care when their health warranted it. Postponement of care was not associated with marital status although reasons for foregoing care were related to marital status. Discriminant analyses indicated the importance of financial distress to postponing care. The models were more effective in discriminating health care decisions of the formerly married than of the never married.Pat M. Keith is Professor of Sociology at Iowa State University. She earned her Ph.D. in Sociology at St. Louis University. Her current research interests are in the areas of gender roles in later life and rural-urban differences in the elderly.Address reprint requests to the author at Iowa State University, Department of Sociology, Ames, IA 50011.     

Sociological Determinants of Life Satisfaction in Japan: The Roles of Gender, Family, and Work

Abstract  This is one of the first studies on causes and correlates of life satisfaction among Japanese, based on the theoretical framework of Thibaut and Kelley (1959) on satisfaction and a nationally representative sample of Japanese adults. Emphasized are the effects of such demographic variables as gender, marital status, age, and work-related characteristics on life satisfaction. It is found that Japanese women are more satisfied with their lives than are men on the average. This difference is not explained by the gender difference in employment statuses. When examined for each employment status category, women still show higher life satisfaction than men on the average, except those employed full-time.
While widowed women show lower life satisfaction, never-married and divorced men show the same pattern. The detrimental effect of divorce on life satisfaction among women disappears when economic circumstances variables are controlled for. Age is found to be strongly related to life satisfaction, particularly among men. A non-linear effect of age indicates both family responsibility and job responsibility decrease life satisfaction for Japanese men and women.
The theoretical framework presented in American literature on the subject is largely supported in the present analysis with Japanese data. Rather than absolute levels of economic and/or social indicators, the salience each person places on them is found to be critical for life satisfaction. Given the cognitive definition of satisfaction adopted here which emphasizes comparisons, these results indicate the validity of this theoretical perspective.     

Marital Quality,Gender, and Markers of Inflammation in the MIDUS Cohort

Marital quality is an important factor for understanding the relationship between marriage and health. Low‐quality relationships may not have the same health benefits as high‐quality relationships. To understand the association between marital quality and health, we examined associations between two indicators of marital quality (marital support and marital strain) and two biomarkers of inflammation (interleukin‐6 and C‐reactive protein) among men and women in long‐term marriages using data from the Survey of Midlife in the United States (N = 542). Lower levels of spousal support were associated with higher levels of inflammation among women but not men. Higher levels of spousal strain were weakly and inconsistently associated with higher levels of inflammation among women and men; the effects were diminished with the addition of psychosocial and behavioral covariates. These findings suggest marital quality is an important predictor of inflammation, especially among women.     

Divorce and Adult Psychological Well‐Being: Clarifying the Role of Gender and Child Age

Substantial evidence indicates that marital dissolution has negative consequences for adult well‐being. Because most research focuses on the average consequences of divorce, we know very little about factors that moderate this association. The present study tests the hypothesis that the effects of marital dissolution on adult well‐being are greatest for those with young children in the home at the time of marital dissolution. Analysis of data from the National Survey of Families and Households (N= 4,811 men and women married at the baseline interview) supports this hypothesis, especially among women. For women without young children, marital dissolution appears to have few negative consequences for psychological well‐being. Differential exposure to secondary stressors that accompany marital dissolution partly explains these patterns.     

I've Got You Under My Skin: Marital Biography and Biological Risk

Social relationships shape adult health in profound ways. This study informs our understanding of this association by investigating how the transitions, timing, and exposures to marriage are associated with types of biological risk presumed to serve as pathways to disease and disability. Drawing on the 2005–2006 National Social Health and Aging Project (N = 1,062), the authors evaluated how marital biography was associated with cardiovascular, metabolic, and chronic inflammation risk. The results showed that the effects of marital biography were highly sensitive to gender, the dimension of marital biography, and type of biological risk. For example, marital exposure was protective of cardiovascular risk for women, but not men, whereas an earlier age at first marriage had a pernicious effect on chronic inflammation among men, but not women. Health behaviors did not explain these associations. The implications of these findings are discussed as they pertain to under‐the‐skin risk processes and chronic morbidity.     

Marital Conflict in Older Couples: Positivity,Personality, and Health

The authors examine the implications of health and personality characteristics for late‐life marital conflict using data from the 2010–2011 wave of the National Social Life Health and Aging Project, a nationally representative study with data on both partners in 955 marital and cohabitational dyads. Using these data, they relate characteristics of husbands to characteristics of their wives and vice versa. Wives with husbands in fair or poor physical health were more likely to report high levels of marital conflict, but the reverse was not true. Similarly, wives reported more conflict when their husbands were high on Neuroticism, high on Extraversion, and low on a new measure the authors call Positivity. The findings suggest noteworthy gender differences between men and women in the associations between individual characteristics and levels of marital conflict. The authors point to differences between husbands' and wives' marital roles as a contributor to these differences.