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Gender Differences in the Relationship Between Marital Status and the Development of Frailty: A Swedish Longitudinal Population-Based Study
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). University of Padova, Italy.
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). University of Rome, Italy.
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Number of Authors: 72020 (English)In: Journal of Women's Health, ISSN 1540-9996, E-ISSN 1931-843X, Vol. 29, no 7Article in journal (Refereed) Published
Abstract [en]

Background: The gender-specific role of marital status for the development of frailty has not been clarified. This study evaluates the gender differences in the association between marital status and frailty development, and the possible modifying effect by age cohort in such a relationship. Methods: The sample included 2179 community-dwelling older adults involved in the Swedish National Study on Aging and Care in Kungsholmen, followed up for 6 years. Participants stable in marital status over time were categorized as partnered, widowed, single, and divorced. Changes were classified as losing one's partner and gaining a partner. Frailty was defined as the presence of three or more criteria among: weight loss, low physical activity, slow walking speed, weakness, and exhaustion. The association between marital status and frailty, with death as an alternative outcome and controlling for confounders, was estimated with multinomial logistic regressions. Results: Men who remained single (odds ratio [OR] = 2.50, 95% confidence interval [95% CI] 1.05 - 5.98) and those who lost their partner (OR = 2.59, 95% CI 1.16 - 5.77) had higher odds of frailty than those with a partner. The OR differed between younger (60-80 years) and older (>= 81 years) women (p-(interaction) = 0.04). The youngest women who remained divorced had a higher risk of frailty (OR = 2.75, 95% CI 1.24 - 6.08) than those who still had a partner. Conversely, older women who lost their partner had 80% (95% CI 0.05-0.86) lower odds of frailty than those with a partner. Conclusions: Marital status can influence frailty development differently for women and men. This gender-specific influence may vary by age cohort, perhaps in response to sociocultural factors.

Place, publisher, year, edition, pages
2020. Vol. 29, no 7
Keywords [en]
demography, marital status, sociological factors, frailty, gender roles
National Category
Public Health, Global Health and Social Medicine Gerontology, specialising in Medical and Health Sciences Gender Studies Sociology
Identifiers
URN: urn:nbn:se:su:diva-181846DOI: 10.1089/jwh.2019.8095ISI: 000526633700001PubMedID: 32298606OAI: oai:DiVA.org:su-181846DiVA, id: diva2:1433303
Available from: 2020-05-29 Created: 2020-05-29 Last updated: 2025-02-20Bibliographically approved

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Journal of Women's Health
Public Health, Global Health and Social MedicineGerontology, specialising in Medical and Health SciencesGender StudiesSociology

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Citation style
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