کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5123238 1487259 2017 12 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
In sickness and in health: The role of marital partners in cancer survival
ترجمه فارسی عنوان
در بیماری و سلامتی: نقش شرکای زناشویی در بقای سرطان
کلمات کلیدی
نروژ، سرطان، تحصیلات، متاهل، شریک، اقتصاد اجتماعی، همسر، بقا،
موضوعات مرتبط
علوم انسانی و اجتماعی علوم اجتماعی سلامتی
چکیده انگلیسی


- For married cancer patients, survival is influenced by the resources of spouses.
- As such, who you marry play a role for your survival.
- Having a highly educated and/or a high earning spouse appears to be beneficial.
- But, non-normative spousal patterns in age and SES appear to be disadvantageous.
- Married patients' spousal resources may help shed light on inequalities in survival.

Married cancer patients enjoy a survival advantage, potentially attributable to better health at diagnosis, earlier contact with health personnel, and/or access to resources to ensure more optimal treatment. These mechanisms only invoke the mere presence of a partner, but partners bring varying amounts of resources into the household. It is likely that also spousal resources contribute to differentials in survival net of own resources, as gradients in survival by the latter are well documented. Our aim is to examine the combined roles of own and spouses' socioeconomic characteristics (SES) and age for cancer survival.Almost 268,000 married patients diagnosed with a first cancer after age 50 during 1975-2007 were identified from the Norwegian Cancer Registry and other national registers. In a sequence of hazard models, differences in survival by patients' own education, income and age and the role of spouses' characteristics were assessed. Furthermore, we also assessed the importance of homogamy/heterogamy along the same dimensions.Partners' characteristics clearly matter for survival. The relative survival of patients with highly educated partners, net of their own education, is significantly higher than that of patients with lesser-educated partners. Somewhat similar effects are observed for income, net of education. A less consistent pattern is observed for age, although non-normative heterogamy patterns in age and income appear to be associated with a survival disadvantage.The naïve perspective of only considering the presence of partners may thus conceal important differences in cancer survival. Health personnel may take advantage of such knowledge in interactions with patients and their families, and gather information on resources in immediate networks that may impact prognosis favorable and/or unfavorable and help patients utilize these resources to improve prognosis.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: SSM - Population Health - Volume 3, December 2017, Pages 99-110
نویسندگان
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