In my case being divorced is much healthier. To each her/his own.
Marital status and risk of cardiovascular diseases: a systematic review and meta-analysis
Abstract
Background
The influence of marital status on the incidence of cardiovascular
disease (CVD) and prognosis after CVD is inconclusive. We systematically
reviewed the literature to determine how marital status influences CVD
and prognosis after CVD.
Methods
A search of MEDLINE and Embase in January 2018 without language
restriction was performed to identify studies that evaluated the
association between marital status and risk of CVD. Search terms related
to both marital status and CVD were used and included studies had to be
prospective in design. The outcomes of interest were CVD, coronary
heart disease (CHD) or stroke incidence and mortality. We performed
random effects meta-analysis stratified by the types of population by
calculating odds ratios (OR) and 95% confidence intervals (95% CI).
Results
Our analysis included 34 studies with more than two million
participants. Compared with married participants, being unmarried (never
married, divorced or widowed) was associated with increased odds of CVD
(OR 1.42; 95% CI 1.00 to 2.01), CHD (OR 1.16,95% CI 1.04 to 1.28), CHD
death (OR 1.43,95% CI 1.28 to 1.60) and stroke death (OR 1.55,95% 1.16
to 2.08). Being divorced was associated with increased odds of CHD
(P<0.001) for both men and women while widowers were more likely to
develop a stroke (P<0.001). Single men and women with myocardial
infarction had increased mortality (OR 1.42, 95% CI 1.14 to 1.76)
compared with married participants.
Conclusions
Marital status appears to influence CVD and prognosis after CVD. These
findings may suggest that marital status should be considered in the
risk assessment for CVD and outcomes of CVD based on marital status
merits further investigation.
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