The short-term and long-term effects of divorce on mortality risk in a large Finnish cohort, 1990-2003

Popul Stud (Camb). 2013;67(1):97-110. doi: 10.1080/00324728.2012.746386. Epub 2012 Dec 13.

Abstract

This study investigated time patterns of post-divorce excess mortality. Using register-based data, we followed 252,641 married Finns from 1990 until subsequent date of divorce and death until 2003. Among men, excess mortality is highest immediately after divorce, followed by a decline over 8 years. Among women, excess mortality shows little variation over time, and is lower than among men at all durations of divorce. Social and economic factors--largely adjustment for post-divorce factors--explain about half of the excess mortality. This suggests that excess mortality is partly mediated through poor social and economic resources. Mortality attributable to accidental, violent, and alcohol-related causes is pronounced shortly after divorce. It shows a strong pattern of reduction over the next 4 years among divorced men, and is high for only 6 months after divorce among divorced women. These findings emphasize the importance of short-term psychological distress, particularly among men.

MeSH terms

  • Adult
  • Age Factors
  • Cause of Death
  • Divorce / statistics & numerical data*
  • Educational Status
  • Female
  • Finland / epidemiology
  • Humans
  • Income / statistics & numerical data
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Mortality*
  • Proportional Hazards Models
  • Risk Factors
  • Sex Factors
  • Social Class
  • Time Factors