Marriage and Health
In sickness
But there was some nuance to the health question. The poorer a person's health at the study's start, the less their marital status mattered in mortality risk. For never-married peop{VID:null}le, each decrease in health from "excellent" to "very good" and down was linked to a 12-percent decrease in the short-term risk of death compared with married people in the same category. In the "poor" health category, there was no mortality difference between married and unmarried people.
"These results suggest that marriage may be important for the prevention of disease, but not as helpful once people become seriously ill," Zheng said. "That's why we see a protective effect of marriage when people are in excellent health, but not when they are in poor health."
The researchers found the same results when they used a different, objective measure of health, the ability to handle routine activities of daily living such as bathing and cooking. Married people don't rate their health as poor until they've developed more severe health problems than unmarried people, the researchers found. So someone who is married and says they're in poor health may actually be worse off than a singleton in poor health. The difference could help explain why the benefit of marriage seems to vanish in the poor-health category.
Social support received from a spouse may make it less obvious to a person that their health is deteriorating, Zheng said. But the end result is still premature death. "Marriage is helpful in persuading people to adopt a healthy lifestyle that can lead to a longer life," Zheng said. "But it is not as useful in helping people recover from a serious illness."
The researchers report their results in the March issue of the Journal of Health and Social Behavior.
Stephanie Pappas