Skip to main content

Advertisement

Log in

“The shock of widowhood”? Evidence from an Italian population (Parma, 1989–2000)

  • Published:
Social Indicators Research Aims and scope Submit manuscript

Abstract

The purpose of our study is to assess the influence of socio-demographic factors on overall and cause-specific mortality of elderly people of Parma aged 65. In particular, the paper aims at exploring the relation between mortality and living arrangement in association with marital status. Data were obtained from the General Registry Office of Parma and from the death certificates issued by the Local Health District from 1989 to 2000. A logistic regression was performed using longitudinal data. In the male population, living alone and being never married appears to be the worst condition, while living with the wife repsresents a caring situation. In the female population, the major risk of death is associated to living with others than a spouse, while a reduced risk was detected for widows living alone. This was a common and shared result for both overall mortality and many of the causes of death here considered. The condition of widows and widowers living alone does not appear to constitute a particularly serious risk among the elderly population of Parma. Yet, in the female population the association between living alone and the status of widow seems playing a protective role. This result should be interpreted in the light of the social policy of services and support for the elderly pursued by local authorities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Ahrens, J. (2005). The positive impact of hospice care on the surviving spouse. Home Healthy Nurse, 23(1), 53–55.

    Google Scholar 

  • Allison, P. D. (1984). Event History Analysis. Regression for longitudinal event data. Sage University Paper Series on Quantitative Applications in the Social Sciences 7, Sage, Beverly Hills, California.

  • Amoroso, A. (2005). Parlano i centenari. Cosmo Iannone Ed. Isernia.

  • Arrich, J., Lalouschek, W., & Müllner, M. (2004). Influence of socioeconomic status on mortality after stroke. Retrospective cohort study. Stoke, 36, 310–314.

    Google Scholar 

  • Avendãno, M., Kunst, A. E., Huisman, M., van Lenthe, F., Bopp, M., Borrel, C., Valkonen, T., Regidor, E., Costa, G., Donkin, A., Borgan, J. K., Deboosere, P., Gadeyne, S., Spadea, T., Andresen, O., & Mackenbach, P. (2004). Educational level and stroke mortality: A comparison of 10 European populations during the 1990s. Stroke, 35, 432–437.

    Article  Google Scholar 

  • Avlund, K., Trab Damsgaard, M., & Holstein, B. E. (1998). Social relations and mortality: An eleven year follow-up study of 70-year-old men and women in Denmark. Social Science & Medicine, 47(5), 635–643.

    Article  Google Scholar 

  • Christakis, N. A., & Iwashyna T. J. (2003). The health impact of health care on families: A matched cohort study of hospice use by decedents and mortality outcomes in surviving, widowed spouses. Social Science & Medicine, 57, 465–475.

    Article  Google Scholar 

  • Davis, M. A., Neuhaus, J. M., Moritz, D. J., & Segal M. R. (1992). Living arrangement and survival among middle-aged and older adults in the NHANES I epidemiologic follow-up study. American Journal of Public Health, 82(3), 401–406.

    Google Scholar 

  • Farr, B. M., Bartlett, C. L. R., Wadsworth, J., & Miller, D. L. (2000). Risk factors for community-acquired pneumonia diagnosed upon hospital admission. Respiratory Medicine, 94, 954–963.

    Article  Google Scholar 

  • Fukuda, Y., Nakamura, K., & Takano, T. (2005). Municipal health expectancy in Japan: Decreased healthy longevity of older people in socioeconomically disadvantaged areas. BioMed Central Public Health, 5, 65 [electronic resource].

    Google Scholar 

  • Gallo, W. T., Baker, M. J. & Bradley, E. H. (2001). Factors associated with home versus institutional death among cancer patients in Connecticut. Journal of the American Geriatrics Society, 49(6), 831–832.

    Article  Google Scholar 

  • Hahn, S. (2002). Women in older ages: ‘Old’ women? History of the Family, 7, 33–58.

    Article  Google Scholar 

  • Hardarson, T., Gardarsdòttir, M., Gudmundsson, K. T. H., Thorgeirsson, G., Sigvaldason, H., & Sigfù, N. (2001). The relationship between educational level and mortality. The Reykjavík Study. Journal of Internal Medicine, 249(6), 495–502.

    Article  Google Scholar 

  • Helsing, K. J., Szklo, M., & Comstock, G. W. (1981). Factors associated with mortality after widowhood. American Journal of Public Health, 77(3), 283–287.

    Google Scholar 

  • http://www.diabete.it.

  • http://www.ispesl.it/infmp/icdix.htm.

  • http://www.istat.it.

  • http://www.populationeurope.org.

  • Huang, Z. -S., Chiang, T. -L., & Lee, T. -K. (1997). Stroke prevalence in Taiwan. Stroke, 28, 1579–1584.

    Google Scholar 

  • Hughes, M., & Gove, W. R. (1981). Living alone, social integration, and mental health. American Journal of Sociology, 87(1), 48–74.

    Article  Google Scholar 

  • Hughes, M. E., & Waite, L. (2002). Health in household context: Living arrangement and health in late middle age. Journal of Health and Social Behavior, 43, 1–21.

    Article  Google Scholar 

  • Hungerford, T. L. (2003). Is there an American way of aging? Research on Aging, 25(5), 435–455.

    Article  Google Scholar 

  • ISTAT (2001). Le condizioni di salute della popolazione. Indagine multiscopo sulle famiglie. Anni 1999–2000. (p.61). Roma.

  • Jaffe, D. H., Eisenbach, Z., Neumark, Y. D., & Manor, O. (2006). Effects of husbands’ and wives’ education on each other’s mortality. Social Science & Medicine, 62, 2014–2023.

    Article  Google Scholar 

  • Joutsenniemi, K., Martelin, T., Martikainen, P., Pirkola, S., & Koskinen, S. (2006). Living arrangement and mental health in Finland. Journal of Epidemiology and Community Health, 60, 468–475.

    Article  Google Scholar 

  • Kapral, M. K., Wang, H., Mamdani, M., & Tu, J. V. (2002). Effect of socioeconomic status on treatment and mortality after stroke. Stroke. 33, 268–273.

    Article  Google Scholar 

  • Katon, W. J., Rutter, C. R., Simon, G., Lin, E. H. B., Ludman, E., Ciechanowski, P., Kinder, L., Young, B., & Von Korff, M. (2005). The association of comorbid depression with mortality in patient with type 2 diabetes. Diabetes Care, 28, 2668–2672.

    Article  Google Scholar 

  • Livi Bacci, M. (1980). Donna fecondità e figli. Due secoli di storia demografica italiana. Bologna, Italia: Il Mulino.

    Google Scholar 

  • Long, J. A., Ickovics, J. R., Gill, T. M., & Horwitz, R. I. (2002). Social class and mortality in older women. Journal of Clinical Epidemiology, 55, 952–958.

    Article  Google Scholar 

  • Lund, R., Modvig, J., Due, P., & Holstain, B. E. (2000). Stability and change in structural social relations as predictor of mortality among elderly women and men. European Journal of Epidemiology, 16, 1087–1097.

    Article  Google Scholar 

  • Lund, R., Due, P., Modvig, J., Holstain, B. E., Damsgaard, M. T., & Andresen, P. K. (2002). Cohabitation and marital status as predictors of mortality: An eight year follow-up study. Social Science & Medicine, 55, 673–679.

    Article  Google Scholar 

  • Lund, R., Holstain, B.E., & Osler M. (2004). Marital history from age 15 to 40 years and subsequent 10-year mortality: A longitudinal study of Danish males born in 1953. International Journal of Epidemiology, 33, 389–387.

    Article  Google Scholar 

  • Manor, O., & Eisenbach, Z. (2003). Mortality after spousal loss: Are there socio-demographic differences? Social Science & Medicine, 56, 405–413.

    Article  Google Scholar 

  • Matthews, R. J., Smith, L. K., Hancock, R. M., Jagger, C., & Spiers, N. A. (2005). Socioeconomic factors associated with the onset of disability in older age: A longitudinal study of people aged 75 years and over. Social Science & Medicine, 61, 1567–1575.

    Article  Google Scholar 

  • Martikainen, P., & Valkonen, T. (1996). Mortality after death of a spouse: Rates and causes of death in a large Finnish cohort. American Journal of Public Health, 86, 1087–1093.

    Article  Google Scholar 

  • Martikainen, P., Valkonen, T., & Martelin, T. (2005). Change in male e female life expectancy by social class: Decomposition by age and cause of death in Finland. Journal of Epidemiology and Community Health, 55, 494–499.

    Article  Google Scholar 

  • Martikainen, P., Martelin, T., Nihtilä, E., Majamaa, K., & Koskinen, S. (2005). Differences in mortality by marital status in Finland from 1976 to 2000: Analyses of changes in marital status distributions, socio-demographic and household composition, and cause of death. Population Studies, 59(1), 99–115.

    Article  Google Scholar 

  • Mastekaasa, A. (2000). Parenthood, gender and sickness absence. Social Science & Medicine, 50, 1827–1842.

    Article  Google Scholar 

  • Michael, Y. L., Berkman, L. F., Colditz, G. A., & Kawachi, I. (2001). Living arrangement, social integration, and change in functional health status. American Journal of Epidemiology, 153(2), 121–131.

    Article  Google Scholar 

  • Mineau, G. P., Smith, K. R., & Bean, L. L. (2002). Historical trends of survival among widows and widowers. Social Science & Medicine, 54(2), 245–254.

    Article  Google Scholar 

  • Morfitt, J. M. (1983). Falls in older people at home: Intrinsic versus environmental factors in causation. Public Health, 97, 115–120.

    Article  Google Scholar 

  • Næss, Ø., Hernes, F. H., & Blane, D. (2006). Life-course influences on mortality at older ages: Evidence from the Oslo Mortality Study. Social Science & Medicine, 62, 329–336.

    Article  Google Scholar 

  • Nimmo, A. W., Peterkin, G., & Ciod, D. R. (2006). Mortality in general practice: Problems concerning deaths in institutions. Public Health, 120, 671–675.

    Article  Google Scholar 

  • Noale, M., Minicuci, N., Bardage, C., Gindin, J., Nikula, S., Pluijm, S., Rodrìguez-Laso, A., & Maggi, S. (2005). Predictors of mortality: An international comparison of socio-demographic and health characteristics from six longitudinal studies on aging: The CLESIA project. Experimental Gerontology, 40, 89–99.

    Article  Google Scholar 

  • Nurmi, I. S., Lüthje, P. M. J., & Kataja, J. M. (2004). Long-term survival after falls among the elderly in institutional care. Archives of Gerontology and Geriatrics, 38, 1–10.

    Article  Google Scholar 

  • O’Shea, J. C., Wilcox, R. G., Skene, A. M., Stebbins, A. L., Granger, C. B., Armstrong, P. W., Bode, C., Ardissino, D., Emanuelsson, H., Aylward, P. E., White, H. D., Sadowski, Z., Topol, E. J., Califf, R. M., & Ohman, M. (2002). Comparison of outcomes of patients with myocardial infarction when living alone versus those not living alone. The American Journal of Cardiology, 90, 1374–1377.

    Article  Google Scholar 

  • Ohrui, T., Matsui, T., He, M., Ebihara, S., & Sasaki, H. (2004). Relation between retirement and subsequent health status in highly educated older men. Letters to the Editor. Journal of the American Geriatrics Society, 52(12), 2145–2147.

    Article  Google Scholar 

  • Paffenbarger, R. S. Jr, Hyde, R. T., Wing, A. L., Lee, I. M., Jung, D. L., & Kampert, J. B. (1993). The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. The New England Journal of Medicine, 328, 538–545.

    Article  Google Scholar 

  • Peel, N. M., McClure, R. J., & Bartlett, H.P (2005). Behavioural determinants of healthy aging. Am J Preventive Medicine, 28(3), 298–304.

    Article  Google Scholar 

  • Peel, N. M., McClure, R. J. & Hendrikz, J. K. (2006). Health-protective behaviours and risk of fall-related hip fractures: A population-based case-control study. Age Ageing [doi:10.1093/ageing/afl056 electronic resource].

  • Pizzetti, P., Manfredini, M., & Lucchetti, E. (2005). Variations in late age mortality by household structure and marital status in Parma, Italy. Ageing & Society, 25(3), 305–318.

    Article  Google Scholar 

  • Randi, G., Altieri, A., Gallus, S., Chatenoud, L., Montella, M., Franceschi, S., Negri, E., Salamini, R., & La Vecchia, C. (2004). Marital Status and cancer risk in Italy. Preventive Medicine, 38, 523–528.

    Article  Google Scholar 

  • Santini, A. (1986). Recenti trasformazioni nella formazione della famiglia e della discendenza in Italia e in Europa. ISTAT [1986, 121–144].

  • Shye, D., Mullooly, J. P., Freeborn, D. K., & Pope, C. R. (1995). Gender differences in the relationship between social network support and mortality: A longitudinal study of an elderly cohort. Social Science & Medicine, 41(7), 935–947.

    Article  Google Scholar 

  • Sorlie, P.D., Backlund, E. & Keller, J.B. (1995). US mortality by economic, demographic, and social characteristics: the National Longitudinal Mortality Study. American Journal of Public Health, 85(7), 949–956.

    Google Scholar 

  • Steenland, K., Henley, J., & Thun M. (2002). All-cause and cause-specific death rates by educational status for two million people in to American cancer society cohorts, 1959–1996. American Journal of Epidemiology, 156, 11–21.

    Article  Google Scholar 

  • Trovato, F., & Lauris, G. 1989. Marital status and mortality in Canada, 1951–1981. Journal of Marriage and the Family, 51, 907–922.

    Article  Google Scholar 

  • Tsai, S. P., Wendt, J. K., Donnelly, R. P., de Jong, G., & Ahmed, F. S. (2005). Age at retirement and long term survival of an industrial population: Prospective cohort study. British Medical Journal (Clinical research ed.), 331, 995.

  • Vinci, M. (2001). Caratteristiche della condizione anziana femminile. In: Secondo rapporto sugli anziani in Italia, 2000–2001. Fondazione Leonardo. Franco Angeli Ed. Milano.

  • Wong, S. L., & Donnan, S. P. (1992). Influence of socioeconomic status on cardiovascular disease in Hong Kong. Journal of Epidemiology and Community Health, 46(2), 148–150.

    Google Scholar 

  • Williams, E. S., Dinsdale, H., Eayers, D., & Tahzib, F. (2004). Impact of nursing home deaths on life expectancy calculations in small area. Journal of Epidemiology and Community Health, 58, 958–962.

    Article  Google Scholar 

  • Williams, K. (2004). The transition to widowhood and the social regulation of health: Consequences for health and health risk behaviour. Journal of Gerontology, 59B(6), S343–S349.

    Google Scholar 

  • Wròblewska, W. (2002). Women’s health status in Poland in the transition to a market economy. Social Science & Medicine, 54, 707–726.

    Article  Google Scholar 

  • Yeh, S.-C. J., & Liu, Y.-Y. (2003). Influence of social support on cognitive function in the elderly. BMC Heath Service Research, 3, 9.

    Article  Google Scholar 

  • Zanatta, A. L. (1997). Le nuove famiglie [The New Families]. Bologna, Italy: Il Mulino.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paola Pizzetti.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pizzetti, P., Manfredini, M. “The shock of widowhood”? Evidence from an Italian population (Parma, 1989–2000). Soc Indic Res 85, 499–513 (2008). https://doi.org/10.1007/s11205-007-9111-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11205-007-9111-9

Keywords

Navigation