Health and living arrangements among older Americans: does marriage matter?
OBJECTIVE
This research examines how physical and mental health influence living arrangements among older Americans and whether these effects differ for married and unmarried persons.


METHODS
Data came from the Asset and Health Dynamics Among the Oldest Old study. These two intervals were pooled, and hierarchical multinomial logistic regressions were used to analyze pooled time lags.


RESULTS
Functional status and cognitive functioning are significantly associated with living arrangements among those not married. Health conditions exert no significant effects among those married. Given the same functional status, unmarried elders are significantly more likely than their married counterparts to reside with their children or with others.


CONCLUSIONS
These results underscore the critical role of the spouse in influencing living arrangements, providing new evidence supporting the assertion that a spouse is the greatest guarantee of support in old age and the importance of the marriage institution.
Liang
Jersey
J
Department of Health Management and Policy, School of Public Health, University of Michigan, 109 S. Observatory, Ann Arbor, Michigan 48109-2029, USA. jliang@umich.edu.
Brown
Joseph Winchester
JW
Krause
Neal M
NM
Ofstedal
Mary Beth
MB
Bennett
Joan
J
D032721:Adult Children; D000368:Aged; D003710:Demography; D006304:Health Status; D006801:Humans; D007326:Institutionalization; D017533:Marital Status; D008393:Marriage; D008603:Mental Health; D010290:Parents; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012944:Social Support; D012959:Socioeconomic Factors; D018454:Spouses; D014481:United States