title: Does childhood cancer affect parental divorce rates? A population-based study.
abstract: PURPOSE Cancer in children may profoundly affect parents' personal relationships in terms of psychological stress and an increased care burden. This could hypothetically elevate divorce rates. Few studies on divorce occurrence exist, so the effect of childhood cancers on parental divorce rates was explored. PATIENTS AND METHODS Data on the entire Norwegian married population, age 17 to 69 years, with children age 0 to 20 years in 1974 to 2001 (N = 977,928 couples) were retrieved from the Cancer Registry, the Central Population Register, the Directorate of Taxes, and population censuses. Divorce rates for 4,590 couples who were parenting a child with cancer were compared with those of otherwise similar couples by discrete-time hazard regression models. Results Cancer in a child was not associated with an increased risk of parental divorce overall. An increased divorce rate was observed with Wilms tumor (odds ratio [OR], 1.52) but not with any of the other common childhood cancers. The child's age at diagnosis, time elapsed from diagnosis, and death from cancer did not influence divorce rates significantly. Increased divorce rates were observed for couples in whom the mothers had an education greater than high school level (OR, 1.16); the risk was particularly high shortly after diagnosis, for CNS cancers and Wilms tumors, for couples with children 0 to 9 years of age at diagnosis, and after a child's death. CONCLUSION This large, registry-based study shows that cancer in children is not associated with an increased parental divorce rate, except with Wilms tumors. Couples in whom the wife is highly educated appear to face increased divorce rates after a child's cancer, and this may warrant additional study.
authors.affiliation: Cancer Registry of Norway, PO Box 5313, Majorstua, N-0304 Oslo, Norway. astri.syse@kreftregisteret.no
authors.forename: Astri
authors.initials: A
authors.lastname: Syse
authors.forename: Jon H
authors.initials: JH
authors.lastname: Loge
authors.forename: Torkild H
authors.initials: TH
authors.lastname: Lyngstad
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D000368:Aged; D002648:Child; D002675:Child, Preschool; D017281:Cost of Illness; D004243:Divorce / Q000523:psychology*; D004522:Educational Status; D005195:Family Relations; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D008875:Middle Aged; D009367:Neoplasm Staging; D009369:Neoplasms / Q000401:mortality / Q000473:pathology / Q000523:psychology* / Q000628:therapy; D009664:Norway / Q000453:epidemiology; D016017:Odds Ratio; D011159:Population Surveillance; D011379:Prognosis; D012042:Registries; D018570:Risk Assessment; D012307:Risk Factors; D013315:Stress, Psychological / Q000209:etiology*; D013997:Time Factors; D009396:Wilms Tumor / Q000523:psychology; D055815:Young Adult