title: The impact of marital status on epilepsy-related health concerns.
abstract: Social support from marriage has been linked with better health outcomes. Persons with epilepsy (PWE) are significantly less likely to be married than persons without epilepsy. No previous studies have examined the impact of marriage on epilepsy-related health concerns. Outpatient PWE (n=267) were asked to identify their top five concerns on the Epilepsy Foundation Concerns Index. After controlling for clinical factors (seizure frequency, age of epilepsy diagnosis and disability status) PWE who were married were significantly less likely to report "Fear of being injured during a seizure" Odds Ratio (OR) 0.33, "Holding down a job" OR 0.29, "Getting the work or education you want" OR 0.29, "Medical costs of your epilepsy" OR 0.21 and "Lack of people's understanding of epilepsy" OR 0.27. Once we controlled for both clinical factors and demographic factors only one concern "Medical costs of your epilepsy" OR 0.24 remained significant. Our findings support several theories examining the health benefits of marriage related to selection, protection and economic resources. PWE are particularly prone to economic disparities due to lower educational attainment and unemployment. Earlier intervention especially for those with childhood onset epilepsy may help mitigate these disparities and their impact on social relationships and marriage.
authors.affiliation: Department of Medical Education, OhioHealth Riverside Methodist Hospital, 3535 Olentangy River Road, Columbus, OH 43214, USA. jelliot3@ohiohealth.com
authors.forename: John O
authors.initials: JO
authors.lastname: Elliott
authors.forename: Christine
authors.initials: C
authors.lastname: Charyton
authors.forename: James W
authors.initials: JW
authors.lastname: McAuley
authors.forename: Bassel F
authors.initials: BF
authors.lastname: Shneker
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D004827:Epilepsy / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D017533:Marital Status; D008393:Marriage / Q000523:psychology*; D008875:Middle Aged; D011795:Surveys and Questionnaires; D055815:Young Adult