title: Consistency and timing of marital transitions and survival during midlife: the role of personality and health risk behaviors.
abstract: BACKGROUND
  Marital status is associated with survival.
  
  
  OBJECTIVE
  The aims of this study are to evaluate marital history and timing on mortality during midlife, test the role of pre-marital personality, and quantify the role of health risk behaviors.
  
  
  METHODS
  Cox proportional hazard models were run with varying classifications of marital history and sets of covariates.
  
  
  RESULTS
  In fully adjusted models compared to the currently married, lifetime marital history predicts premature mortality with never married at 2.33 times risk of death and ever married at 1.64 risk of death. Midlife marital history shows that not having a partner during midlife (hazard ratio (HR) = 3.10 formerly married; HR = 2.59 remaining single) has the highest risk of death. Controlling for personality and health risk behaviors reduces but does not eliminate the impact of marital status.
  
  
  CONCLUSIONS
  Consistency of marital status during midlife suggests that lack of a partner is associated with midlife mortality.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA. ilene.siegler@duke.edu
authors.forename: Ilene C
authors.initials: IC
authors.lastname: Siegler
authors.forename: Beverly H
authors.initials: BH
authors.lastname: Brummett
authors.forename: Peter
authors.initials: P
authors.lastname: Martin
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Helms
mesh_terms: D000328:Adult; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D009026:Mortality; D010551:Personality; D016016:Proportional Hazards Models; D012307:Risk Factors; D012309:Risk-Taking