Kim Josefsson1, Marko Elovainio2, Sari Stenholm3, Ichiro Kawachi4, Maarit Kauppi5, Ville Aalto5, Mika Kivimäki6, Jussi Vahtera7. 1. National Institute for Health and Welfare, Helsinki, Finland. Electronic address: kim.josefsson@thl.fi. 2. National Institute for Health and Welfare, Helsinki, Finland; University of Helsinki, Helsinki, Finland. 3. University of Turku, Turku, Finland. 4. Harvard School of Public Health, Boston, MA, USA. 5. Finnish Institute of Occupational Health, Turku, Finland. 6. Finnish Institute of Occupational Health, Helsinki, Finland; University College London, London, United Kingdom. 7. University of Turku, Turku, Finland; Turku University Hospital, Turku, Finland.
Abstract
RATIONALE: Extensive scientific evidence shows an association between involvement in social relationships and healthy lifestyle. Prospective studies with many participants and long follow-ups are needed to study the dynamics and change in social factors within individuals over time. OBJECTIVE: Our aim was to determine whether a change in relationship status (single, married, divorced, widow, cohabiting) is followed by a change in health behavior (smoking, alcohol consumption, physical activity, and body mass index). METHODS: We used data from 81,925 healthy adults participating in the prospective longitudinal Finnish Public Sector Study in the period 2000-2013. We analyzed 327,700 person-observations from four data collection phases. Missing data were multiply imputed. A within-individual methodology was used to minimize the possibility of selection effects affecting the interpretation. RESULTS: All four health behaviors showed associations with relationship status. The effects were very similar and in the same direction in women and men, although there were gender differences in the magnitudes of the effects. The end of a relationship was followed by a decrease in body mass index, increased odds of being a smoker, increase in physical activity, and increase in alcohol consumption (widowed men). The effects were reverse when forming a new relationship. CONCLUSION: A change in relationship status is associated with a change in health behavior. The association is not explained by socioeconomic status, subjective health status, or anxiety level. People leaving or losing a relationship are at increased risk of unhealthy behavior (smoking and alcohol consumption), but at the same time they have a lower BMI and show higher physical activity compared to the time they were in a relationship. It is not clear if the cumulative health effect of these health behavior changes is positive or negative.
RATIONALE: Extensive scientific evidence shows an association between involvement in social relationships and healthy lifestyle. Prospective studies with many participants and long follow-ups are needed to study the dynamics and change in social factors within individuals over time. OBJECTIVE: Our aim was to determine whether a change in relationship status (single, married, divorced, widow, cohabiting) is followed by a change in health behavior (smoking, alcohol consumption, physical activity, and body mass index). METHODS: We used data from 81,925 healthy adults participating in the prospective longitudinal Finnish Public Sector Study in the period 2000-2013. We analyzed 327,700 person-observations from four data collection phases. Missing data were multiply imputed. A within-individual methodology was used to minimize the possibility of selection effects affecting the interpretation. RESULTS: All four health behaviors showed associations with relationship status. The effects were very similar and in the same direction in women and men, although there were gender differences in the magnitudes of the effects. The end of a relationship was followed by a decrease in body mass index, increased odds of being a smoker, increase in physical activity, and increase in alcohol consumption (widowed men). The effects were reverse when forming a new relationship. CONCLUSION: A change in relationship status is associated with a change in health behavior. The association is not explained by socioeconomic status, subjective health status, or anxiety level. People leaving or losing a relationship are at increased risk of unhealthy behavior (smoking and alcohol consumption), but at the same time they have a lower BMI and show higher physical activity compared to the time they were in a relationship. It is not clear if the cumulative health effect of these health behavior changes is positive or negative.
Authors: André O Werneck; Eleanor M Winpenny; Campbell Foubister; Justin M Guagliano; Alex G Monnickendam; Esther M F van Sluijs; Kirsten Corder Journal: Prev Med Rep Date: 2020-11-28
Authors: Jin-Won Noh; Kyoung-Beom Kim; Jooyoung Cheon; Yejin Lee; Ki-Bong Yoo Journal: Int J Environ Res Public Health Date: 2019-09-20 Impact factor: 3.390