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J Epidemiol Community Health 2004;58:53-58 doi:10.1136/jech.58.1.53
  • Research report

Partnership history and mental health over time

  1. M Willitts1,
  2. M Benzeval1,
  3. S Stansfeld2
  1. 1Department of Geography, Queen Mary, University of London, London, UK
  2. 2Department of Psychiatry, Barts and the London Queen Mary School of Medicine and Dentistry, Queen Mary, University of London
  1. Correspondence to:
 Michaela Benzeval
 Department of Geography, Queen Mary, University of London, Mile End Road, London E1 4NS, UK; m.benzevalqmw.ac.uk
  • Accepted 11 May 2003

Abstract

Study objective: To describe the mental health of men and women with differing histories of partnership transitions.

Design: Data from nine waves of the British Household Panel Survey, a stratified general population sample, were used to calculate age standardised ratios and 95% confidence intervals for mean General Health Questionnaire scores for groups with different partnership transition histories.

Participants:2127 men and 2303 women aged under 65 who provided full interviews at every survey wave.

Main results: Enduring first partnerships were associated with good mental health. Partnership splits were associated with poorer mental health, although the reformation of partnerships partially reversed this. Cohabiting was more beneficial to men’s mental health, whereas marriage was more beneficial to women’s mental health. The more recently a partnership split had occurred the greater the negative outcome for mental health. Women seemed more adversely affected by multiple partnership transitions and to take longer to recover from partnership splits than men. Single women had good mental health relative to other women but the same was not true for single men relative to other male partnership groups.

Conclusions: Partnership was protective of mental health. Mental health was worse immediately after partnership splits, and the negative outcomes for health were longer lasting in women. Future work should consider other factors that may mediate, confound, or jointly determine the relation between partnership change and health.

Footnotes

  • Funding: this project is funded by the Medical Research Council Health Services and Public Health Research Board’s Health of the Public Programme (strategic project grant number: 51878).

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