Table 4

Effect of child's death on parental mortality over time

Families with children aged 10–17 yearsFamilies with children aged 18–25 yearsFamilies with children aged 26–33 yearsFamilies with children aged 34–41 yearsFamilies with children aged 42–49 years
RR (95% CI)p ValueRR (95% CI)p ValueRR (95% CI)p ValueRR (95% CI)p ValueRR (95% CI)p Value
Effect on mothers
 All deaths
  1–3 years of follow-up1.11 (0.61 to 2.00)0.171.26 (0.99 to 1.61)0.060.73 (0.60 to 0.90)<0.010.64 (0.57 to 0.72)<0.010.68 (0.64 to 0.72)<0.01
  4–8 years of follow-up1.40 (0.93 to 2.12)1.06 (0.87 to 1.30)1.02 (0.89 to 1.16)1.00 (0.93 to 1.08)1.01 (0.96 to 1.05)
  >8 years of follow-up1.33 (0.93 to 1.91)1.16 (0.99 to 1.36)1.25 (1.13 to 1.38)1.19 (1.13 to 1.26)1.07 (1.02 to 1.12)
 Natural deaths
  1–3 years of follow-up0.69 (0.22 to 2.13)0.261.49 (1.00 to 2.21)0.200.86 (0.66 to 1.13)<0.010.65 (0.56 to 0.75)<0.010.70 (0.66 to 0.75)<0.01
  4–8 years of follow-up1.40 (0.75 to 2.60)1.09 (0.76 to 1.56)1.01 (0.83 to 1.22)1.01 (0.92 to 1.10)1.02 (0.97 to 1.07)
  >8 years of follow-up1.08 (0.61 to 1.91)1.17 (0.88 to 1.56)1.27 (1.09 to 1.47)1.16 (1.08 to 1.25)1.08 (1.02 to 1.13)
 Unnatural deaths
  1–3 years of follow-up1.43 (0.72 to 2.88)0.261.16 (0.86 to 1.57)0.200.62 (0.46 to 0.83)<0.010.63 (0.52 to 0.76)<0.010.61 (0.53 to 0.69)<0.01
  4–8 years of follow-up1.41 (0.82 to 2.43)1.05 (0.83 to 1.34)1.03 (0.87 to 1.23)1.00 (0.89 to 1.12)0.97 (0.89 to 1.06)
  >8 years of follow-up1.57 (0.99 to 2.47)1.16 (0.96 to 1.39)1.24 (1.09 to 1.41)1.24 (1.13 to 1.35)1.04 (0.95 to 1.13)
Effect on fathers
 All deaths
  1–3 years of follow-up0.97 (0.63 to 1.50)0.510.98 (0.81 to 1.18)0.260.60 (0.51 to 0.70)<0.010.65 (0.59 to 0.71)<0.010.68 (0.64 to 0.73)<0.01
  4–8 years of follow-up1.11 (0.81 to 1.53)1.15 (1.00 to 1.31)0.88 (0.79 to 0.98)1.01 (0.94 to 1.07)0.98 (0.94 to 1.04)
  >8 years of follow-up1.21 (0.93 to 1.57)1.01 (0.90 to 1.14)1.10 (1.01 to 1.20)1.09 (1.02 to 1.16)1.05 (0.98 to 1.12)
 Natural deaths
  1–3 years of follow-up0.69 (0.31 to 1.54)0.671.02 (0.73 to 1.41)0.340.52 (0.41 to 0.67)<0.010.70 (0.62 to 0.78)<0.010.68 (0.64 to 0.73)<0.01
  4–8 years of follow-up1.27 (0.80 to 2.01)0.97 (0.75 to 1.27)0.87 (0.75 to 1.02)1.01 (0.93 to 1.10)1.01 (0.95 to 1.07)
  >8 years of follow-up1.21 (0.82 to 1.79)1.06 (0.86 to 1.32)1.15 (1.02 to 1.31)1.10 (1.01 to 1.19)1.09 (1.01 to 1.17)
 Unnatural deaths
  1–3 years of follow-up1.17 (0.70 to 1.94)0.670.96 (0.77 to 1.20)0.340.66 (0.54 to 0.81)<0.010.56 (0.48 to 0.66)<0.010.67 (0.58 to 0.76)<0.01
  4–8 years of follow-up1.01 (0.66 to 1.55)1.22 (1.04 to 1.43)0.89 (0.77 to 1.02)0.99 (0.90 to 1.10)0.91 (0.82 to 1.01)
  >8 years of follow-up1.20 (0.85 to 1.70)0.99 (0.86 to 1.14)1.06 (0.94 to 1.19)1.08 (0.98 to 1.19)0.94 (0.82 to 1.06)
  • RR is mortality risk ratio (with 95% CI) between exposed and unexposed families, that is, the ratio of the death risk of parents with a deceased child and the death risk of parents with no deceased child, adjusted for effects of all control variables. The p value refers to the Wald statistic of the entire variable and, hence, indicates whether the set of parameters that captures a child's death provides a statistically significant improvement of the model that estimates the parental mortality risk.