The forgotten griever: a nationwide follow-up study of mortality subsequent to the death of a sibling

Title

The forgotten griever: a nationwide follow-up study of mortality subsequent to the death of a sibling

Creator

Rostila Mikael; Saarela J; Kawachi I

Identifier

Publisher

American Journal Of Epidemiology

Date

2012

Subject

adolescent; Female; Humans; Male; Young Adult; bereavement; Adult; mortality; Follow-Up Studies; Aged; Middle Aged; Siblings; cause of death; Age Factors; Sex Factors; Sweden; Proportional Hazards Models; Registries; sibling bereavement

Description

Previous findings have suggested that the loss of a family member is associated with mortality among bereaved family members. The least-studied familial relationship in the bereavement literature is that of siblings, although loss of a sibling may also involve health consequences. The authors conducted a follow-up study based on data from the Swedish total population register, covering the period 1981-2002. Using Cox regression, mortality risk ratios for bereaved and nonbereaved persons aged 18-69 years were estimated. All-cause mortality and cause-specific mortality (unnatural causes, natural causes, cardiovascular disease, cancer, suicide, accidents, and all other causes) were examined. In men, the mortality risk for bereaved persons versus nonbereaved persons was 1.26 (95% confidence interval: 1.22, 1.30), and in women it was 1.33 (95% confidence interval: 1.28, 1.39). An elevated mortality risk associated with a sibling's death was found in all age groups studied, but the association was generally stronger at younger ages and could be observed predominantly after more than 1 year of follow-up. There was also an increased mortality risk if the sibling had died from a discordant main cause, which may strengthen the possibility that the association observed is not due to confounding alone.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

338-346

Issue

4

Volume

176

Citation

Rostila Mikael; Saarela J; Kawachi I, “The forgotten griever: a nationwide follow-up study of mortality subsequent to the death of a sibling,” Pediatric Palliative Care Library, accessed January 27, 2022, https://pedpalascnetlibrary.omeka.net/items/show/11460.

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