Impacts of Remaining Single above the Mean Marriage Age on Mental Disorders and Suicidality: a Nationwide Study in Korea
- PMID: 32959544
- PMCID: PMC7505730
- DOI: 10.3346/jkms.2020.35.e319
Impacts of Remaining Single above the Mean Marriage Age on Mental Disorders and Suicidality: a Nationwide Study in Korea
Abstract
Background: This study investigated the impact of getting older than the mean marriage age on mental disorders and suicidality among never-married people.
Methods: We performed an epidemiological survey, a nationwide study of mental disorders, in 2016. In this study, a multi-stage cluster sampling was adopted. The Korean version of the Composite International Diagnostic Interview was conducted with 5,102 respondents aged 18 years or above. The associations between never-married status, mental disorders, and suicidality were explored according to whether the mean age of first marriage (men = 32.8 years; women = 30.1 years) had passed.
Results: Never-married status over the mean marriage age was associated with agoraphobia, obsessive-compulsive disorder, mood disorders, and major depressive disorder after adjusting for sociodemographic factors. Respondents with never-married status above the mean marriage age were associated with suicide attempts (adjusted odds ratio [aOR], 3.21; 95% confidence interval [CI], 1.36-7.60) after controlling for sociodemographic factors and lifetime prevalence of mental disorders, while respondents with never-married status under the mean marriage age were not. Moreover, in respondents with never-married status, getting older than the mean marriage age was associated with suicidal ideations (aOR, 1.49; 95% CI, 1.04-2.15) and suicide attempts (aOR, 3.38; 95% CI, 1.46-7.84) after controlling for sociodemographic factors and lifetime prevalence of mental disorders.
Conclusion: Never-married status above the mean first marriage age was associated with mental disorders and suicidality. These findings suggest the need for a national strategy to develop an environment where people with never-married status do not suffer even if their marriage is delayed.
Keywords: Cross-sectional Studies; Marriage; Mental Disorders; Single Person; Suicide.
© 2020 The Korean Academy of Medical Sciences.
Conflict of interest statement
The authors have no potential conflicts of interest to disclose.
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References
-
- Korean Statistical Information Service. Population trend study: the mean age of first marriage. [Updated 2019]. [Accessed December 12, 2019]. http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=INH_1B83A09&vw_cd=M....
-
- Kisker EE, Goldman N. Perils of single life and benefits of marriage. Soc Biol. 1987;34(3-4):135–152. - PubMed
-
- Nilsson PM, Nilsson JÅ, Östergren PO, Berglund G. Social mobility, marital status, and mortality risk in an adult life course perspective: the Malmö preventive project. Scand J Public Health. 2005;33(6):412–423. - PubMed
-
- Ross CE, Mirowsky J, Goldsteen K. The impact of the family on health: the decade in review. J Marriage Fam. 1990;52(4):1059–1078.
-
- Cutright P, Fernquist R. Marital status integration, psychological well-being, and suicide acceptability as predictors of marital status differentials in suicide rates. Soc Sci Res. 2005;34(3):570–590.
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