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Abstract

Introduction: There are a number of challenges associated with marital status in older adults. Fewer studies have been conducted to investigate the association between social relationships that include partner status and health behaviors among older adults. This study is designed to define and assess the association of health behavior and outcomes of adult relationships. With an expanded definition of adult pairs, we test its potential for promoting health. We define health in two ways. Health is measured by the absence of chronic disease. Prevention is another measure of health in our study operationalized as being physically active, being a non-smoker, and partaking in yearly health exams. Methods: This research consists of a secondary analysis of cross-sectional data from the Health and Retirement Study (HRS) from the 2014 wave of the survey. For analysis purposes, we focused on those individuals who were self-respondents of the study, did not live in a nursing home or assisted living facility, and did not have missing answers for the relationship status questions and variables included in each outcome. Of the possible 18,748 survey responses, for the first analysis 4,163 participants were included in the first analysis and 16,622 in the second analysis. Results: The results of this study found the magnitude of the association between partnership and marriage with preventable health behavior remained different. Partnered women have a 56% lower odds of adopting moderate preventable health behavior compared to their married counterpart (OR=0.44; 95% CI 0.24, 0.81). Additionally partnered men and women are 23% and 39% times less likely to adopt best preventable health behavior respectively (OR 0.39; 95% CI 0.19, 0.82 and OR=0.23; 95% CI 0.10, 0.50) compared to their married counterpart. Among women, those living with a partner were 1.73 (95% CI 1.01, 2.96) times more likely to have four or more chronic conditions compared to their married counterpart. Conclusion: The role of an individuals marital status on their health is important to understand, as ones partner is able to be vital in decision-making and care coordination. Care decisions support patients through innovative approaches that take a deeper dive in to patient care.

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