Skip to main content
Top
Published in: Journal of Cancer Survivorship 3/2008

Open Access 01-09-2008

Does cancer affect marriage rates?

Author: Astri Syse

Published in: Journal of Cancer Survivorship | Issue 3/2008

Login to get access

Abstract

Introduction

Finding a life partner is of great importance for persons’ life satisfaction, but cancer’s potential impact on family life is not well described. Cancer’s impact on marriage formation rates was therefore explored.

Method

Data on the entire unmarried Norwegian population aged 17–44 in 1974–2001 (N = 2.2 million) come from the Cancer Registry and the Central Population Register. Marriage rates for 12,100 persons diagnosed with cancer were compared to marriage rates for otherwise similar persons using discrete-time hazard regression models.

Results

Men with cancer had a marriage probability that was five percent higher (OR 1.05, CI 1.01–1.11) than cancer-free men. No cancer forms reduced men’s marriage rates, and significantly elevated rates were seen after skin and testicular cancer (OR 1.16 and 1.11). Cancer did not impact significantly on women’s overall marriage rate (OR 0.95, CI 0.90–1.00), but pronounced deficiencies were seen after brain and breast cancer (OR 0.62 and 0.74). Skin cancer elevated women’s marriage rate (OR 1.27). Male cancer survivors with children were more likely to marry than their female counterparts. Significant increases in cancer survivors’ marriage rates were observed over time.

Conclusion

Marrying after cancer is more common today than previously, and only slight overall differences were observed in cancer survivors’ marriage rates relative to those of the cancer-free population. However, while brain and breast cancer in women is associated with reduced marriage rates, testicular cancer is associated with increased rates. The differences observed between common cancer forms in young adults deserve further exploration.

Implications for cancer survivors

In general, marriage rates in survivors of most types of cancer are very similar to those in the population as a whole. Women with brain and breast cancer have lower marriage rates than their cancer-free counterparts. While it is necessary to identify exactly why this was observed, the information can alert those with these cancers to the potential impact on marriage and thus work to reduce the possible effect, if desired.
Literature
1.
go back to reference Cairns RB, Elder GH, Costello J. Developmental science. Cambridge: Cambridge University Press; 1996. Cairns RB, Elder GH, Costello J. Developmental science. Cambridge: Cambridge University Press; 1996.
5.
go back to reference Blekesaune M, Øverbye E, Romøren TI. Health selection in marital transitions: evidence from administrative data. NOVA 2003;22 03:34–52. Blekesaune M, Øverbye E, Romøren TI. Health selection in marital transitions: evidence from administrative data. NOVA 2003;22 03:34–52.
7.
go back to reference Frobisher C, Lancashire ER, Winter DL, Jenkinson HC, Hawkins MM. Long-term population-based marriage rates among adult survivors of childhood cancer in Britain. Int J Cancer 2007;121 4:846–55. doi:10.1002/ijc.22742.PubMedCrossRef Frobisher C, Lancashire ER, Winter DL, Jenkinson HC, Hawkins MM. Long-term population-based marriage rates among adult survivors of childhood cancer in Britain. Int J Cancer 2007;121 4:846–55. doi:10.​1002/​ijc.​22742.PubMedCrossRef
9.
go back to reference Ness KK, Gurney JG, Zeltzer LK, Leisenring W, Mulrooney DA, Nathan PC, et al. The impact of limitations in physical, executive, and emotional function on health-related quality of life among adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. Arch of Phys Med Rehabil 2008;89 1:128–36. doi:10.1016/j.apmr.2007.08.123.CrossRef Ness KK, Gurney JG, Zeltzer LK, Leisenring W, Mulrooney DA, Nathan PC, et al. The impact of limitations in physical, executive, and emotional function on health-related quality of life among adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. Arch of Phys Med Rehabil 2008;89 1:128–36. doi:10.​1016/​j.​apmr.​2007.​08.​123.CrossRef
10.
go back to reference Nagarajan R, Neglia JP, Clohisy DR, Yasui Y, Greenberg M, Hudson M, et al. Education, employment, insurance, and marital status among 694 survivors of pediatric lower extremity bone tumors: a report from the childhood cancer survivor study. Cancer 2003;97 10:2554–64. doi:10.1002/cncr.11363.PubMedCrossRef Nagarajan R, Neglia JP, Clohisy DR, Yasui Y, Greenberg M, Hudson M, et al. Education, employment, insurance, and marital status among 694 survivors of pediatric lower extremity bone tumors: a report from the childhood cancer survivor study. Cancer 2003;97 10:2554–64. doi:10.​1002/​cncr.​11363.PubMedCrossRef
11.
go back to reference Zebrack BJ, Zeltzer LK, Whitton J, Mertens AC, Odom L, Berkow R, et al. Psychological outcomes in long-term survivors of childhood leukemia, Hodgkin’s disease, and non-Hodgkin’s lymphoma: a report from the Childhood Cancer Survivor Study. Pediatrics 2002;110 1 Pt 1:42–52. doi:10.1542/peds.110.1.42.PubMedCrossRef Zebrack BJ, Zeltzer LK, Whitton J, Mertens AC, Odom L, Berkow R, et al. Psychological outcomes in long-term survivors of childhood leukemia, Hodgkin’s disease, and non-Hodgkin’s lymphoma: a report from the Childhood Cancer Survivor Study. Pediatrics 2002;110 1 Pt 1:42–52. doi:10.​1542/​peds.​110.​1.​42.PubMedCrossRef
12.
go back to reference Mulrooney DA, Dover DC, Li S, Yasui Y, Ness KK, Mertens AC, et al. Twenty years of follow-up among survivors of childhood and young adult acute myeloid leukemia: a report from the Childhood Cancer Survivor Study. Cancer 2008;112 9:2071–9. doi:10.1002/cncr.23405.PubMedCrossRef Mulrooney DA, Dover DC, Li S, Yasui Y, Ness KK, Mertens AC, et al. Twenty years of follow-up among survivors of childhood and young adult acute myeloid leukemia: a report from the Childhood Cancer Survivor Study. Cancer 2008;112 9:2071–9. doi:10.​1002/​cncr.​23405.PubMedCrossRef
13.
go back to reference Punyko JA, Gurney JG, Scott BK, Hayashi RJ, Hudson MM, Liu Y, et al. Physical impairment and social adaptation in adult survivors of childhood and adolescent rhabdomyosarcoma: a report from the Childhood Cancer Survivors Study. Psycho-Oncol 2007;16 1:26–37. doi:10.1002/pon.1072.CrossRef Punyko JA, Gurney JG, Scott BK, Hayashi RJ, Hudson MM, Liu Y, et al. Physical impairment and social adaptation in adult survivors of childhood and adolescent rhabdomyosarcoma: a report from the Childhood Cancer Survivors Study. Psycho-Oncol 2007;16 1:26–37. doi:10.​1002/​pon.​1072.CrossRef
15.
go back to reference Langeveld NE, Ubbink MC, Last BF, Grootenhuis MA, Voute PA, de Haan RJ. Educational achievement, employment and living situation in long-term young adult survivors of childhood cancer in the Netherlands. Psycho-Oncol 2003;12 3:213–25. doi:10.1002/pon.628.CrossRef Langeveld NE, Ubbink MC, Last BF, Grootenhuis MA, Voute PA, de Haan RJ. Educational achievement, employment and living situation in long-term young adult survivors of childhood cancer in the Netherlands. Psycho-Oncol 2003;12 3:213–25. doi:10.​1002/​pon.​628.CrossRef
17.
go back to reference Joly F, Heron JF, Kalusinski L, Bottet P, Brune D, Allouache N, et al. Quality of life in long-term survivors of testicular cancer: a population-based case-control study. J Clin Oncol 2002;20 1:73–80. doi:10.1200/JCO.20.1.73.PubMedCrossRef Joly F, Heron JF, Kalusinski L, Bottet P, Brune D, Allouache N, et al. Quality of life in long-term survivors of testicular cancer: a population-based case-control study. J Clin Oncol 2002;20 1:73–80. doi:10.​1200/​JCO.​20.​1.​73.PubMedCrossRef
18.
go back to reference Joly F, Henry-Amar M, Arveux P, Reman O, Tanguy A, Peny AM, et al. Late psychosocial sequelae in Hodgkin’s disease survivors: a French population-based case-control study. J Clin Oncol 1996;14 9:2444–53.PubMed Joly F, Henry-Amar M, Arveux P, Reman O, Tanguy A, Peny AM, et al. Late psychosocial sequelae in Hodgkin’s disease survivors: a French population-based case-control study. J Clin Oncol 1996;14 9:2444–53.PubMed
19.
go back to reference Yabroff KR, Lawrence WF, Clauser S, Davis WW, Brown ML. Burden of illness in cancer survivors: findings from a population-based national sample. J Natl Cancer Inst 2004;96 17:1322–30.PubMedCrossRef Yabroff KR, Lawrence WF, Clauser S, Davis WW, Brown ML. Burden of illness in cancer survivors: findings from a population-based national sample. J Natl Cancer Inst 2004;96 17:1322–30.PubMedCrossRef
20.
go back to reference Hewitt M, Rowland JH, Yancik R. Cancer survivors in the United States: age, health, and disability. J Gerontol Ser A, Biol Sci Med Sci 2003;58 1:82–91. Hewitt M, Rowland JH, Yancik R. Cancer survivors in the United States: age, health, and disability. J Gerontol Ser A, Biol Sci Med Sci 2003;58 1:82–91.
22.
go back to reference Allison PD. Survival analysis using SASÒ: a practical guide. Cary, NC: SAS Institute Inc.; 1995. Allison PD. Survival analysis using SASÒ: a practical guide. Cary, NC: SAS Institute Inc.; 1995.
27.
28.
go back to reference Becker GS. A treatise on the family. Cambridge, MA: Harvard University Press; 1991. Becker GS. A treatise on the family. Cambridge, MA: Harvard University Press; 1991.
30.
go back to reference Oppenheimer VK. The continuing importance of men’s economic position in marriage formation. In: Waite LJ, Bachrach C, Hindin MJ, Thomsom E, Thornton A, editors. The ties that bind. Perspectives on marriage and cohabitation. New York: Aldine de Gruyter; 2000. Oppenheimer VK. The continuing importance of men’s economic position in marriage formation. In: Waite LJ, Bachrach C, Hindin MJ, Thomsom E, Thornton A, editors. The ties that bind. Perspectives on marriage and cohabitation. New York: Aldine de Gruyter; 2000.
32.
go back to reference Colditz G, DeJong W, Hunter D, Trichopoulos D, Willett W. Harvard report on cancer prevention. Volume 1: causes of human cancer. Cancer Causes & Control 1996;7 Suppl 1:S3–59. doi:10.1007/BF00051890. Colditz G, DeJong W, Hunter D, Trichopoulos D, Willett W. Harvard report on cancer prevention. Volume 1: causes of human cancer. Cancer Causes & Control 1996;7 Suppl 1:S3–59. doi:10.​1007/​BF00051890.
34.
go back to reference Waite LJ, Bachrach C, Hindin MJ, Thomsom E, Thornton A. The ties that bind. Perspectives on marriage and cohabitation. New York: Aldine de Gruyter; 2000. Waite LJ, Bachrach C, Hindin MJ, Thomsom E, Thornton A. The ties that bind. Perspectives on marriage and cohabitation. New York: Aldine de Gruyter; 2000.
36.
37.
go back to reference Pui CH, Cheng C, Leung W, Rai SN, Rivera GK, Sandlund JT, et al. Extended follow-up of long-term survivors of childhood acute lymphoblastic leukemia. N Eng J Med 2003;349 7:640–9. doi:10.1056/NEJMoa035091.CrossRef Pui CH, Cheng C, Leung W, Rai SN, Rivera GK, Sandlund JT, et al. Extended follow-up of long-term survivors of childhood acute lymphoblastic leukemia. N Eng J Med 2003;349 7:640–9. doi:10.​1056/​NEJMoa035091.CrossRef
39.
go back to reference Birkelund GE, Heldal J. Who marries whom? Educational homogamy in Norway. Demographic Research 2003;8 1:1–30.CrossRef Birkelund GE, Heldal J. Who marries whom? Educational homogamy in Norway. Demographic Research 2003;8 1:1–30.CrossRef
42.
43.
go back to reference Schroevers MJ, Ranchor AV, Sanderman R. The role of age at the onset of cancer in relation to survivors’ long-term adjustment: a controlled comparison over an eight-year period. Psycho-Oncol 2004;13 10:740–52. doi:10.1002/pon.780.CrossRef Schroevers MJ, Ranchor AV, Sanderman R. The role of age at the onset of cancer in relation to survivors’ long-term adjustment: a controlled comparison over an eight-year period. Psycho-Oncol 2004;13 10:740–52. doi:10.​1002/​pon.​780.CrossRef
44.
go back to reference Reneflot A. A gender perspective on preferences for marriage among cohabitating couples. Demographic Research 2006;15 10:311–28. Reneflot A. A gender perspective on preferences for marriage among cohabitating couples. Demographic Research 2006;15 10:311–28.
50.
go back to reference Zebrack BJ, Gurney JG, Oeffinger K, Whitton J, Packer RJ, Mertens A, et al. Psychological outcomes in long-term survivors of childhood brain cancer: a report from the childhood cancer survivor study. J ClinOncol 2004;22 6:999–1006. doi:10.1200/JCO.2004.06.148.CrossRef Zebrack BJ, Gurney JG, Oeffinger K, Whitton J, Packer RJ, Mertens A, et al. Psychological outcomes in long-term survivors of childhood brain cancer: a report from the childhood cancer survivor study. J ClinOncol 2004;22 6:999–1006. doi:10.​1200/​JCO.​2004.​06.​148.CrossRef
Metadata
Title
Does cancer affect marriage rates?
Author
Astri Syse
Publication date
01-09-2008
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 3/2008
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-008-0062-1

Other articles of this Issue 3/2008

Journal of Cancer Survivorship 3/2008 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine