(Reuters Health) -
People who get married appear to enjoy better health overall -- and may
even be more likely to receive a kidney transplant when they need one, a
new study reports.
Researchers found that people
with kidney failure who were married or divorced (or separated) were
more than 50 percent as likely to be placed on a waitlist for a new
kidney as never-married people. Those who were married were also 28
percent more likely to receive the organ, relative to single people on
the waitlist.
These findings make
sense, Dr. Laura Taylor of the Johns Hopkins University School of
Nursing told Reuters Health -- "being married tends to give you team
support."
Many people on the
waitlist for a new kidney are on dialysis, she said, which means they
have to follow a complicated diet and medication regimen, and keep up
with many appointments. A partner can help them with all of that, Taylor
explained, keeping them healthier overall. That, in turn, makes them
eligible to join the waitlist, and when an organ becomes available,
they're in good enough physical shape to receive it.
With a partner to help, "you remain as healthy as possible on dialysis," said Taylor, who did not participate in the study.
This
is not the first study to show that marriage seems to go along with
better health. Historically, studies have found that married people as a
group tend to be healthier than singles -- though recent research
suggests the health advantage of marriage may be fading.
Still,
people with spouses tend to live longer, be less depressed, and suffer
less from cardiovascular disease. Every year, an average of 90,000
Americans develop kidney failure, at which point they must begin
dialysis or receive a kidney transplant -- and if they receive a
transplant, married patients tend to fare better than single transplant
recipients.
To investigate whether
marriage is linked at all to the odds of receiving a new kidney in the
first place, the researchers looked at information collected in the U.S.
national kidney failure database, focusing on the 3,650 people whose
records included information about their marital status.
Approximately
56 percent of those with kidney failure were married, while 14 percent
were divorced or separated, and 30 percent were either widowed or had
never married.
The authors were
unable to include information on single-sex relationships, whether
single people had unmarried partners or the quality of marriages, they
note in the American Journal of Transplantation.
It's
not clear why married or divorced people may fare better when it comes
to kidney transplants, study author Dr. Muhammad Khattak of Beth Israel
Deaconess Medical Center and Harvard Medical School told Reuters Health
in an e-mail.
Previous research
has shown married people often have better access to healthcare, and
better health overall, which may render them "more qualified candidates
for renal transplantation." Although this study focused on kidney
transplant, it's possible the same trend is true for other organs, he
added.
Of course, it's also
possible that healthier people may be more likely to get and stayed
married, in which case marriage itself offers no benefit to getting a
transplant, noted Khattak, also based at the University of Massachusetts
Memorial Medical Center.
Twenty
percent of donated organs came from so-called live donors -- living
people who agreed to give up one of their kidneys. Here, too, being
married can help, Taylor pointed out, since spouses may offer to donate a
kidney. And even if a husband is not a match for his wife, they can
enter a kidney "swap," Taylor explained, in which the husband gives his
kidney to someone unrelated, which "sets off a chain reaction of
donation swapping," and the wife receives a kidney from someone else.
Even
people who are divorced may still be close with their spouses and the
friends from when they were married, giving them a "complex social
network that can be relied on," she added.
Obviously, "we cannot advise people to marry
they need renal transplant in the future," said Khattak. However,
unmarried people and their doctors can try to ensure they receive quick
referrals, good psychosocial support, and education about their health,
Khattak said.
"There is nothing a single person can do or not do in terms of moving up the list besides staying healthy," added Taylor.
SOURCE: link.reuters.com/xum96q American Journal of Transplantation, online November 10, 2010.