Caregivers live longer

The common wisdom in the fields of medicine and social work has held that those who care for a long-term seriously disabled person have their lives shortened as a consequence. Compensating anecdotes are often rendered about increased empathy, fulfillment, and so on. But the overriding narrative is generally rather grim.

Now a new study tells the opposite story, as reported in the American Journal of Epidemiology: a large new study shows that caregivers live as long or longer than non-caregivers, although the kind of care (which seems crucial in such a discussion) it not directly discussed in the abstract available online.

“Previous studies have provided conflicting evidence on whether being a family caregiver is associated with increased or decreased risk for all-cause mortality. This study examined whether 3,503 family caregivers enrolled in the national Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study showed differences in all-cause mortality from 2003 to 2012 compared with a propensity-matched sample of non-caregivers. Caregivers were individually matched with 3,503 non-caregivers by using a propensity score matching procedure based on 15 demographic, health history, and health behavior covariates.

“During an average 6-year follow-up period, 264 (7.5%) of the caregivers died, which was significantly fewer than the 315 (9.0%) matched noncaregivers who died during the same period. A proportional hazards model indicated that caregivers had an 18% reduced rate of death compared with non-caregivers (hazard ratio = 0.823, 95% confidence interval: 0.699, 0.969). Subgroup analyses by race, sex, caregiving relationship, and caregiving strain failed to identify any subgroups with increased rates of death compared with matched non-caregivers. Continue reading “Caregivers live longer”

Bad habits cause more cancer in men

These days men die five years younger than women, typically expiring at 76  as women live to 81. For the longest time the leading reason was heart disease. But now things are changing. As todays’ Guarding reports:

“Men are 35% more likely to die

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from cancer than women, with men’s drinking and eating habits, late diagnosis and advances in breast cancer treatment cited for the stark differential.

An analysis of the most recent UK deaths from cancer found that 202 out of every 100,000 men died from cancer in 2010 compared with 147 per 100,000 women.

“When sex-specific forms of the disease are excluded, such as prostate, testicular and ovarian cancer, the gender gap is even wider, with men 67% more likely to die. And when only working age people are looked at men under 65 have a 58% greater chance of dying than women of the same age. The sexes’ respective likelihood of death varies depending on the type of cancer. Men are almost three times as likely as women to die of oesophageal cancer and almost twice as likely to die from liver cancer.

The figures come from a new report produced by Cancer Research UK (CRUK), the Men’s Health Forum (MHF) and the National Cancer Intelligence Network, called “Excess cancer burden in men”, which is published on Tuesday at an MHF conference. It has prompted calls for men to adopt healthier lifestyles and the NHS to do more to spot cancer in men earlier.

“There are a variety of potential explanations for the difference. “The reasons for the increased risk of cancer in men versus women are not completely understood but experts believe that lifestyle is important. Men are more likely to drink alcohol and be overweight, and in the past they were more likely to smoke. All three are significant risk factors for a range of cancer types,” said a separate men’s cancer briefing, produced by CRUK and also released on Tuesday.

“Ciaran Devane, chief executive of Macmillan Cancer Support, said the stark difference was alarming. He highlighted late diagnosis as a key factor and cited the fact that 24% of men with prostate cancer visited their GP at least three times before their disease was identified, compared with 8% of women with breast cancer, according to the National Cancer Experience Survey. In 2011 CRUK estimated that 45% of all cancers in men could be prevented if men stopped smoking, ate a healthier diet, drank less and weighed less.”

 

For more, see: http://www.guardian.co.uk/society/2013/jan/29/men-cancer-deaths-greater-women