Fatal Stroke after the Death of a Sibling: A Nationwide Follow-Up Study from Sweden

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Fatal Stroke after the Death of a Sibling: A Nationwide Follow-Up Study from Sweden

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Title: Fatal Stroke after the Death of a Sibling: A Nationwide Follow-Up Study from Sweden
Author: Rostila, Mikael; Saarela, Jan; Kawachi, Ichiro

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Citation: Rostila, Mikael, Jan Saarela, and Ichiro Kawachi. 2013. Fatal stroke after the death of a sibling: a nationwide follow-up study from sweden. PLoS ONE 8(2): e56994.
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Abstract: Background: Although less studied than other types of familial losses, the loss of a sibling could be a potential trigger of stroke as it represents a stressful life event. We studied the association between loss of a sibling and fatal stroke up to 18 years since bereavement. Methodology/Principal Findings We conducted a follow-up study between 1981 and 2002, based on register data covering the total population of Swedes aged 40–69 years (n = 1,617,010). An increased risk of fatal stroke (1.31 CI: 1.05, 1.62) was found among women who had experienced the loss of a sibling. No increase in the overall mortality risk was found in men (1.11 CI: 0.92, 1.33). An elevated risk in the short term (during the second and third half-year after the death) was found among both men and women, whereas longer-term elevation in risk was found primarily for women. Both external (1.47 CI: 1.00, 2.17) and not external (1.26 CI: 1.00, 1.60) causes of sibling death showed associations among women. In men, an association was found only if the sibling also died from stroke (1.78 CI: 1.00, 3.17). However, among women, we found an increased risk of stroke mortality if the sibling died from causes other than stroke (1.30 CI: 1.04, 1.62). Conclusions/Significance: The findings suggest an increased risk of dying from stroke mortality after the death of a sibling, and that bereavement affects particularly women. It is important for health care workers to follow bereaved siblings and recognize potential changes of stress-levels and health related behaviours that could lead to risk of stroke.
Published Version: doi:10.1371/journal.pone.0056994
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579925/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:11369873
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