Single fathers are more likely to die young than single
mothers or couples with children, according to a new study.
Researchers tracked more than 40,000 parents in Canada for 11
years for the study published in The Lancet Public Health journal.
They found men who raise children alone are twice as likely
to die early than other parents.
The most likely explanation, they said, was that solitary
men were more likely to lead unhealthier lifestyles.
Single-parent families are becoming increasingly common due
to growing rates of divorce, separations, and couples having children outside
of marriage.
Estimates from 2016 suggest that 10 percent of the three
million single-parent families in Britain were headed by single fathers.
But previous research on single parents has largely focused
on mothers, and no study to date has compared single fathers and mothers.
One similar study in Sweden, which only compared single and
partnered fathers, found that single dads had a 30 percent greater risk of
dying than partnered fathers.
Lead author of the Canadian study Dr Maria Chiu, of the
Institute for Clinical Evaluative Sciences and the University of Toronto, said:
‘Our research highlights that single fathers have higher mortality, and demonstrates
a need for public health policies to help identify and support these men.
‘While our study does not identify the exact cause of this,
we did find that single fathers also tend to have unhealthier lifestyles, which
could be an important area to address to improve health in this high-risk
group.’
For the study, single parents included people who were
living at home with one or more biological or adopted children under the age of
25, and who were divorced, separated, widowed, single, never married, and not
living with a partner.
he participants completed questionnaires to give details of
their lifestyle and socio-demographic status, including their fruit and
vegetable intake, physical activity, and binge drinking.
That was linked to their administrative health records to
identify medical conditions, how often they used health services, whether they
died, and cause of death.
After an average of 11 years follow-up, 693 people had died.
Single fathers were more likely to die over the period (5.8 deaths per 1,000
person years), compared to partnered fathers (1.9 deaths per 1,000 person
years) and single mums (1.7 deaths per 1,000 person year).
Partnered mothers were least likely to die over the
follow-up period (1.2 deaths per 1,000 person years).
At the outset, single fathers were older, had a higher
prevalence of cancer than single mothers and partnered parents, and were more
likely to have cardiovascular disease than single and partnered mothers.
Single fathers were also more likely than partnered fathers
to have had an emergency medical visit or hospital admission in the past year.
While the leading cause of death for single fathers remained
unclear, the findings showed that they ate fewer fruit and vegetables, and were
more likely to binge drink than single mums and partnered parents.
The researchers note that social differences could also play
a role in the increased risk for single fathers, potentially leading to
increased stress and fewer coping mechanisms.
Single fathers were more likely to be separated, divorced,
or widowed than single mothers.
After adjusting the findings to consider differences in age,
lifestyle, health and socio-demographic characteristics, single fathers’
mortality risk over the 11 years of the study was more than two times higher than
other parents’.
Dr Chiu added: ‘Doctors’ appointments could be an
opportunity for doctors to engage with single fathers to help them to improve
their health.
‘Research has shown that these conversations can help to
motivate patients to adhere to treatment plans, make better decisions about
their health, and influence their behaviour and recovery.
‘Where possible, investing time in this way could be
beneficial to help improve the health of this high-risk group.’
Dr Rachel Simpson, of Oxford University, said of the
findings: ‘It is important to note the positive effects of having children in
the household.
‘In the study conducted in Sweden, mortality was found to be
highest not in single fathers, but in fathers who were not living with their
children and in childless men living alone.
‘These comparisons were not made by Dr Chiu and colleagues,
nevertheless, their results show that single fathers might be a particularly
vulnerable group.’