{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:51:56Z","timestamp":1791348716126,"version":"4.3.1"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the National Institutes of Health","award":["K23AG065438"],"award-info":[{"award-number":["K23AG065438"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Major disease diagnoses can create shocks that ripple through households. Population-level evidence in the US on how spouses and partners fare after a partner\u2019s major diagnosis remains sparse and is often limited to caregiver or employment-related outcomes. Using the US Health and Retirement Study (1992-2020), we evaluated population-level health spillovers to spouses after a partner\u2019s first diagnosis of cancer, stroke, or heart disease, employing a stacked event-study design with matching (n\u00a0=\u00a029\u2009166). Outcomes included subjective health, doctor-diagnosed conditions, limitations in basic and instrumental activities of daily living (ADL\/IADL), and health behaviors and use of preventive care. We evaluated heterogeneity by sociodemographic and economic conditions. Spouses of newly diagnosed patients experienced modest but persistent declines: more frequent reports of poor health ($\\boldsymbol{\\beta}$\u00a0=\u00a0.02, 95% CI, 0.00, 0.03), more doctor-diagnosed conditions ($\\boldsymbol{\\beta}$\u00a0=\u00a0.05, 95% CI, 0.01, 0.08), and higher depressive symptoms ($\\boldsymbol{\\beta}$\u00a0=\u00a0.08, 95% CI, 0.01, 0.16). Effects were greater among women whose male partners received a diagnosis and among spouses with lower education or fewer assets. Health and preventive care behaviors were largely unchanged. Findings motivate early, spouse-focused support and underscore the need for targeted interventions for spouses at highest risk.<\/jats:p>","DOI":"10.1093\/aje\/kwag178","type":"journal-article","created":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T11:39:37Z","timestamp":1784374777000},"page":"2518-2527","source":"Crossref","is-referenced-by-count":0,"title":["Health consequences of spousal health shocks: evidence from a matched event study in the United States"],"prefix":"10.1093","volume":"195","author":[{"given":"Ah-Reum","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, University of California San Francisco , San Francisco, CA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6137-8512","authenticated-orcid":false,"given":"Ashwin","family":"Kotwal","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, University of California San Francisco , San Francisco, CA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline M","family":"Torres","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, University of California San Francisco , San Francisco, CA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"issue":"8","key":"2026100700415589000_ref1","doi-asserted-by":"publisher","first-page":"e41","DOI":"10.1161\/CIR.0000000000001303","article-title":"2025 Heart disease and stroke statistics: a report of US and global data from the American Heart Association","volume":"151","author":"Martin","year":"2025","journal-title":"Circulation"},{"issue":"1","key":"2026100700415589000_ref2","doi-asserted-by":"publisher","first-page":"10","DOI":"10.3322\/caac.21871","article-title":"Cancer statistics, 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