Perception of unmet basic needs as a predictor of mortality among community-dwelling older adults
- PMID: 15671468
- PMCID: PMC1449170
- DOI: 10.2105/AJPH.2003.035576
Perception of unmet basic needs as a predictor of mortality among community-dwelling older adults
Abstract
Objectives: We sought to determine whether, among older adults (>65 years), a perception that their basic needs are not being met increased mortality risk and whether this risk varied by race/ethnicity.
Methods: We used Cox proportional hazards modeling to estimate the effect of perceived inadequacy in having one's basic needs (adequacy of income, quality of housing, and neighborhood safety) met on 10-year mortality rates.
Results: After control for age, gender, race/ethnicity, marital status, education, income, and cognitive and functional status at baseline, perceived inadequacy in having one's basic needs met was shown to be a significant predictor of mortality (P<.0001), but no significant differences by race/ethnicity were observed.
Conclusions: Perceived inadequacy in having one's basic needs met predicted mortality during a 10-year follow-up among community-dwelling elderly persons.
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References
-
- Idler E, Kasl S. Health perceptions and survival: do global evaluations of health status really predict mortality? J Gerontol Soc Sci. 1991;46:S55–S65. - PubMed
-
- Idler E, Russell L, Davis D. Survival, functional limitations, and self-rated health in the NHANES I Epidemiologic Follow-up Study, 1992. Am J Epidemiol. 2000;152:874–883. - PubMed
-
- Schoenfeld D, Malmrose L, Blazer D, Gold D, Seeman T. Self-rated health and mortality in the high-functioning elderly: a closer look at healthy individuals. MacArthur Field Study of Successful Aging. J Gerontol Med Sci. 1994;49:M109–M115. - PubMed
-
- Mackenbach J, Simon J, Looman C, Joung I. Self-assessed health and mortality: could psychosocial factors explain the association? Int J Epidemiol. 2002; 31:1162–1168. - PubMed
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