Subjective state of health and survival in elderly adults
Abstract
The relationship between subjective state of health and 5-year survival in an elderly cohort was examined. During the 1978 study of the elderly population of Kiryat Ono, a suburban community in the central coastal area of Israel, respondents were asked to evaluate their general health status on a four-level scale, and their vital status was updated until 1983. A multivariate analysis of survival was conducted using the Cox Proportional Hazards Model. Self-rating of health was an independent predictor of survival after controlling for age, sex, continent of origin, number of conditions and medications reported, heart disease and activities of daily living (ADL). The self-rating of health was found to be an important psychosocial parameter in the evaluation of health status, in determining the prognosis of an elderly person, and in analyzing survival.
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Perceived health status may ultimately prove more salient to late life suicide and its prevention than objective measures, as observed for natural death and all-cause mortality.
“Perceived health status may ultimately prove to have greater salience to late life suicide and its prevention than objective measures, just as has been observed in association with natural death and all-cause mortality (29).”
From Suicide in older adults (2011) · cites this paper as [29]
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Conwell, Y., Van Orden, K., & Caine, E. D. (2011) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2011.02.002 · Cited by 555 · see citing works
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Marmot, M. G., Fuhrer, R., Ettner, S. L., Marks, N. F., Bumpass, L. L., & Ryff, C. D. (1998) · The Milbank Quarterly · doi:10.1111/1468-0009.00097 · Cited by 317 · see citing works
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Barberger-Gateau, P., & Fabrigoule, C. (1997) · Disability and Rehabilitation · doi:10.3109/09638289709166525 · Cited by 158 · see citing works
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“Still other studies indicate that it is not the objective physical health condition that matters so much as the subjective sense of one’s health.(55,56) Another important risk factor for elders is a lack of social connectedness to family, friends, and community.”
Background
- Authors
- Kaplan, G., Barell, V., & Lusky, A.
- Affiliations
- Sheba Medical Center (IL)
- ORCID
- Kaplan, G.
- Venue
- Journal of Gerontology
- Publisher
- Oxford University Press (OUP)
- Published
- 1988-07-01
- Volume
- 43
- Issue
- 4
- Pages
- S114-S120
- ISSN
- 0022-1422 (ISSN-L)
- OpenAlex
- W2087293236
- Cited by
- 272
- References
- 0
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 7 · 2022: 1 · 2021: 3 · 2020: 7 · 2019: 2 · 2018: 4 · 2017: 5 · 2016: 2 · 2015: 8 · 2014: 3 · 2013: 8 · 2012: 3
- FWCI
- 7.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Gerontology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- self-rated health, survival, mortality, older adults, prognosis, psychosocial factors, health assessment, activities of daily living, heart disease
- MeSH terms
- Aged, Aging, Female, Follow-Up Studies, Health, Health Status, Humans, Interview, Psychological, Israel, Male, Mortality, Self-Assessment, Suburban Population, Vital Statistics
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