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Effects of Social Support and Personal Coping Resources on Mortality in Older Age: The Longitudinal Aging Study Amsterdam
Open accessAbstract
This study focuses on the role of social support and personal coping resources in relation to mortality among older persons in the Netherlands. Data are from a sample of 2,829 noninstitutionalized people aged between 55 and 85 years who took part in the Longitudinal Aging Study Amsterdam in 1992-1995. Social support was operationally defined by structural, functional, and perceived aspects, and personal coping resources included measures of mastery, self-efficacy, and self-esteem. Mortality data were obtained during a follow-up of 29 months, on average. Cox proportional hazards regression models revealed that having fewer feelings of loneliness and greater feelings of mastery are directly associated with a reduced mortality risk when age, sex, chronic diseases, use of alcohol, smoking, self-rated health, and functional limitations are controlled for. In addition, persons who received a moderate level of emotional support (odds ratio (OR) = 0.49, 95% confidence interval (CI) 0.33-0.72) and those who received a high level of support (OR = 0.68, 95% CI 0.47-0.98) had reduced mortality risks when compared with persons who received a low level of emotional support. Receipt of a high level of instrumental support was related to a higher risk of death (OR = 1.74, 95% CI 1.12-2.69). Interaction between disease status and social support or personal coping resources on mortality could not be demonstrated.
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“A growing body of longitudinal research indicates that loneliness predicts increased morbidity and mortality [12–19].”
From Loneliness matters: a theoretical and empirical review of consequences and mechanisms (2010) · cites this paper as [15]
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In the citing paper
“Penninx et al. [15] showed that loneliness predicted all-cause mortality during a 29-month follow-up after controlling for age, sex, chronic diseases, alcohol use, smoking, self-rated health, and functional limitations.”
From Loneliness matters: a theoretical and empirical review of consequences and mechanisms (2010) · cites this paper as [15]
In the citing paper
“Among older adults, emotional support has been associated with better physical functioning (Seeman et al., 1995) and reduced mortality risks (Penninx et al., 1997)”
From Relationship of activity and social support to the functional health of older adults (2000) · cites this paper as Penninx et al., 1997
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Metadata
- Authors
- Penninx, B. W. J. H., van Tilburg, T., Kriegsman, D. M. W., Deeg, D. J. H., Boeke, A. J. P., & van Eijk, J. T. M.
- Affiliations
- Vrije Universiteit Amsterdam (NL)
- Corresponding author
- Penninx, B. W. J. H.
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1997-09-15
- Volume
- 146
- Issue
- 6
- Pages
- 510-519
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2100487394
- Cited by
- 438
- References
- 58
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 10 · 2023: 16 · 2022: 8 · 2021: 18 · 2020: 18 · 2019: 13 · 2018: 16 · 2017: 17 · 2016: 16 · 2015: 23 · 2014: 22 · 2013: 18 · 2012: 22
- FWCI
- 11.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion, other-oa)
- VU Research Portal (submittedVersion, other-oa)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
- Keywords
- social support, mortality, older adults, loneliness, mastery, self-efficacy, self-esteem, emotional support, instrumental support, Longitudinal Aging Study Amsterdam
- MeSH terms
- Adaptation, Psychological, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Mortality, Netherlands, Risk Factors, Social Support, Proportional Hazards Models, Odds Ratio
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