Cited by 242Aging, Health, and DisabilityFrailty in Older AdultsHealth disparities and outcomes

Health, cognitive, and psychosocial factors as predictors of mortality in an elderly community sample.

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Korten, A E, Jorm, A F, Jiao, Z, Letenneur, L, Jacomb, P A, Henderson, A S, Christensen, H, Rodgers, B·1999·Journal of Epidemiology and Community Health

Abstract

STUDY OBJECTIVE: To examine whether cognitive and psychosocial factors predict mortality once physical health is controlled. DESIGN: A prospective study of community dwelling elderly. Mortality was assessed over a period of 3-4 years after the baseline assessment of predictors. The data were analysed using the Cox proportional hazards model. SETTING: Canberra and Queanbeyan, Australia. PARTICIPANTS: A sample of 897 people aged 70 or over and living in the community, drawn from the compulsory electoral roll. RESULTS: For the sample as a whole, the significant predictors of mortality were male sex, poor physical health, poor cognitive functioning, and low neuroticism. Men had an adjusted relative risk of mortality of 2.5 compared with women. For the male sub-sample, poor self rated health and a poor performance on a speeded cognitive task were significant predictors, while for women, greater disability, low systolic blood pressure, and a low score on a dementia screening test were the strongest predictors. CONCLUSIONS: Mortality was predicted by physical ill health and poor cognitive functioning. Psychosocial factors such as socioeconomic status, psychiatric symptoms, and social support did not add to the prediction of mortality, once sex, physical health, and cognitive functioning were controlled. Mortality among men was more than twice that of women, even when adjusted for other predictors.

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  • Two studies have found that higher Neuroticism was associated with reduced all-cause mortality risk in mixed-gender older community samples in the US and Australia.

    “To complicate the picture further, two studies have found that higher Neuroticism was associated with reduced all-cause mortality risk in mixed-gender older community samples in the US [63] and Australia [120].”

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Research works printed but not linked: 4

  1. Blazer DG. Social support and mortality in an elderly com- munity population. Am J Epidemiol 1982;115:684-94.
  2. Murphy JM, Monson RR, Olivier DC, et al. AVective disor- ders and mortality. Arch Gen Psychiatry 1987;44:473-80.
  3. Friedman HS, Tucker JS, Schwartz JE, et al. Psychosocial and behavioral predictors of longevity. Am Psychol 1995;50: 69-78.
  4. Christensen H, Jorm AF, Henderson AS, et al. The relation- ship between health and cognitive functioning in an elderly community sample. Age Ageing 1994;23:204-12.

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Authors
Korten, A. E., Jorm, A. F., Jiao, Z., Letenneur, L., Jacomb, P. A., Henderson, A. S., Christensen, H., & Rodgers, B.
Affiliations
Australian National University (AU)
Venue
Journal of Epidemiology and Community Health
Publisher
BMJ
Published
1999-02
Volume
53
Issue
2
Pages
83-88
ISSN
  • 0141-7681 (ISSN-L)
  • 0143-005X
  • 1470-2738
OpenAlex
W2146115396
Cited by
240
References
52
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 5 · 2022: 4 · 2021: 1 · 2020: 45 · 2019: 8 · 2018: 6 · 2017: 12 · 2016: 7 · 2015: 3 · 2014: 8 · 2013: 8 · 2012: 14
FWCI
9.10
Type
journal article
Language
en
Open access
Locations
  • Journal of Epidemiology & Community Health (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Australian Rotary Health
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
mortality prediction, older adults, cognitive function, psychosocial factors, sex differences in mortality, physical health, self-rated health, neuroticism, dementia screening, systolic blood pressure, disability, socioeconomic status, social support, psychiatric symptoms
MeSH terms
Aged, Aged, 80 and over, Australia, Chronic Disease, Cognition Disorders, Female, Health Status, Humans, Male, Prospective Studies, Sex Factors, Social Class, Social Support, Health Behavior, Proportional Hazards Models, Physical Therapy Modalities

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