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Health, cognitive, and psychosocial factors as predictors of mortality in an elderly community sample.
Open accessAbstract
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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“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].”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [120]
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Shipley, B. A., Der, G., Taylor, M. D., & Deary, I. J. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31814c3e7c · Cited by 42
Association of hypotension with positive and negative affect and depressive symptoms in the elderly
Jorm, A. F. (2001) · The British Journal of Psychiatry · doi:10.1192/bjp.178.6.553 · Cited by 39
Self-citationRocha, F. L., Uchôa, E., Guerra, H. L., Firmo, J. O. A., Vidigal, P. G., & Lima‐Costa, M. F. (2002) · Sleep Medicine · doi:10.1016/s1389-9457(01)00156-3 · Cited by 39
Associations between childhood intelligence (IQ), adult morbidity and mortality
Kilgour, A. H. M., Starr, J. M., & Whalley, L. J. (2009) · Maturitas · doi:10.1016/j.maturitas.2009.09.021 · Cited by 41
Increasing Levels of Semantic Verbal Fluency in Elderly English Adults
Llewellyn, D. J., Matthews, F. E., & The Medical Research Council Cognit (2009) · Aging Neuropsychology and Cognition · doi:10.1080/13825580902773867 · Cited by 37
Metadata
- 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
- PMC
- PMC1756829
- 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
- bronze
- doi.org
- 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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