Longitudinal Predictors of Self-Rated Health and Mortality in Older Adults

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Wagner, Diane C. ; Short, Jerome L.
• Description:
  Introduction
  
  Few studies have compared the effects of demographic, cognitive, and behavioral factors of health and mortality longitudinally. We examined predictors of self-rated health and mortality at 3 points, each 2 years apart, over 4 years.
  
  Methods
  
  We used data from the 2006 wave of the Health and Retirement Study and health and mortality indicators from 2006, 2008, and 2010. We analyzed data from 17,930 adults (aged 50–104 y) to examine predictors of self-rated health and data from a subgroup of 1,171 adults who died from 2006 through 2010 to examine predictors of mortality.
  
  Results
  
  Time 1 depression was the strongest predictor of self-rated health at all points, independent of age and education. Education, mild activities, body mass index, delayed word recall, and smoking were all associated with self-rated health at each point and predicted mortality. Delayed word recall mediated the relationships of mild activity with health and mortality. Bidirectional mediation was found for the effects of mild activity and depression on health.
  
  Conclusion
  
  Medical professionals should consider screening for depression and memory difficulties in addition to conducting medical assessments. These assessments could lead to more effective biopsychosocial interventions to help older adults manage risks for mortality.
  
  
• Subjects:
  Aged Aged, 80 And Over Age Factors Body Mass Index Chronic Disease/epidemiology Chronic Disease/mortality Depression/complications Depression/epidemiology Depression/etiology Educational Status Female Health Behavior Health Status Indicators Humans Longitudinal Studies Male Mental Recall Middle Aged Proportional Hazards Models Psychometrics Retirement/psychology Self Report Survival Analysis

  More +
• Source:
  Prev Chronic Dis. 11.
• DOI:
  http://dx.doi.org/10.5888/pcd11.130241
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Funding:
  U01AG009740/AG/NIA NIH HHS/United States
• Place as Subject:
  United States
• Volume:
  11
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:b6e7ebc80b13e0a396b16dbb3b0c5ebf0d6ec0bb7d1d7645321b581a6193da794961f3e3981ecb119c8e8321c1c82d7855846c577127a24a0f7a6a0c396cd910
• Download URL:
  https://stacks.cdc.gov/view/cdc/23514/cdc_23514_DS1.pdf
• File Type:
  [PDF - 435.68 KB ]