Mortality Risk in Older Inner-City African Americans

Theodore K. Malmstrom; Elena M. Andresen; Fredric D. Wolinsky; J. Philip Miller; Kathryn Stamps; Douglas K. Miller

doi:10.1111/j.1532-5415.2007.01204.x

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Mortality Risk in Older Inner-City African Americans

Journal article

Peer reviewed

Mortality Risk in Older Inner-City African Americans

Theodore K. Malmstrom, Elena M. Andresen, Fredric D. Wolinsky, J. Philip Miller, Kathryn Stamps and Douglas K. Miller

Journal of the American Geriatrics Society (JAGS), Vol.55(7), pp.1049-1055

07/2007

DOI: 10.1111/j.1532-5415.2007.01204.x

PMID: 17608878

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Abstract

OBJECTIVES: To investigate mortality risks in a sample of poor, inner-city-dwelling, older African Americans. DESIGN: Prospective cohort study. SETTING: St. Louis, Missouri. PARTICIPANTS: Six hundred twenty-two African Americans aged 68 to 102 at the time of their 1992 to 1994 baseline interviews. MEASUREMENTS: Risk factors previously identified in the literature were examined for seven categories: demographic, socioeconomic, psychosocial, biomedical, disability and physical function, perceived health, and health services utilization. Vital status was ascertained through 2002. RESULTS: Three hundred eighty-six subjects (62.1%) were deceased and 236 were alive (mortality higher than in matched controls). Significant risks for mortality were older age, male sex, annual income less than $10,000, cancer, cerebrovascular disease, dependencies in lower-body function, and number of physician visits in the 12 months before baseline. CONCLUSION: In addition to improving the risk factors for stroke and malignant disease in this population, studies focused on improving lower-body functioning may be warranted as a part of efforts aimed at enhancing longevity in older African-American adults. © 2007, The American Geriatrics Society.

African Americans

Disease

health services utilization

lower-body disability

mortality

Details

Title: Subtitle: Mortality Risk in Older Inner-City African Americans
Creators: Theodore K. Malmstrom - Saint Louis University
Elena M. Andresen - Hessischer Volkshochschulverband
Fredric D. Wolinsky - University of Iowa
J. Philip Miller - Division of Biostatistics, School of Medicine, Washington University, St. Louis, Missouri
Kathryn Stamps - Navy and Marine Corps Force Health Protection Command
Douglas K. Miller - Indiana University
Resource Type: Journal article
Publication Details: Journal of the American Geriatrics Society (JAGS), Vol.55(7), pp.1049-1055
Publisher: Blackwell Publishing Inc
DOI: 10.1111/j.1532-5415.2007.01204.x
PMID: 17608878
ISSN: 0002-8614
eISSN: 1532-5415
Number of pages: 7
Language: English
Date published: 07/2007
Academic Unit: Health Management and Policy
Record Identifier: 9984363579902771

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