Self-rated health trajectories and mortality among older adults

Thomas R Miller; Fredric D Wolinsky

doi:10.1093/geronb/62.1.S22

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Self-rated health trajectories and mortality among older adults

Journal article

Open access

Peer reviewed

Self-rated health trajectories and mortality among older adults

Thomas R Miller and Fredric D Wolinsky

The journals of gerontology. Series B, Psychological sciences and social sciences, Vol.62(1), pp.S22-S27

01/2007

DOI: 10.1093/geronb/62.1.S22

PMCID: PMC2104470

PMID: 17284562

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https://doi.org/10.1093/geronb/62.1.S22View

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Abstract

For this article, we evaluated whether measures of prior self-rated health (SRH) trajectories had associations with subsequent mortality that were independent of current SRH assessment and other covariates. We used multivariable logistic regression that incorporated four waves of interview data (1993, 1995, 1998, and 2000) from the Asset and Health Dynamics Among the Oldest Old Survey in order to predict mortality during 2000-2002. We defined prior SRH trajectories for each individual based on the slope estimated from a simple linear regression of their own SRH between 1993 and 1998 and the variance around that slope. In addition to SRH reported in 2000, other covariates included in the mortality models reflected health status, health-related behaviors, and individual resources. Among the 3,129 respondents in the analytic sample, SRH in 2000 was significantly (p <.0001) associated with mortality, but the measures of prior SRH trajectories were not. Prior SRH trajectory was, however, a significant determinant of current SRH. We observed significant independent associations with mortality for age, sex, education, lung disease, and having ever smoked. Although measures of prior SRH trajectories did not have significant direct associations with mortality, they did have important indirect effects via their influence on current SRH.

Age Factors

Aged

Aged, 80 and over

Attitude to Health

Cardiovascular Diseases - mortality

Cause of Death - trends

Female

Follow-Up Studies

Health Status

Health Status Indicators

Humans

Logistic Models

Longitudinal Studies

Lung Diseases - mortality

Male

Mortality - trends

Multivariate Analysis

Risk Factors

Sex Factors

Smoking - adverse effects

Smoking - mortality

Socioeconomic Factors

Survival Analysis

United States

Details

Title: Subtitle: Self-rated health trajectories and mortality among older adults
Creators: Thomas R Miller - University of Iowa
Fredric D Wolinsky
Resource Type: Journal article
Publication Details: The journals of gerontology. Series B, Psychological sciences and social sciences, Vol.62(1), pp.S22-S27
DOI: 10.1093/geronb/62.1.S22
PMID: 17284562
PMCID: PMC2104470
ISSN: 1079-5014
eISSN: 1758-5368
Grant note: R01 AG022913 / NIA NIH HHS
Language: English
Date published: 01/2007
Academic Unit: Health Management and Policy
Record Identifier: 9984364409302771

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