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Longitudinal Predictors of Self-Rated Health and Mortality in Older Adults
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 Healt...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Centers for Disease Control and Prevention
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049199/ https://www.ncbi.nlm.nih.gov/pubmed/24901793 http://dx.doi.org/10.5888/pcd11.130241 |
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author | Wagner, Diane C. Short, Jerome L. |
author_facet | Wagner, Diane C. Short, Jerome L. |
author_sort | Wagner, Diane C. |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-4049199 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Centers for Disease Control and Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-40491992014-06-17 Longitudinal Predictors of Self-Rated Health and Mortality in Older Adults Wagner, Diane C. Short, Jerome L. Prev Chronic Dis Original Research 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. Centers for Disease Control and Prevention 2014-06-05 /pmc/articles/PMC4049199/ /pubmed/24901793 http://dx.doi.org/10.5888/pcd11.130241 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited. |
spellingShingle | Original Research Wagner, Diane C. Short, Jerome L. Longitudinal Predictors of Self-Rated Health and Mortality in Older Adults |
title | Longitudinal Predictors of Self-Rated Health and Mortality in Older Adults |
title_full | Longitudinal Predictors of Self-Rated Health and Mortality in Older Adults |
title_fullStr | Longitudinal Predictors of Self-Rated Health and Mortality in Older Adults |
title_full_unstemmed | Longitudinal Predictors of Self-Rated Health and Mortality in Older Adults |
title_short | Longitudinal Predictors of Self-Rated Health and Mortality in Older Adults |
title_sort | longitudinal predictors of self-rated health and mortality in older adults |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049199/ https://www.ncbi.nlm.nih.gov/pubmed/24901793 http://dx.doi.org/10.5888/pcd11.130241 |
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