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Race, sense of control over life, and short-term risk of mortality among older adults in the United States

INTRODUCTION: Sense of control over life has been shown to have protective health effects in studies that have mostly enrolled White middle class individuals. It is unknown, however, whether populations differ in the protective health gain associated with sense of control over life. This study compa...

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Autor principal: Assari, Shervin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5575207/
https://www.ncbi.nlm.nih.gov/pubmed/28883866
http://dx.doi.org/10.5114/aoms.2016.59740
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author Assari, Shervin
author_facet Assari, Shervin
author_sort Assari, Shervin
collection PubMed
description INTRODUCTION: Sense of control over life has been shown to have protective health effects in studies that have mostly enrolled White middle class individuals. It is unknown, however, whether populations differ in the protective health gain associated with sense of control over life. This study compared a nationally representative sample of Black and White older adults for protective effects of sense of control over life on short-term risk of all-cause mortality in the United States. MATERIAL AND METHODS: This longitudinal prospective study followed 1,493 White (n = 759) and Black (n = 734) older adults (age 66 or more) from 2001 to 2004. Race, demographics, socio-economics, sense of control over life, health behaviors, and self-rated health were measured at baseline in 2001. Outcome was all-cause mortality occurring between 2001 and 2004. Logistic regression models were used for data analysis. RESULTS: In the pooled sample, sense of control over life was protective against 3-year mortality risk above and beyond demographics, socio-economics, health behaviors, and self-rated health. We found a race by sense of control over life interaction, suggesting a stronger protective effect of control over life on mortality risk for Whites compared to Blacks. In race-specific models, sense of control over life at baseline was predictive of mortality among Whites but not Blacks. CONCLUSIONS: In the United States, Black older adults do not gain a survival benefit associated with high levels of sense of control over life, as do their White counterparts. It is not clear why sense of control over life translates into survival for Whites but not for Blacks.
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spelling pubmed-55752072017-09-07 Race, sense of control over life, and short-term risk of mortality among older adults in the United States Assari, Shervin Arch Med Sci Public Health INTRODUCTION: Sense of control over life has been shown to have protective health effects in studies that have mostly enrolled White middle class individuals. It is unknown, however, whether populations differ in the protective health gain associated with sense of control over life. This study compared a nationally representative sample of Black and White older adults for protective effects of sense of control over life on short-term risk of all-cause mortality in the United States. MATERIAL AND METHODS: This longitudinal prospective study followed 1,493 White (n = 759) and Black (n = 734) older adults (age 66 or more) from 2001 to 2004. Race, demographics, socio-economics, sense of control over life, health behaviors, and self-rated health were measured at baseline in 2001. Outcome was all-cause mortality occurring between 2001 and 2004. Logistic regression models were used for data analysis. RESULTS: In the pooled sample, sense of control over life was protective against 3-year mortality risk above and beyond demographics, socio-economics, health behaviors, and self-rated health. We found a race by sense of control over life interaction, suggesting a stronger protective effect of control over life on mortality risk for Whites compared to Blacks. In race-specific models, sense of control over life at baseline was predictive of mortality among Whites but not Blacks. CONCLUSIONS: In the United States, Black older adults do not gain a survival benefit associated with high levels of sense of control over life, as do their White counterparts. It is not clear why sense of control over life translates into survival for Whites but not for Blacks. Termedia Publishing House 2016-05-09 2017-08 /pmc/articles/PMC5575207/ /pubmed/28883866 http://dx.doi.org/10.5114/aoms.2016.59740 Text en Copyright: © 2016 Termedia & Banach http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Public Health
Assari, Shervin
Race, sense of control over life, and short-term risk of mortality among older adults in the United States
title Race, sense of control over life, and short-term risk of mortality among older adults in the United States
title_full Race, sense of control over life, and short-term risk of mortality among older adults in the United States
title_fullStr Race, sense of control over life, and short-term risk of mortality among older adults in the United States
title_full_unstemmed Race, sense of control over life, and short-term risk of mortality among older adults in the United States
title_short Race, sense of control over life, and short-term risk of mortality among older adults in the United States
title_sort race, sense of control over life, and short-term risk of mortality among older adults in the united states
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5575207/
https://www.ncbi.nlm.nih.gov/pubmed/28883866
http://dx.doi.org/10.5114/aoms.2016.59740
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