Psychosocial predictors of mortality among the elderly poor. The role of religion, well-being, and social contacts.
Psychosocial predictors of mortality among the elderly poor. The role of religion, well-being, and social contacts.
复制标题
DOI：
10.1093/oxfordjournals.aje.a113759
复制
发表时间：
1984-03
影响因子：
5
通讯作者：
D. Zuckerman;S. Kasl;A. Ostfeld
中科院分区：
文献类型：
--
作者：
D. Zuckerman;S. Kasl;A. Ostfeld
死亡率数据在两年的后续行动中获得约400名老年贫困居民的纽黑文，哈特福德，西黑文，康涅狄格州，在1972年至1974年。这些受试者是一项关于住宅搬迁对健康影响的研究中的病例和对照。最初的数据收集包括详细的健康史，社会人口和背景变量，以及各种行为和心理数据。本报告中选择的分析变量是：宗教信仰，社会交往，幸福感和情感状态。逐步Logistic回归被用来确定这些心理变量在预测死亡率中的作用，同时控制病例/对照状态、人口统计学变量和健康状况（通过该样本中最大程度预测死亡率的指数测量）。三个社会心理变量是重要的预测因素：宗教，幸福（由面试官评定），和活着的后代的存在。前两种方法主要降低了健康状况不佳的老年人的死亡风险，而第三种方法与健康状况无关。
Mortality data during a two-year follow-up were obtained on some 400 elderly poor residents of New Haven, Hartford, and West Haven, Connecticut, in 1972-1974. These subjects were cases and controls in a study of the health effects of residential relocation. Initial data collection included a detailed health history, sociodemographic and background variables, and a variety of behavioral and psychological data. The variables selected for analysis in this report were: religious beliefs, social contacts, feelings of well-being, and affective states. Stepwise logistic regressions were used to determine the role of these psychosocial variables in predicting mortality, while controlling for case/control status, demographic variables, and health status (measured by an index maximally predictive of mortality in this sample). Three psychosocial variables were significant predictors: religiousness, happiness (as rated by the interviewers), and presence of living offspring. The first two reduced the risk of mortality primarily among the elderly who were in poor health, while the third one did not interact with health status.