Effect of Financial Strain on Mortality in Community-Dwelling Older Women
Effect of Financial Strain on Mortality in Community-Dwelling Older Women
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DOI：
10.1093/geronb/63.6.s369
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发表时间：
2008-11-01
影响因子：
6.2
通讯作者：
Fried, Linda P.
中科院分区：
文献类型：
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作者：
Szanton, Sarah L.;Allen, Jerilyn K.;Fried, Linda P.
目标。尽管众所周知，低社会经济地位与死亡率有关，但很少有研究关注财务压力是否会预测死亡率。尽管有证据表明，在相同社会经济地位水平下，非裔美国人比白人更早死亡，经济压力也更大，但按种族来探讨这个问题的研究仍然较少。我们研究了老年女性的经济压力与死亡风险增加之间的关联程度，以及这种关系是否因种族而异。方法。样本是社区居住的 70 至 79 岁老年妇女的妇女健康和老龄化研究 I 和 II。我们使用 Cox 比例风险模型来估计财务压力对 5 年死亡率的影响。结果。无论种族、教育程度、绝对收入如何，报告经济紧张的女性在 5 年内死亡的可能性几乎高出 60%。健康保险状况和合并症 (p < .001) 高于没有健康保险状况和合并症的对照，尽管种族不是死亡率的预测因素。非裔美国人的财务紧张援助死亡率之间的关联比白种人更强 (p < .01)。讨论。对于老年女性来说，经济压力可能比年收入更能预测死亡率，特别是对于老年非洲裔美国女性而言。
Objectives. Although it is well established that low socioeconomic status is related to mortality, little research has focused on whether financial strain predicts mortality. Still less research has examined this question by race, despite the evidence that African Americans suffer earlier mortality and more financial strain at the same levels of socioeconomic status than their Caucasian counterparts. We examined the extent to which financial strain was associated with increased mortality risk in older women and whether the relationship differed by race.Methods. The sample was the Women's Health and Aging Studies I and II of community-dwelling older women aged 70 to 79. We used Cox proportional hazards models to estimate the effect of financial strain on 5-year mortality rates.Results. Women who reported financial strain were almost 60% more likely to die within 5 years independent of race, education, absolute income. health insurance status, and comorbidities (p < .001) than their counterpoints who did not, Although race was not a predictor of mortality. the association between financial strain aid mortality was stronger for African Americans than for Caucasians (p < .01).Discussion. For older women, financial strain may be a better predictor of mortality than annual income, particularly in the case of older African American women.