Longitudinal predictors of self-rated health and mortality in older adults.
Longitudinal predictors of self-rated health and mortality in older adults.
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DOI：
10.5888/pcd11.130241
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发表时间：
2014-06-05
影响因子：
5.5
通讯作者：
Short JL
中科院分区：
文献类型：
--
作者：
Wagner DC;Short JL
很少有研究纵向比较人口统计、认知和行为因素对健康和死亡率的影响。我们检查了自评健康和死亡率的预测因子，每点相隔2年，超过4年。我们使用了2006年健康和退休研究浪潮中的数据，以及2006、2008和2010年的健康和死亡率指标。我们分析了17,930名成年人(年龄在50-104岁)的数据，以检验自我评估健康的预测因素，并分析了2006年至2010年死亡的1,171名成年人的数据，以检验死亡率的预测因素。时间1抑郁是所有时间点自我评估健康的最强预测因子，与年龄和教育无关。教育、轻度活动、体重指数、单词记忆延迟和吸烟都与每个时间点的自我评估健康和预测死亡率有关。延迟单词回忆在轻度活动与健康和死亡率的关系中起中介作用。发现轻度运动和抑郁对健康的影响是双向调节的。医学专业人员除了进行医学评估外，还应该考虑筛查抑郁症和记忆障碍。这些评估可能导致更有效的生物、心理和社会干预措施，以帮助老年人管理死亡风险。
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. 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. 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. 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.
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影响因子：
3.5
作者：
Anstey, K;Christensen, H
通讯作者：
Christensen, H
影响因子：
4
作者：
Villarejo, Alberto;Bermejo-Pareja, Felix;Vega, Saturio
通讯作者：
Vega, Saturio
影响因子：
--
作者：
Schulz, R;Beach, SR;Kop, WJ
通讯作者：
Kop, WJ
DOI：
10.1073/pnas.1015950108
发表时间：
2011-02-15
影响因子：
11.1
作者：
Erickson, Kirk I.;Voss, Michelle W.;Kramer, Arthur F.
通讯作者：
Kramer, Arthur F.
影响因子：
18.4
作者：
Fiske A;Wetherell JL;Gatz M
通讯作者：
Gatz M