The Contribution of Self-Rated Health and Depressive Symptoms to Disability Severity as a Predictor of 10-Year Mortality in European Elderly Men

Bibliographic Data

ID11037720
AuthorsCarolien L van den Brink (Carolien L. van den Brink, Marja Tijhuis, and Daan Kromhout are with the National Institute for Public Health and the Environment, The Netherlands. Carolien L. van den Brink and Geertrudis A.M. van den Bos are with the Department of Social Medicine, Academic Medical Center, University of Amsterdam, The Netherlands. Simona Giampaoli is with the National Institute of Health, Rome, Italy. Aulikki Nissinen is with the National Public Health Institute, Helsinki, Finland. Daan Kromhout is with the Division of...), Marja Tijhuis (Carolien L. van den Brink, Marja Tijhuis, and Daan Kromhout are with the National Institute for Public Health and the Environment, The Netherlands. Carolien L. van den Brink and Geertrudis A.M. van den Bos are with the Department of Social Medicine, Academic Medical Center, University of Amsterdam, The Netherlands. Simona Giampaoli is with the National Institute of Health, Rome, Italy. Aulikki Nissinen is with the National Public Health Institute, Helsinki, Finland. Daan Kromhout is with the Division of...), Geertrudis A M Van Den Bos (Carolien L. van den Brink, Marja Tijhuis, and Daan Kromhout are with the National Institute for Public Health and the Environment, The Netherlands. Carolien L. van den Brink and Geertrudis A.M. van den Bos are with the Department of Social Medicine, Academic Medical Center, University of Amsterdam, The Netherlands. Simona Giampaoli is with the National Institute of Health, Rome, Italy. Aulikki Nissinen is with the National Public Health Institute, Helsinki, Finland. Daan Kromhout is with the Division of...), Simona Giampaoli (0000-0002-6679-1488, Carolien L. van den Brink, Marja Tijhuis, and Daan Kromhout are with the National Institute for Public Health and the Environment, The Netherlands. Carolien L. van den Brink and Geertrudis A.M. van den Bos are with the Department of Social Medicine, Academic Medical Center, University of Amsterdam, The Netherlands. Simona Giampaoli is with the National Institute of Health, Rome, Italy. Aulikki Nissinen is with the National Public Health Institute, Helsinki, Finland. Daan Kromhout is with the Division of...), Aulikki Nissinen (Carolien L. van den Brink, Marja Tijhuis, and Daan Kromhout are with the National Institute for Public Health and the Environment, The Netherlands. Carolien L. van den Brink and Geertrudis A.M. van den Bos are with the Department of Social Medicine, Academic Medical Center, University of Amsterdam, The Netherlands. Simona Giampaoli is with the National Institute of Health, Rome, Italy. Aulikki Nissinen is with the National Public Health Institute, Helsinki, Finland. Daan Kromhout is with the Division of...), Daan Kromhout (Carolien L. van den Brink, Marja Tijhuis, and Daan Kromhout are with the National Institute for Public Health and the Environment, The Netherlands. Carolien L. van den Brink and Geertrudis A.M. van den Bos are with the Department of Social Medicine, Academic Medical Center, University of Amsterdam, The Netherlands. Simona Giampaoli is with the National Institute of Health, Rome, Italy. Aulikki Nissinen is with the National Public Health Institute, Helsinki, Finland. Daan Kromhout is with the Division of...)
Year2005
Volume95
Issue11
Pages2029-2034
Publication date2005-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2004.050914
PMID16195527
PMCIDPMC1449479
OpenAlexW2148538771
LanguageEN
Citations received5
References cited31

Objectives. To investigate the effect of disability severity and the contribution of self-rated health and depressive symptoms to 10-year mortality. Methods. Longitudinal data were collected from 1141 men aged 70 to 89 years from the Finland, Italy, and the Netherlands Elderly Study from 1990 to 2000. Disability severity was classified into 4 categories: no disability, instrumental activities, mobility, and basic activities of daily living. Self-rated health and depressive symptoms were classified into 2 and 3 categories, respectively. Multivariate Cox proportional hazard models were used to calculate mortality risks. Results. Men with severe disability had a risk of mortality that was more than 2-fold higher (hazard ratio [HR]=2.41; 95% confidence interval [CI]=1.84, 3.16) than that of men without disability. Men who had severe disability and did not feel healthy had the highest mortality risk (HR = 3.30; 95% CI = 2.52, 4.33). This risk was lower at lower levels of disability and higher levels of self-rated health. The same trend was observed for depressive symptoms. Conclusions. For adequate prognoses on mortality or for developing intervention strategies, not only physical aspects of health but also other health outcomes should be taken into account

Anxiety · Depression (economics) · Depressive symptoms · Psychiatry · Self-rated health · Cardiac Health and Mental Health · Demography · Frailty in Older Adults · Health disparities and outcomes · Medicine · Gerontology

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