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Psychological Distress and Alzheimer’s Disease Mortality in the United States

Results from the 1997–2014 National Health Interview Survey-National Death Index Record Linkage Study

Bibliographic Data

ID12797151
AuthorsGopal K Singh (0000-0002-7820-0323, Office of Health Equity, Health Resources and Services Administration, Rockville, MD, USA, corresponding author), Hyunjung Lee (0000-0003-0783-5484, Office of Health Equity, Health Resources and Services Administration, Rockville, MD, USA)
Year2020
Volume33
Issue3-4
Pages260-272
Publication date2020-12-04
Open AccessYes
TypeARTICLE
VenueJournal of Aging and Health (JOURNAL)
Journal identifiersISSN: 1552-6887 • E-ISSN: 0898-2643
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0898264320977309
PMID33275069
OpenAlexW3109096122
LanguageEN
Citations received1
References cited31

Objective: This study examines the association between psychological distress and Alzheimer's disease mortality among US adults aged ≥45. Methods: We analyzed the Kessler 6-item psychological distress scale as a risk factor for Alzheimer's mortality using the pooled 1997-2014 National Health Interview Survey (NHIS)- National Death Index (NDI) database ( N = 265,089). Cox regression was used to model mortality as a function of psychological distress and sociodemographic and behavioral covariates. Results: The Alzheimer's mortality risk was 97% higher (HR = 1.97; 95% confidence interval [CI] = 1.37, 2.84) in adults with serious psychological distress compared with those without psychological distress, controlling for sociodemographic covariates. The relative mortality risk remained statistically significant (HR = 1.49; 95% CI = 1.04, 2.13) after additional adjustment for smoking, alcohol consumption, health status, activity limitation, and body mass index. Discussion: US adults had significantly higher risks of Alzheimer's disease mortality at higher psychological distress levels. These findings underscore the significance of addressing psychological well-being as a strategy for reducing Alzheimer's disease mortality

Alzheimer's disease · Body mass index · Confidence interval · Disease · Distress · Environmental health · Hazard ratio · Mental health · National Death Index · National Health Interview Survey · Population · Proportional hazards model · Psychiatry · Psychological distress · Clinical Psychology · Dementia and Cognitive Impairment Research · Demography · Health disparities and outcomes · Health, psychology, and well-being · Medicine · Psychology · Gerontology · Internal Medicine

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Citations per year0.5
Citation span2024 - 2024 (1)
Highly citedNo

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