The Factors Associated with 3-Year Mortality Stratified by Physical and Mental Multimorbidity and Area of Residence Deprivation in Primary Care Community-Living Older Adults

Bibliographic Data

ID12798099
AuthorsHelen‐Maria Vasiliadis (0000-0003-0186-6060, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, QC, Canada, corresponding author), Helen-Maria Vasiliadis, Samantha Gontijo Guerra (0000-0001-8073-7835, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, QC, Canada), Djamal Berbiche (0000-0002-8630-1490, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, QC, Canada), Isabelle Pitrou (0000-0001-9896-9677, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, QC, Canada)
Year2021
Volume33
Issue7-8
Pages545-556
Publication date2021-03-27
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Aging and Health (JOURNAL)
Journal identifiersISSN: 1552-6887 • E-ISSN: 0898-2643
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0898264321997715
PMID33779356
OpenAlexW3142481231
LanguageEN
Citations received2
References cited56

Objectives: To examine the risk factors of mortality stratified by physical and mental multimorbidity (PMM) and area socioeconomic status. Methods: Cox regression analyses were used to study 3-year all-cause mortality in primary care older adults stratified by PMM status, and area of residence material and social deprivation. Results: There were socioeconomic differences in the associations between PMM and mortality. Continuity of care decreased mortality risk in moderately and most deprived areas. Satisfaction with medical consultations decreased mortality risk in moderately deprived areas. Current smoking increased mortality in those living in moderately and most deprived areas. Physical activity reduced mortality only in individuals without PMM. Higher cognition was associated with reduced mortality in individuals living in moderately deprived areas. Discussion: Public health policies should be further encouraged in primary care, aiming at increased continuity of care, quality of interactions with patients, and prevention strategies including smoking cessation programs and physical activity promotion

Environmental health · Mental health · Population · Psychiatry · Public health · Residence · Social support · Socioeconomic status · Stratified sampling · Chronic Disease Management Strategies · Demography · Health disparities and outcomes · Health Promotion and Cardiovascular Prevention · Medicine · Nursing · Psychology · Gerontology

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