Increased Mortality Risk in Older Adults With Persistently Low or Declining Feelings of Usefulness to Others

Journal of Aging and Health - Tập 21 Số 2 - Trang 398-425 - 2009
Tara L. Gruenewald1, Arun S. Karlamangla1, Gail A. Greendale1, Burton H. Singer2, Teresa E. Seeman1
1University of California, Los Angeles
2Princeton University, Princeton, New Jersey

Tóm tắt

Objective: This study seeks to determine if persistently low or declining feelings of usefulness to others in later life predict increased mortality hazard in older adults. Method: Data on change in perceptions of usefulness, health, behavioral and psychosocial covariates, and mortality originate from the MacArthur Study of Successful Aging, a prospective study of 1,189 older adults (aged 70 to 79). Results: Older adults with persistently low feelings of usefulness or who experienced a decline to low feelings of usefulness during the first 3 years of the study experienced a greater hazard of mortality (sociodemographic adjusted hazard ratio = 1.75; 95% confidence interval = 1.22, 2.51) during a subsequent 9-year follow-up as compared to older adults with persistently high feelings of usefulness. Discussion: Older adults with persistently low perceived usefulness or feelings of usefulness that decline to a low level may be a vulnerable group with increased risk for poor health outcomes in later life.

Từ khóa


Tài liệu tham khảo

10.1017/S0144686X01008145

10.1093/geronb/58.6.S377

10.1016/0895-4356(93)90112-E

10.1093/oxfordjournals.aje.a116748

Cornoni-Huntley, J., 1993, Aging (Milano), 5, 27

10.1002/bs.3830190102

10.1249/00005768-199305000-00016

10.2190/HA9X-H48D-9GYB-85XW

10.1136/bmj.319.7208.478

10.1093/geronb/50B.2.S65

Goethe, J. W. von. (1908). Iphigenia in Tauris. In W. Scott, E. A. Bowring, & A. Swanwich (Eds. & Trans.), The dramatic works of J. W. Goethe (pp. 465-543). London: G. Bell and Sons, Ltd. (Original work published 1779)

10.1016/0277-9536(88)90198-0

10.1016/0895-4356(90)90237-J

10.1093/geronb/62.1.P28

10.1002/1529-0131(200108)45:4<378::AID-ART351>3.0.CO;2-T

10.1093/geronj/44.4.S129

10.1093/geront/10.1_Part_1.20

10.1001/jama.1963.03060120024016

10.1016/j.ypmed.2004.02.029

10.1093/geronb/57.5.P409

10.1093/aje/kwg028

10.1093/geronb/58.2.S74

Moody, H.R. (2001). Productive aging and the ideology of old age. In J. Hinterlong, N. Morrow-Howell, & M. Sherraden (Eds.), Productive aging (pp. 175-196). Baltimore: John Hopkins University Press.

10.1093/geronb/54B.3.S173

10.2307/3349677

10.1093/geronb/59.5.P246

10.1177/073346489401300201

10.1111/j.1532-5415.1975.tb00927.x

10.1016/j.jclinepi.2003.07.013

10.1093/geronj/21.4.556

Rossi, A.S. (2004). Social responsibility to family and community . In O. G. Brim, C. D. Ryff, & R. C. Kessler (Eds.), How healthy are we? (pp. 550-585). Chicago: University of Chicago Press.

Rowe, J.W., 1998, Successful aging

10.1016/0021-9681(78)90058-9

10.1353/cja.2004.0028

Thông tin
Thông tin xuất bản

Journal of Aging and Health

Tập 21 Số 2

398-425

Thông tin tác giả