All-cause mortality over a three-year period among community-dwelling older adults in Southern Brazil
ABSTRACT: Objective: To evaluate all-cause mortality in approximately three years of follow-up and related sociodemographic, behavioral and health factors in community-dwelling older adults in Pelotas, RS. Methods: This was a longitudinal observational study that included 1,451 older adults (≥ 60...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Associação Brasileira de Pós-Graduação em Saúde Coletiva
2021-04-01
|
| Series: | Revista Brasileira de Epidemiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000100411&tlng=en |
| _version_ | 1831702711201955840 |
|---|---|
| author | Ana Clara Ledezma Greiner de Souza Caroline Cardozo Bortolotto Andréa Dâmaso Bertoldi Elaine Tomasi Flávio Fernando Demarco Maria Cristina Gonzalez Renata Moraes Bielemann |
| author_facet | Ana Clara Ledezma Greiner de Souza Caroline Cardozo Bortolotto Andréa Dâmaso Bertoldi Elaine Tomasi Flávio Fernando Demarco Maria Cristina Gonzalez Renata Moraes Bielemann |
| author_sort | Ana Clara Ledezma Greiner de Souza |
| collection | DOAJ |
| description | ABSTRACT: Objective: To evaluate all-cause mortality in approximately three years of follow-up and related sociodemographic, behavioral and health factors in community-dwelling older adults in Pelotas, RS. Methods: This was a longitudinal observational study that included 1,451 older adults (≥ 60 years) who were interviewed in 2014. Information on mortality was collected from their households in 2016–2017 and confirmed with the Epidemiological Surveillance department of the city and by documents from family members. Associations between mortality and independent variables were assessed by crude and multiple Cox regression, with hazard ratio with respective 95% confidence intervals (95%CI). Results: Almost 10% (n = 145) of the participants died during an average of 2.5 years of follow-up, with a higher frequency of deaths among males (12.9%), ?80 years (25.2%), widowhood (15.0%), no education (13.8%) and who did not work (10.5%). Factors associated with higher mortality were: being a male (HR = 2.8; 95%CI 1.9 – 4.2), age ?80 years (HR = 3.9; 95%CI 2.4 – 6.2), widowhood (HR = 2.2; 95%CI 1.4 – 3.7), physical inactivity (HR = 2.3; 95%CI 1.1 – 4..6), current smoking (HR = 2.1; 95%CI 1.2 – 3.6), hospitalizations in the previous year (HR = 2.0; 95%CI 1.2 – 3.2), depressive symptoms (HR = 2.0; 95%CI 1.2 – 3,4) and dependence for two or more daily life activities (HR = 3.1; 95%CI 1,7 – 5.7). Conclusion: The identification of factors that increased the risk of early death makes it possible to improve public policies aimed at controlling the modifiable risk factors that can lead to aging with a better quality of life. |
| first_indexed | 2024-12-20T15:26:36Z |
| format | Article |
| id | doaj.art-362bc9b280574b9ea318a0b5755fa09a |
| institution | Directory Open Access Journal |
| issn | 1980-5497 |
| language | English |
| last_indexed | 2024-12-20T15:26:36Z |
| publishDate | 2021-04-01 |
| publisher | Associação Brasileira de Pós-Graduação em Saúde Coletiva |
| record_format | Article |
| series | Revista Brasileira de Epidemiologia |
| spelling | doaj.art-362bc9b280574b9ea318a0b5755fa09a2022-12-21T19:35:48ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972021-04-012410.1590/1980-549720210015All-cause mortality over a three-year period among community-dwelling older adults in Southern BrazilAna Clara Ledezma Greiner de Souzahttps://orcid.org/0000-0003-1011-7248Caroline Cardozo Bortolottohttps://orcid.org/0000-0003-3318-7900Andréa Dâmaso Bertoldihttps://orcid.org/0000-0002-4680-3197Elaine Tomasihttps://orcid.org/0000-0001-7328-6044Flávio Fernando Demarcohttps://orcid.org/0000-0003-2276-491XMaria Cristina Gonzalezhttps://orcid.org/0000-0002-3901-8182Renata Moraes Bielemannhttps://orcid.org/0000-0003-0202-3735ABSTRACT: Objective: To evaluate all-cause mortality in approximately three years of follow-up and related sociodemographic, behavioral and health factors in community-dwelling older adults in Pelotas, RS. Methods: This was a longitudinal observational study that included 1,451 older adults (≥ 60 years) who were interviewed in 2014. Information on mortality was collected from their households in 2016–2017 and confirmed with the Epidemiological Surveillance department of the city and by documents from family members. Associations between mortality and independent variables were assessed by crude and multiple Cox regression, with hazard ratio with respective 95% confidence intervals (95%CI). Results: Almost 10% (n = 145) of the participants died during an average of 2.5 years of follow-up, with a higher frequency of deaths among males (12.9%), ?80 years (25.2%), widowhood (15.0%), no education (13.8%) and who did not work (10.5%). Factors associated with higher mortality were: being a male (HR = 2.8; 95%CI 1.9 – 4.2), age ?80 years (HR = 3.9; 95%CI 2.4 – 6.2), widowhood (HR = 2.2; 95%CI 1.4 – 3.7), physical inactivity (HR = 2.3; 95%CI 1.1 – 4..6), current smoking (HR = 2.1; 95%CI 1.2 – 3.6), hospitalizations in the previous year (HR = 2.0; 95%CI 1.2 – 3.2), depressive symptoms (HR = 2.0; 95%CI 1.2 – 3,4) and dependence for two or more daily life activities (HR = 3.1; 95%CI 1,7 – 5.7). Conclusion: The identification of factors that increased the risk of early death makes it possible to improve public policies aimed at controlling the modifiable risk factors that can lead to aging with a better quality of life.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000100411&tlng=enMortalityRisk factorsHealth of the elderlyAging |
| spellingShingle | Ana Clara Ledezma Greiner de Souza Caroline Cardozo Bortolotto Andréa Dâmaso Bertoldi Elaine Tomasi Flávio Fernando Demarco Maria Cristina Gonzalez Renata Moraes Bielemann All-cause mortality over a three-year period among community-dwelling older adults in Southern Brazil Revista Brasileira de Epidemiologia Mortality Risk factors Health of the elderly Aging |
| title | All-cause mortality over a three-year period among community-dwelling older adults in Southern Brazil |
| title_full | All-cause mortality over a three-year period among community-dwelling older adults in Southern Brazil |
| title_fullStr | All-cause mortality over a three-year period among community-dwelling older adults in Southern Brazil |
| title_full_unstemmed | All-cause mortality over a three-year period among community-dwelling older adults in Southern Brazil |
| title_short | All-cause mortality over a three-year period among community-dwelling older adults in Southern Brazil |
| title_sort | all cause mortality over a three year period among community dwelling older adults in southern brazil |
| topic | Mortality Risk factors Health of the elderly Aging |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000100411&tlng=en |
| work_keys_str_mv | AT anaclaraledezmagreinerdesouza allcausemortalityoverathreeyearperiodamongcommunitydwellingolderadultsinsouthernbrazil AT carolinecardozobortolotto allcausemortalityoverathreeyearperiodamongcommunitydwellingolderadultsinsouthernbrazil AT andreadamasobertoldi allcausemortalityoverathreeyearperiodamongcommunitydwellingolderadultsinsouthernbrazil AT elainetomasi allcausemortalityoverathreeyearperiodamongcommunitydwellingolderadultsinsouthernbrazil AT flaviofernandodemarco allcausemortalityoverathreeyearperiodamongcommunitydwellingolderadultsinsouthernbrazil AT mariacristinagonzalez allcausemortalityoverathreeyearperiodamongcommunitydwellingolderadultsinsouthernbrazil AT renatamoraesbielemann allcausemortalityoverathreeyearperiodamongcommunitydwellingolderadultsinsouthernbrazil |