Social determinants of health and frailty are associated with all-cause mortality in older adults
Objective. To examine the longitudinal association between the social determinants of health (SDH) and frailty status with all-cause mortality in older Mexican adults. Materials and methods. Longitudinal study with a sample of adults aged 60 and over of Study on Global AGEing and Adult Health (SAGE)...
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| Format: | Article |
| Language: | English |
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Instituto Nacional de Salud Pública
2019-10-01
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| Series: | Salud Pública de México |
| Subjects: | |
| Online Access: | http://www.saludpublica.mx/index.php/spm/article/view/10062 |
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| author | Emmanuel González-Bautista Betty Manrique-Espinoza J Alberto Ávila-Funes Nirmala Naidoo Paul Kowal Somnath Chatterji Aarón Salinas-Rodríguez |
| author_facet | Emmanuel González-Bautista Betty Manrique-Espinoza J Alberto Ávila-Funes Nirmala Naidoo Paul Kowal Somnath Chatterji Aarón Salinas-Rodríguez |
| author_sort | Emmanuel González-Bautista |
| collection | DOAJ |
| description | Objective. To examine the longitudinal association between the social determinants of health (SDH) and frailty status with all-cause mortality in older Mexican adults. Materials and methods. Longitudinal study with a sample of adults aged 60 and over of Study on Global AGEing and Adult Health (SAGE) in Mexico. A Cox proportional hazard model was used to estimate the SDH and frailty-related hazard ratios (HR) for mortality over the study period. Results. Overall mortality rate was 16.9%. Higher education, having a higher frequency of inter-personal contacts (HR=0.96; p<0.01) reduced the risk of dying, after adjusting for potential confounders. While, not counting on someone to trust (HR= 1.59; p<0.03) and having a sense a lack of control over important decisions in life increased the mortality risk. Conclusions. Given that frailty and the SDH affect health using independent pathways, public health systems in Mexico could benefit from increasing the capacity of identifying frail and isolated older adults and providing a risk-stratified health care accordingly. |
| first_indexed | 2024-12-10T09:20:16Z |
| format | Article |
| id | doaj.art-744802190dce409cab77618077486f0e |
| institution | Directory Open Access Journal |
| issn | 0036-3634 |
| language | English |
| last_indexed | 2024-12-10T09:20:16Z |
| publishDate | 2019-10-01 |
| publisher | Instituto Nacional de Salud Pública |
| record_format | Article |
| series | Salud Pública de México |
| spelling | doaj.art-744802190dce409cab77618077486f0e2022-12-22T01:54:42ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36342019-10-01615, sep-oct58259010.21149/1006216686Social determinants of health and frailty are associated with all-cause mortality in older adultsEmmanuel González-Bautista0Betty Manrique-Espinoza1J Alberto Ávila-Funes2Nirmala Naidoo3Paul Kowal4Somnath Chatterji5Aarón Salinas-Rodríguez6Facultad de Medicina. Universidad Autónoma del Estado de México. Toluca, MéxicoEvaluation and Surveys Research Center. National Institute of Public Health, Cuernavaca, Mexico.Servicio de Geriatría. Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México. Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR 1219, F-33000 Bordeaux, France.World Health Organization, Geneva, Switzerland.World Health Organization, Geneva, Switzerland. University of Newcastle, Research Centre for Generational Health and Ageing, Newcastle, Australia. Chiang Mai University, Research Institute for Health Sciences, Chiang Mai, Thailand.World Health Organization, Geneva, Switzerland.Evaluation and Surveys Research Center. National Institute of Public Health, Cuernavaca, Mexico.Objective. To examine the longitudinal association between the social determinants of health (SDH) and frailty status with all-cause mortality in older Mexican adults. Materials and methods. Longitudinal study with a sample of adults aged 60 and over of Study on Global AGEing and Adult Health (SAGE) in Mexico. A Cox proportional hazard model was used to estimate the SDH and frailty-related hazard ratios (HR) for mortality over the study period. Results. Overall mortality rate was 16.9%. Higher education, having a higher frequency of inter-personal contacts (HR=0.96; p<0.01) reduced the risk of dying, after adjusting for potential confounders. While, not counting on someone to trust (HR= 1.59; p<0.03) and having a sense a lack of control over important decisions in life increased the mortality risk. Conclusions. Given that frailty and the SDH affect health using independent pathways, public health systems in Mexico could benefit from increasing the capacity of identifying frail and isolated older adults and providing a risk-stratified health care accordingly.http://www.saludpublica.mx/index.php/spm/article/view/10062social determinants of healthmortalityeconomic statussocial isolationaging |
| spellingShingle | Emmanuel González-Bautista Betty Manrique-Espinoza J Alberto Ávila-Funes Nirmala Naidoo Paul Kowal Somnath Chatterji Aarón Salinas-Rodríguez Social determinants of health and frailty are associated with all-cause mortality in older adults Salud Pública de México social determinants of health mortality economic status social isolation aging |
| title | Social determinants of health and frailty are associated with all-cause mortality in older adults |
| title_full | Social determinants of health and frailty are associated with all-cause mortality in older adults |
| title_fullStr | Social determinants of health and frailty are associated with all-cause mortality in older adults |
| title_full_unstemmed | Social determinants of health and frailty are associated with all-cause mortality in older adults |
| title_short | Social determinants of health and frailty are associated with all-cause mortality in older adults |
| title_sort | social determinants of health and frailty are associated with all cause mortality in older adults |
| topic | social determinants of health mortality economic status social isolation aging |
| url | http://www.saludpublica.mx/index.php/spm/article/view/10062 |
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