Social determinants of health and frailty are associated with all-cause mortality in older adults

© 2019, Instituto Nacional de Salud Publica. 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 S...

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Main Authors: Emmanuel González-Bautista, Betty Manrique-Espinoza, J. Alberto Ávila-Funes, Nirmala Naidoo, Paul Kowal, Somnath Chatterji, Aarón Salinas-Rodríguez
Format: Journal
Published: 2020
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/68020
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-680202020-04-02T15:16:04Z Social determinants of health and frailty are associated with all-cause mortality in older adults Emmanuel González-Bautista Betty Manrique-Espinoza J. Alberto Ávila-Funes Nirmala Naidoo Paul Kowal Somnath Chatterji Aarón Salinas-Rodríguez Medicine © 2019, Instituto Nacional de Salud Publica. 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. 2020-04-02T15:16:04Z 2020-04-02T15:16:04Z 2019-01-01 Journal 16067916 00363634 2-s2.0-85074300860 10.21149/10062 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85074300860&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/68020
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
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
description © 2019, Instituto Nacional de Salud Publica. 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.
format Journal
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
title 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_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_sort social determinants of health and frailty are associated with all-cause mortality in older adults
publishDate 2020
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85074300860&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/68020
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