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Causes, mortality rates and risk factors of death in community-dwelling Europeans aged 50 years and over: Results from the Survey of Health, Ageing and Retirement in Europe 2013-2015
- Source :
- Dipòsit Digital de la UB, Universidad de Barcelona
- Publication Year :
- 2020
- Publisher :
- Elsevier B.V., 2020.
-
Abstract
- Objective To determine mortality rates and to rank the causes and predictors of mortality using a wide range of sociodemographic and clinical variables. Materials and methods It is a prospective population-based cohort study of adults living in the community, 2013–15 N = 48,691, age ≥50; deceased = 1,944. Clinical and sociodemographic data were obtained from the Survey of Health, Ageing and Retirement in Europe SHARE: Age, Gender, Marital Status, Years of Schooling, Income, Loneliness, Cognition, Self-Rated Health, Diseases, Activities of daily living ADL, and Frailty. Mortality rates were calculated. A Cox proportional hazards model were used to determine risk-adjusted mortality ratios. Results The crude mortality rate was 18.39 (1000 person-years at risk), (99 % CI, 18.37–18.42). The factors most associated with an increased mortality risk were older age, lower self-rated health, lower cognition, male gender, ADL deficits, higher comorbidity, frailty and loneliness. The diseases with a higher mortality risk were: cancer (Hazard ratio, HR = 2.67), dementia (HR = 2.19), depressive symptoms (HR = 2.10), fractures (hip, femur) (HR = 1.57), stroke (HR = 1.55), chronic lung disease (HR = 1.52), diabetes (HR = 1.36) and heart attack (HR = 1.21). Conclusions The main mortality risk factors, associated independently in the eight diseases were: older age, poor self-rated health, ADL deficits, male gender, lower cognition, comorbidity and the presence of depressive symptoms, with a different influence in the European regions. The need to evaluate and treat the depressive symptoms that accompanies diseases with higher risk of mortality is stressed.
- Subjects :
- Male
Aging
Health (social science)
Risk factors in diseases
Population
Comorbidity
Símptomes
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Comorbiditat
Risk Factors
Envelliment
Surveys and Questionnaires
Activities of Daily Living
medicine
Risk of mortality
Mortalitat
Humans
030212 general & internal medicine
Prospective Studies
Depressió psíquica
Mortality
education
Survey of Health, Ageing and Retirement in Europe
Aged
Proportional Hazards Models
education.field_of_study
Retirement
030214 geriatrics
Proportional hazards model
business.industry
Factors de risc en les malalties
Mortality rate
Hazard ratio
Middle Aged
medicine.disease
Europe
Mental depression
Symptoms
Independent Living
Geriatrics and Gerontology
business
Gerontology
Demography
Cohort study
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Dipòsit Digital de la UB, Universidad de Barcelona
- Accession number :
- edsair.doi.dedup.....7318ff956604039d0b6684411e54956b