Racial Differences in Mortality in Older Adults: Factors Beyond Socioeconomic Status
- Roland J. Thorpe Jr PhD,
- Annemarie Koster PhD,
- Hans Bosma PhD,
- Tamara B. Harris MD,
- Eleanor M. Simonsick PhD,
- Jacques Th. M. van Eijk PhD,
- Gertrudis I. J. M. Kempen PhD,
- Anne B. Newman MD, MPH,
- Suzanne Satterfield PhD,
- Susan M. Rubin PhD,
- Stephen B. Kritchevsky PhD,
- for the Health ABC Study
- … show all 12 hide
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Little is known about the simultaneous effect of socioeconomic status (SES), psychosocial, and health-related factors on race differences in mortality in older adults.
This study examined the association between race and mortality and the role of SES, health insurance, psychosocial factors, behavioral factors, and health-related factors in explaining these differences.
Data consisted of 2,938 adults participating in the Health, Aging and Body Composition study. Mortality was assessed over 8 years.
SES differences accounted for 60% of the racial differences in all-cause mortality; behavioral factors and self-rated health further reduced the disparity. The racial differences in coronary heart disease mortality were completely explained by SES. Health insurance and behavioral factors accounted for some, but not all, of the race differences in cancer mortality.
Race-related risk factors for mortality may differ by the underlying cause of mortality.
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Annals of Behavioral Medicine
Volume 43, Issue 1 , pp 29-38
- Cover Date
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- Older adults
- Industry Sectors
- Roland J. Thorpe Jr PhD (1)
- Annemarie Koster PhD (2) (3)
- Hans Bosma PhD (2)
- Tamara B. Harris MD (3)
- Eleanor M. Simonsick PhD (4) (5)
- Jacques Th. M. van Eijk PhD (2)
- Gertrudis I. J. M. Kempen PhD (2)
- Anne B. Newman MD, MPH (6)
- Suzanne Satterfield PhD (7)
- Susan M. Rubin PhD (8)
- Stephen B. Kritchevsky PhD (9)
- for the Health ABC Study
- Author Affiliations
- 1. Hopkins Center for Health Disparities Solutions, Department of Health Policy and Management, The Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Ste 309, Baltimore, MD, USA
- 2. Faculty of Health, Medicine and Life Sciences, Universiteit Maastricht, Maastricht, The Netherlands
- 3. Laboratory of Epidemiology, Demography, and Biometry, National Institute on Aging, Bethesda, MD, USA
- 4. Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA
- 5. Clinical Research Branch, National Institute on Aging, Baltimore, MD, USA
- 6. Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA
- 7. Department of Preventive Medicine, University of Tennessee College of Medicine, Memphis, TN, USA
- 8. Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA
- 9. Sticht Center on Aging, Section on Gerontology and Geriatric Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA