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Article

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Accepted version

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2018

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Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/127207

The impact of socioeconomic status on the association between biomedical and psychosocial well-being and all-cause mortality in older Spanish adults.

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https://doi.org/10.1007/s00127-018-1480-7

Abstract

Purpose: The aim of this paper was to analyze the effect of biomedical and psychosocial well-being, based on distinct successful aging models (SA), on time to mortality and determine whether this effect was modified by socioeconomic status (SES) in a nationally representative sample of older Spanish adults. Methods: Data were taken from a 3-year follow-up study with 2,783 participants aged 50 or over. Vital status was ascertained by using national registers or asking participants' relatives. Kaplan-Meier curves were used to estimate the time to death by SES, and levels of biomedical and psychosocial SA. Cox proportional hazard regression models were conducted to explore interactions between SES and SA models while adjusting for gender, age and marital status. Results: Lower levels of SES and biomedical and psychosocial SA were associated with low probability of survival. Only the interaction between SES and biomedical SA was significant. Biomedical SA impacted on mortality rates among individuals with low SES but not on those with medium or high SES, whereas psychosocial SA affected mortality regardless of SES. Conclusions:JC Promoting equal access to health care system and improved psychosocial well-being could be a protective factor against premature mortality in older Spanish adults with low SES.

Subject

Benestar, Biometria, Mortalitat, Anàlisi d'impacte econòmic, Ètica social

Subject (English)

Human comfort, Biometry, Mortality, Economic impact analysis, Social ethics

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Articles publicats en revistes (Sociologia)
Articles publicats en revistes (Medicina)

Citation

DOMÈNECH ABELLA, Joan, et al. The impact of socioeconomic status on the association between biomedical and psychosocial well-being and all-cause mortality in older Spanish adults. Social Psychiatry and Psychiatric Epidemiology. 2018. Vol. 53, num. 3, pags. 259-268. ISSN 0933-7954. [consulted: 12 of August of 2026]. Available at: https://hdl.handle.net/2445/127207

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