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Perception of unmet basic needs as a predictor of mortality among community-dwelling older adults
Dan G Blazer1, Natalie Sachs-Ericsson, Celia F Hybels
1Department of Psychiatry, Box 3003, Duke University Medical Center, Durham, NC 27710, USA. blaze001@mc.duke.edu
Objectives:
We sought to determine whether, among older adults (>65 years), a perception that their basic needs are not being met increased mortality risk and whether this risk varied by race/ethnicity.
Methods:
We used Cox proportional hazards modeling to estimate the effect of perceived inadequacy in having one's basic needs (adequacy of income, quality of housing, and neighborhood safety) met on 10-year mortality rates.
Results:
After control for age, gender, race/ethnicity, marital status, education, income, and cognitive and functional status at baseline, perceived inadequacy in having one's basic needs met was shown to be a significant predictor of mortality (P<.0001), but no significant differences by race/ethnicity were observed.
Conclusions:
Perceived inadequacy in having one's basic needs met predicted mortality during a 10-year follow-up among community-dwelling elderly persons.
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