Low life satisfaction predicts mortality in a cohort study of very old men-the Manitoba follow up study.

IF 2.8 3区医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2025-01-11 DOI:10.1080/13607863.2025.2450028

Philip Donald St John, Robert Bruce Tate

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Abstract

Objectives: (1) To determine the life satisfaction (LS) of members of a cohort study of aging men; (2) to determine if LS predicts death at various ages amongst members of a cohort study.

Methods: We analyzed a prospective cohort study of men who qualified for air crew training in the Second World War. In 2005, 860 participants with a mean age of 85, were alive and responded to the annual questionnaire - which is sent to participants living in the community. Since 2005, LS was measured annually. Kaplan-Meier plots were constructed, and median survival times were calculated. Cox proportional hazards models were constructed comparing those with 'Poor/Bad'; 'Fair'; 'Good; and 'Very Good' to 'Excellent' LS.

Results: Throughout the study period from 2005 to 2024, most men were satisfied with life. Lower LS predicted mortality throughout the course of the study, even at very old ages and even after accounting for the effect of chronic diseases.

Conclusions: LS appears relatively stable in community living old men, and predicts mortality even into advanced age.

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曼尼托巴的一项随访研究表明，低生活满意度预示着老年男性的死亡率。

目的：(1)确定老年男性队列研究成员的生活满意度（LS）；(2)在队列研究中确定LS是否预测不同年龄的死亡。方法：我们分析了一项前瞻性队列研究，研究对象是第二次世界大战中有资格接受空勤人员训练的男性。2005年，860名平均年龄为85岁的参与者在世，他们对年度调查问卷做出了回应——调查问卷被发送给居住在社区的参与者。自2005年以来，LS每年测量一次。绘制Kaplan-Meier图，计算中位生存时间。构建Cox比例风险模型，对“差/坏”进行比较；“公平”;“好;从“非常好”到“优秀”。结果：在2005年至2024年的研究期间，大多数男性对生活感到满意。在整个研究过程中，较低的LS预测了死亡率，即使在很老的时候，甚至在考虑了慢性病的影响之后。结论：LS在社区生活的老年男性中表现出相对稳定的状态，甚至可以预测老年男性的死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aging & Mental Health 医学-精神病学

CiteScore

7.00

自引率

2.90%

发文量

176

审稿时长

4-8 weeks

期刊介绍： Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.