Mortality risk in older inner-city African Americans

Theodore K. Malmstrom, Elena Andresen, Fredric D. Wolinsky, J. Philip Miller, Kathryn Stamps, Douglas K. Miller

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

OBJECTIVES: To investigate mortality risks in a sample of poor, inner-city-dwelling, older African Americans. DESIGN: Prospective cohort study. SETTING: St. Louis, Missouri. PARTICIPANTS: Six hundred twenty-two African Americans aged 68 to 102 at the time of their 1992 to 1994 baseline interviews. MEASUREMENTS: Risk factors previously identified in the literature were examined for seven categories: demographic, socioeconomic, psychosocial, biomedical, disability and physical function, perceived health, and health services utilization. Vital status was ascertained through 2002. RESULTS: Three hundred eighty-six subjects (62.1%) were deceased and 236 were alive (mortality higher than in matched controls). Significant risks for mortality were older age, male sex, annual income less than $10,000, cancer, cerebrovascular disease, dependencies in lower-body function, and number of physician visits in the 12 months before baseline. CONCLUSION: In addition to improving the risk factors for stroke and malignant disease in this population, studies focused on improving lower-body functioning may be warranted as a part of efforts aimed at enhancing longevity in older African-American adults.

Original languageEnglish (US)
Pages (from-to)1049-1055
Number of pages7
JournalJournal of the American Geriatrics Society
Volume55
Issue number7
DOIs
StatePublished - Jul 2007
Externally publishedYes

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Keywords

  • African Americans
  • Disease
  • Health services utilization
  • Lower-body disability
  • Mortality

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Malmstrom, T. K., Andresen, E., Wolinsky, F. D., Philip Miller, J., Stamps, K., & Miller, D. K. (2007). Mortality risk in older inner-city African Americans. Journal of the American Geriatrics Society, 55(7), 1049-1055. https://doi.org/10.1111/j.1532-5415.2007.01204.x