A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Living alone vs. living with someone as a predictor of mortality after a bone fracture in older age (2020)
Koivunen, K., Sillanpää, E., von Bonsdorff, M., Sakari, R., Pynnönen, K., & Rantanen, T. (2020). Living alone vs. living with someone as a predictor of mortality after a bone fracture in older age. Aging Clinical and Experimental Research, 32(9), Article 1697-1705. https://doi.org/10.1007/s40520-020-01511-5
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Koivunen, Kaisa; Sillanpää, Elina; von Bonsdorff, Mikaela; Sakari, Ritva; Pynnönen, Katja; Rantanen, Taina
Lehti tai sarja: Aging Clinical and Experimental Research
ISSN: 1594-0667
eISSN: 1720-8319
Julkaisuvuosi: 2020
Volyymi: 32
Lehden numero: 9
Artikkelinumero: 1697-1705
Kustantaja: Springer
Julkaisumaa: Sveitsi
Julkaisun kieli: englanti
DOI: https://doi.org/10.1007/s40520-020-01511-5
Julkaisun avoin saatavuus: Avoimesti saatavilla
Julkaisukanavan avoin saatavuus: Osittain avoin julkaisukanava
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/68171
Tiivistelmä
Living alone is a risk factor for health decline in old age, especially when facing adverse events increasing vulnerability.
Aim
We examined whether living alone is associated with higher post-fracture mortality risk.
Methods
Participants were 190 men and 409 women aged 75 or 80 years at baseline. Subsequent fracture incidence and mortality were followed up for 15 years. Extended Cox regression analysis was used to compare the associations between living arrangements and mortality risk during the first post-fracture year and during the non-fracture time. All participants contributed to the non-fracture state until a fracture occurred or until death/end of follow-up if they did not sustain a fracture. Participants who sustained a fracture during the follow-up returned to the non-fracture state 1 year after the fracture unless they died or were censored due to end of follow-up.
Results
Altogether, 22% of men and 40% of women sustained a fracture. During the first post-fracture year, mortality risk was over threefold compared to non-fracture time but did not differ by living arrangement. In women, living alone was associated with lower mortality risk during non-fracture time, but the association attenuated after adjustment for self-rated health. In men, living alone was associated with increased mortality risk during non-fracture time, although not significantly.
Conclusion
The results suggest that living alone is not associated with pronounced mortality risk after a fracture compared to living with someone.
YSO-asiasanat: sosiaaliset verkostot; sosiaalinen tuki; resilienssi; ikääntyneet; asuminen; kuolleisuus
Vapaat asiasanat: health stressors; living arrengement
Liittyvät organisaatiot
Hankkeet, joissa julkaisu on tehty
- Are older people becoming younger?
Cohort differences in perceived age and functional capacity among 75- and 80-year-old people assessed 28 years apart (The Evergreen 2)- Rantanen, Taina
- Suomen Akatemia
- Active ageing - resilience and external support as modifiers of the disablement outcome
- Rantanen, Taina
- Euroopan komissio
OKM-raportointi: Kyllä
Raportointivuosi: 2020
JUFO-taso: 1
