Psychosocial resources related to survival among non-robust community-dwelling older people : an 18-year follow-up study

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Lavonius , S , Salminen , M , Vahlberg , T , Isoaho , R , Kivelä , S-L , Wuorela , M , Lopponen , M , Viitanen , M & Viikari , L 2020 , ' Psychosocial resources related to survival among non-robust community-dwelling older people : an 18-year follow-up study ' , European Geriatric Medicine , vol. 11 , no. 3 , pp. 475-481 . https://doi.org/10.1007/s41999-020-00300-7

Title: Psychosocial resources related to survival among non-robust community-dwelling older people : an 18-year follow-up study
Author: Lavonius, Sirkku; Salminen, Marika; Vahlberg, Tero; Isoaho, Raimo; Kivelä, Sirkka-Liisa; Wuorela, Maarit; Lopponen, Minna; Viitanen, Matti; Viikari, Laura
Other contributor: University of Helsinki, Päijät-Häme Welfare Consortium
University of Helsinki, Divisions of Faculty of Pharmacy




Date: 2020-06
Language: eng
Number of pages: 7
Belongs to series: European Geriatric Medicine
ISSN: 1878-7649
DOI: https://doi.org/10.1007/s41999-020-00300-7
URI: http://hdl.handle.net/10138/317941
Abstract: Purpose Psychosocial resources have been considered to be associated with survival among frail older adults but the evidence is scarce. The aim was to investigate whether psychosocial resources are related to survival among non-robust community-dwelling older people. Methods This is a prospective study with 10- and 18-year follow-ups. Participants were 909 non-robust (according to Rockwood's Frailty Index) older community-dwellers in Finland. Psychosocial resources were measured with living circumstances, education, satisfaction with friendship and life, visiting other people, being visited by other people, having someone to talk to, having someone who helps, self-rated health (SRH) and hopefulness about the future. To assess the association of psychosocial resources for survival, Cox regression analyses was used. Results Visiting other people more often than once a week compared to that of less than once a week (hazard ratio 0.61 [95% confidence interval 0.44-0.85], p = 0.003 in 10-year follow-up; 0.77 [0.62-0.95], p = 0.014 in 18-year follow-up) and good SRH compared to poor SRH (0.65 [0.44-0.97], p = 0.032; 0.68 [0.52-0.90], p = 0.007, respectively) were associated with better survival in both follow-ups. Visiting other people once a week (compared to that of less than once a week) (0.77 [0.62-0.95], p = 0.014) was only associated with better 18-year survival. Conclusions Psychosocial resources, such as regularly visiting other people and good self-rated health, seem to be associated with better survival among non-robust community-dwelling Finnish older people. This underlines the importance of focusing also on psychosocial well-being of frail older subjects to remain or promote their resilience. Key summary pointsAim To investigate whether psychosocial resources are associated with survival among non-robust community-dwelling older Finnish people during an 18-year follow-up. Findings Psychosocial resources, such as good self-rated health and regularly visiting other people, were significantly associated with better survival of non-robust older people. Message It is important to focus also on psychological well-being, together with physical activity and nutrition, of frail older people to remain or promoting their capacity.
Subject: Frailty
Older people
Psychosocial
Resource
Survival
SELF-RATED HEALTH
FUNCTIONAL DECLINE
FRAILTY
MORTALITY
LONELINESS
ADULTS
ASSOCIATION
RESILIENCE
DEMENTIA
OUTCOMES
5144 Social psychology
3141 Health care science
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