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© 1998 Oxford University Press

other

Mortality in elderly men and women in a Swedish municipality

TOVE M. GUSTAFSSON, DAG G. L ISACSON and MATS THORSLUND1

Pharmaceutical Services Research and Centre for Primary Care Research, University of Uppsala Uppsala, Sweden
1Department of Social Work, University of Stockholm Stockholm, Sweden

T Gustafsson, Pharmaceutical Services Research, University of Uppsala, BME, Box 586, S-75123, Uppsala, Sweden. Fax: (+46) 471 4154

Aim: to analyse the relationship between age, self-rated global health, morbidity, mobility, life satisfaction, marital status, social network and 6-year mortality in elderly men and women living at home.

Method: the study area was a municipality in mid-eastern Sweden with a population of about 21000. Data from interviews with non-institutionalized people aged 75 years and older in 1986 (n = 421) were linked to an individual-based research registry of prescription drug purchases. The elderly subjects were followed for 6 years. Information on mortality was obtained from the national cause of death register. A combined measure of morbidity captured both self-reported symptoms/diseases and prescription drugs.

Results: mortality was higher in men than women (P < 0.001). Multivariate analysis was performed using logistic regression analysis. Among elderly men, morbidity-related factors—self-rated global health, heart problems and diabetes mellitus, for example—were the most important predictors of mortality. Among women, the predictors were spread over more domains (morbidity, mobility, social network).

Keywords: elderly, gender, life satisfaction, morbidity, mortality, prescription drugs, self-rated global health, social network

Received May 21, 1997; accepted in revised form September 27, 1997.


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