Socioeconomic Factors and All Cause and Cause-Specific Mortality among Older People in Latin America, India, and China: A Population-Based Cohort Study
AbstractThe vital status of 12,373 people aged 65 years and over was determined 3–5 years after baseline survey in sites in Latin America, India, and China. Crude and standardised mortality rates are reported, standardized mortality ratios comparing mortality experience with that in the United States, and estimated associations with socioeconomic factors using Cox’s proportional hazards regression. Cause-specific mortality fractions were estimated using the InterVA algorithm. Crude mortality rates varied from 27.3 to 70.0 per 1,000 person-years, a 3-fold variation persisting after standardisation for demographic and economic factors. Compared with the US, mortality was much higher in urban India and rural China, much lower in Peru, Venezuela, and urban Mexico, and similar in other sites. Mortality rates were higher among men, and increased with age. Adjusting for these effects, it was found that education, occupational attainment, assets, and pension receipt were all inversely associated with mortality, and food insecurity positively associated. Mutually adjusted, only education remained protective (pooled hazard ratio 0.93, 95% CI 0.89–0.98). Most deaths occurred at home, but, except in India, most individuals received medical attention during their final illness. Chronic diseases were the main causes of death, together with tuberculosis and liver disease, with stroke the leading cause in nearly all sites. [Plos Research article]. URL:[http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001179].
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by eSocialSciences in its series Working Papers with number id:4828.
Date of creation: Mar 2012
Date of revision:
Note: Institutional Papers
Contact details of provider:
Web page: http://www.esocialsciences.org
Socioeconomic Factors; cause-specific; mortality; India; China; Latin America; Older People; low and middle income countries; LMICs; education; home ownership; rates; ratios; Cox’s proportional hazards regression; economic and human development;
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Jersey Liang & John F. McCarthy & Arvind Jain & Neal Krause & Joan M. Bennett & Shengzu Gu, 2000. "Socioeconomic Gradient in Old Age Mortality in Wuhan, China," Journals of Gerontology: Series B, Gerontological Society of America, vol. 55(4), pages S222-S233.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Padma Prakash).
If references are entirely missing, you can add them using this form.