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A Review of Lifetime Risk Factors for Mortality

Author

Listed:
  • Kuh, D.
  • Hardy, R.
  • Hotopf, M.
  • Lawlor, D. A.
  • Maughan, B.
  • Westendorp, R.
  • Cooper, R.
  • Black, S.
  • Mishra, G. D.

Abstract

This review was undertaken for the Faculty and Institute of Actuaries as part of their programme to encourage research collaborations between health researchers and actuaries in order to understand better the factors influencing mortality and longevity. The authors presented their findings in a number of linked sessions at the Edinburgh conference (Joining Forces on Mortality and Longevity) in October 2009 and contributed to this overview. The purpose is to review evidence for the impact on adult mortality of characteristics of the individual's lifetime socioeconomic or psychosocial environment or phenotype at the behavioural; multi-system (e.g. cognitive and physical function); or body system level (e.g. vascular and metabolic traits) that may be common risk factors for a number of major causes of death. This review shows there is growing evidence from large studies and systematic reviews that these individual characteristics, measured in pre-adult as well as the adult life, are associated with later mortality risk. The relative contribution of lifetime environment, genetic factors and chance, whether these contributions change with age, and the underlying social and biological pathways are still to be clarified. This review identifies areas where further life course research is warranted.

Suggested Citation

  • Kuh, D. & Hardy, R. & Hotopf, M. & Lawlor, D. A. & Maughan, B. & Westendorp, R. & Cooper, R. & Black, S. & Mishra, G. D., 2009. "A Review of Lifetime Risk Factors for Mortality," British Actuarial Journal, Cambridge University Press, vol. 15(S1), pages 17-64, January.
    • Handle: RePEc:cup:bracjl:v:15:y:2009:i:s1:p:17-64_00
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    Cited by:

    1. O'Connell, Alison, 2014. "Longevity Trends and their Implications for the Age of Eligibility for New Zealand Superannuation," Working Paper Series 3168, Victoria University of Wellington, Chair in Public Finance.
    2. Michael McCrea & Mark Farrell, 2018. "A Conceptual Model for Pricing Health and Life Insurance Using Wearable Technology," Risk Management and Insurance Review, American Risk and Insurance Association, vol. 21(3), pages 389-411, December.
    3. O'Connell, Alison, 2014. "Longevity Trends and their Implications for the Age of Eligibility for New Zealand Superannuation," Working Paper Series 18814, Victoria University of Wellington, Chair in Public Finance.

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