| Titre : | Psychological disorder and mortality in french older adults : Do social relations modify the association ? (1999) |
| Auteurs : | R. FUHRER ; T.C. ANTONUCCI ; J.F. DARTIGUES ; C. DUFOUIL ; C. HELMER ; M.J. SHIPLEY ; Department of Epidemiology and Public Health. Ucl Medical School. London. GBR ; Inserm U330. Epidémiologie. Santé Publique et Développement. Bordeaux. FRA ; Inserm U360. Recherches Epidémiologiques en Neurologie et Psychopathologie. Paris. FRA |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 149, n° 2, 1999) |
| Pagination : | 116-126 |
| Langues: | Anglais |
| Mots-clés : | Etat dépressif ; Personne âgée ; Homme ; Sexe ; Mortalité ; Epidémiologie ; France ; Europe ; Support social ; Trouble humeur |
| Résumé : | [BDSP. Notice produite par INIST j9YKvR0x. Diffusion soumise à autorisation]. The possible modifying effect of social relations on the association between depression and mortality was examined in a community-based cohort study. A total of 3,777 randomly selected persons 65 years of age and older in southwest France were followed over a 5-year period from 1988 in the Personnes Agées Quid (PAQUID). At study entry, the prevalence of elevated depressive symptomatology was 12.9% for men and 14.7% for women, and the reported relative isolation was 14.1% for men and 26.0% for women. During a total of 16,984 person-years of follow-up, 849 deaths occurred. Among participants with high levels of depressive symptomatology, the age-adjusted mortality rate ratio was 2.10 (95% confidence interval 1.7-2.7) in men and 1.76 (95% confidence interval 1.4-2.3) in women. When compared with individuals with the most connections, men and women with few social network connections were also at increased risk of mortality : age-adjusted rate ratio=2.69 (95% confidence interval 1.9-3.8) for men and 1.56 (95% confidence interval 1.0-2.4) for women. Satisfaction with social support had a small but nonsignificant effect on mortality risk. For women, the excess risks due to depressive symptoms and few network connections are observed only in the 65-to 74-year age group, after adjusting for health and health behaviors. (...) |
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