Schafer Markus H, Upenieks Laura, MacNeil Andie
1 Department of Sociology, University of Toronto, Toronto, Ontario, Canada.
Res Aging. 2018 Sep;40(8):762-790. doi: 10.1177/0164027517741347. Epub 2017 Nov 14.
This article examines whether disorderly household conditions and bodily self-presentation predict mortality, above and beyond four sets of variables conceptually linked to both death and disorder. Data come from 2005/2006 and 2010/2011 waves of the National Social Life, Health, and Aging Project. We used naturalistic observation of respondents' homes and bodies, along with a diverse range of additional covariates, to predict probability of death. Older adults living in disorderly households were at highest risk of death over 5 years, primarily because they confronted high levels of frailty. Disorderly bodily self-presentation was also related to mortality risk, but this association could be only partially explained by demographic factors, health conditions, frailty, and low social connectedness. Findings suggest that disorder in the residential context-dress and hygiene in particular-is a strong predictor of mortality. Support providers should be mindful of changes in bodily presentation among community-dwelling older adults.
本文探讨了家庭环境紊乱和身体自我呈现是否能在与死亡和紊乱概念相关的四组变量之外预测死亡率。数据来自2005/2006年和2010/2011年的“全国社会生活、健康与老龄化项目”。我们通过对受访者的家庭和身体进行自然观察，并结合一系列其他协变量，来预测死亡概率。生活在杂乱家庭中的老年人在5年中死亡风险最高，主要是因为他们面临着高度的身体虚弱。身体自我呈现紊乱也与死亡风险有关，但这种关联只能部分由人口因素、健康状况、身体虚弱和社会联系不足来解释。研究结果表明，居住环境中的紊乱，尤其是着装和卫生方面，是死亡率的有力预测指标。支持提供者应留意社区居住老年人身体呈现的变化。
