男性百岁老人的社会特征、健康状况和死亡率与退伍军人事务部（VA）的医疗保健相关。
Social Characteristics, Health, and Mortality Among Male Centenarians Using Veterans Affairs (VA) Health Care.
机构信息
VA Boston Healthcare System, Massachusetts Veterans Epidemiology Research and Information Center, MA, USA.
Department of Gerontology, The University of Massachusetts Boston, MA, USA.
出版信息
Res Aging. 2022 Feb;44(2):136-143. doi: 10.1177/01640275211000724. Epub 2021 Mar 29.
We studied male centenarian Veterans using VA health care to understand the impact of social characteristics on their annual mortality rate, adjusting for prevalent health conditions. This longitudinal study used VA Electronic Health Record data from 1997 to 2012 ( = 1,858). Covariates included age, race, marital status, and periods of military service. The mean age was 100.4 ± 1.4 years, 76% were white, and 49% were married. The average annual mortality rate was 32 per 100 person-years. The annual mortality rate was stable and not affected by race but did vary by marital status. Divorced or separated centenarians had a 21% higher rate of death than married centenarians. A diagnosis of dementia or of congestive heart failure each increased the mortality risk by 37%. Providers should consider prevalent health conditions, as well as marital status, in managing care of centenarian Veterans.
我们研究了使用 VA 医疗保健的男性百岁老人退伍军人，以了解社会特征对他们的年死亡率的影响，同时调整了普遍存在的健康状况。这项纵向研究使用了 1997 年至 2012 年（=1858 人）的 VA 电子健康记录数据。协变量包括年龄、种族、婚姻状况和兵役期。平均年龄为 100.4 ± 1.4 岁，76%为白人，49%已婚。平均年死亡率为每 100 人年 32 人。年死亡率稳定，不受种族影响，但受婚姻状况影响。与已婚百岁老人相比，离婚或分居的百岁老人死亡率高 21%。痴呆或充血性心力衰竭的诊断使死亡率风险分别增加了 37%。医疗保健提供者在管理百岁退伍军人的护理时，应考虑普遍存在的健康状况以及婚姻状况。
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