Poverty and suicide risk in older adults: A retrospective longitudinal cohort study
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| Název: | Poverty and suicide risk in older adults: A retrospective longitudinal cohort study |
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| Autoři: | Jaeyong Shin, Tae Hyun Kim, Euna Han, Jae Woo Choi |
| Přispěvatelé: | Jae Woo Choi, Tae Hyun Kim, Jaeyong Shin, Euna Han, Kim, Tae Hyun |
| Zdroj: | International Journal of Geriatric Psychiatry. 34:1565-1571 |
| Informace o vydavateli: | Wiley, 2019. |
| Rok vydání: | 2019 |
| Témata: | Male, Poverty / statistics & numerical data, Databases, Factual, poverty, Databases, 03 medical and health sciences, suicide risk, 0302 clinical medicine, Risk Factors, Republic of Korea, 80 and over, Humans, Longitudinal Studies, 10. No inequality, Poverty, Factual, Aged, Proportional Hazards Models, Retrospective Studies, Aged, 80 and over, 1. No poverty, longitudinal cohort study, Middle Aged, 3. Good health, Suicide, Income, Female, Suicide / statistics & numerical data |
| Popis: | ObjectivesWe aimed to identify the impact of poverty on suicide risk in older adults.MethodThe data used in this study was obtained from the National Health Insurance Service‐Senior claims database from 2002 to 2013. A total of 558 147 individuals were followed for up to 12 years. Poverty was assessed from insurance premium levels, and causes of death were analysed by linking individuals' deaths to the data for causes of death from the National Statistics Office in South Korea. Cox proportional hazard models were used to analyse the associations between poverty and suicide deaths after adjustments for possible confounders.ResultsAmong 558 147 older adults (aged 60‐119 years), the poverty group had an increased risk of suicide compared with the high‐income group (adjusted hazard ratio [AHR], 1.34; 95% confidence interval [CI], 1.22‐1.47), and poverty‐group males had a significantly higher risk of suicide than males in the high‐income group (AHR, 1.50; 95% CI, 1.33‐1.68). Adults aged 60 to 74 years in the poverty group had a higher risk of suicide than those with a high income in the same age group (AHR, 1.41; 95% CI, 1.27‐1.57). However, no statistically significant income gradient was found for females or adults aged 75 years or older.ConclusionsOur findings revealed that poverty is a risk factor for death by suicide in older adults. Suicide prevention strategies for older adults should be specifically tailored by income level. |
| Druh dokumentu: | Article |
| Jazyk: | English |
| ISSN: | 1099-1166 0885-6230 |
| DOI: | 10.1002/gps.5166 |
| Přístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/31276241 https://onlinelibrary.wiley.com/doi/abs/10.1002/gps.5166 https://www.ncbi.nlm.nih.gov/pubmed/31276241 https://yonsei.pure.elsevier.com/en/publications/poverty-and-suicide-risk-in-older-adults-a-retrospective-longitud https://ir.ymlib.yonsei.ac.kr/handle/22282913/175833 https://europepmc.org/article/MED/31276241 https://pubmed.ncbi.nlm.nih.gov/31276241/ |
| Rights: | Wiley Online Library User Agreement CC BY NC ND |
| Přístupové číslo: | edsair.doi.dedup.....9e8f77719a62bb0d232b8709b0a96ed5 |
| Databáze: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | ObjectivesWe aimed to identify the impact of poverty on suicide risk in older adults.MethodThe data used in this study was obtained from the National Health Insurance Service‐Senior claims database from 2002 to 2013. A total of 558 147 individuals were followed for up to 12 years. Poverty was assessed from insurance premium levels, and causes of death were analysed by linking individuals' deaths to the data for causes of death from the National Statistics Office in South Korea. Cox proportional hazard models were used to analyse the associations between poverty and suicide deaths after adjustments for possible confounders.ResultsAmong 558 147 older adults (aged 60‐119 years), the poverty group had an increased risk of suicide compared with the high‐income group (adjusted hazard ratio [AHR], 1.34; 95% confidence interval [CI], 1.22‐1.47), and poverty‐group males had a significantly higher risk of suicide than males in the high‐income group (AHR, 1.50; 95% CI, 1.33‐1.68). Adults aged 60 to 74 years in the poverty group had a higher risk of suicide than those with a high income in the same age group (AHR, 1.41; 95% CI, 1.27‐1.57). However, no statistically significant income gradient was found for females or adults aged 75 years or older.ConclusionsOur findings revealed that poverty is a risk factor for death by suicide in older adults. Suicide prevention strategies for older adults should be specifically tailored by income level. |
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| ISSN: | 10991166 08856230 |
| DOI: | 10.1002/gps.5166 |