Evidence map›Paper›PMID 24569003›Full record

ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2014

The relationship between major depression and nonsuicide mortality for U.S. adults: the importance of health behaviors.

Jarron M Saint Onge, Patrick M Krueger, Richard G Rogers

Open access · bronzeAbstract read
In one paragraph

Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Prevalent Diagnosed Depression in Relation to Contextual Isolation Among Nursing Home Residents in the United States: A Cross-Sectional Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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  11. Predicting Ego Integrity Using Prior Ego Development Stages for Older Adults in the Community.International journal of environmental research and public health · 2021
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  12. Article
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  16. Health Lifestyle Behaviors among U.S. Adults.SSM - population health · 2017
    Article
  17. Article
  18. Depression and Frailty in Late Life: Evidence for a Common Vulnerability.The journals of gerontology. Series B, Psychological sciences and social sciences · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Jarron M Saint OngeDepartment of Sociology, University of Kansas, Lawrence. Department of Health Policy and Management, University of Kansas Medical Center, Kansas City. jsaintonge@ku.edu.
Patrick M KruegerDepartment of Health & Behavioral Sciences, University of Colorado at Denver.
Richard G RogersDepartment of Sociology, University of Colorado at Boulder.
University of Colorado Boulder · USUniversity of Kansas Medical Center · US

Funding

University of Colorado Population CenterP2CHD066613 · NICHD · UNIVERSITY OF COLORADO · PI JANE A MENKEN · 2015 to 2026
$3.7M
The University of Colorado Population CenterR24HD066613 · NICHD · UNIVERSITY OF COLORADO · PI PAMPEL, FRED C · 2010 to 2014
$1.9M
Race/Ethnic and Sex Differences in Health Behavior Patterns in the United StatesR03AG033331 · NIA · UNIVERSITY OF KANSAS LAWRENCE · PI SAINT ONGE, JARRON M. · 2011 to 2012
$136k
NIA NIH HHS R03 AG033331NIA NIH HHS R03AG033331NICHD NIH HHS P2C HD066613NICHD NIH HHS R24 HD066613
6 · The paper itself

Abstract

objectivesWe aim to elucidate the role of health behaviors and health conditions in the association between depression and mortality. First, we examine the relationship between major depression and nonsuicide mortality among U.S. adults aged 50 and older. Second, we examine the relationship between major depression and cardiovascular disease and cancer, by baseline disease status. Third, we examine the role of health behaviors as potential mediators of the association between major depression and cause-specific mortality.

methodsWe use data from the 1999 National Health Interview Study linked to the 2006 National Death Index (N = 11,369; M age = 65, deaths = 2,162) and Cox proportional hazards models to describe the relationships among major depression, health behaviors (alcohol use, cigarette smoking, physical activity), and nonsuicide mortality. We examine cause-specific mortality (cardiovascular and cancer) by baseline disease status.

resultsMajor depression remains associated with a 43% increase in the risk of death over the follow-up period, after we account for sociodemographic characteristics, health behaviors, and health conditions. Major depression is associated with 2.68 times the risk of cardiovascular disease mortality among those who did not have cardiovascular disease at baseline and 1.82 times for those with baseline cardiovascular disease. Health behaviors reduce the hazard ratio by 17% for all nonsuicide mortality, 3% for cardiovascular disease mortality, and 12% for cancer mortality. DISCUSSION: Our results provide evidence of the important role of health behaviors and health conditions in the depression-mortality relationship and highlight the importance of identifying risk factors for depression among aging adults.

Indexed as

Health BehaviorAgedAged, 80 and overCardiovascular DiseasesFemaleHumansMajor Depressive DisorderMaleMiddle AgedNeoplasmsProportional Hazards ModelsRandom AllocationRisk FactorsUnited StatesCancerCardiovascular diseaseHealth behaviorsMajor depressionMortalityNHIS-LMF.

Identifiers

PMID24569003
PMCPMC4049146
OpenAlexW2107635418

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.