Evidence map›Paper›PMID 26511887›Full record

ArticleJournal of epidemiology and community health2016

Wealth and mortality at older ages: a prospective cohort study.

Panayotes Demakakos, Jane P Biddulph, Martin Bobak, Michael G Marmot

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Article in Journal of epidemiology and community health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. Association Between Optimism and Incident Stroke Among Stroke Survivors: Findings From the English Longitudinal Study of Ageing.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024
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27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Panayotes DemakakosDepartment of Epidemiology and Public Health, University College London, London, UK.
Jane P BiddulphDepartment of Epidemiology and Public Health, University College London, London, UK.
Martin BobakDepartment of Epidemiology and Public Health, University College London, London, UK.
Michael G MarmotDepartment of Epidemiology and Public Health, University College London, London, UK.

Funding

Project-001R01AG017644 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI Andrew Steptoe · 2000 to 2026
$56.2M
British Heart Foundation RG/07/008/23674Medical Research Council G0100222Medical Research Council G0601647Medical Research Council G0701830Medical Research Council G0902037Medical Research Council G1000616Medical Research Council G19/35Medical Research Council G8802774NIA NIH HHS 2R01AG017644-01A1NIA NIH HHS 2R01AG7644NIA NIH HHS R01 AG017644
6 · The paper itself

Abstract

backgroundDespite the importance of socioeconomic position for survival, total wealth, which is a measure of accumulation of assets over the life course, has been underinvestigated as a predictor of mortality. We investigated the association between total wealth and mortality at older ages.

methodsWe estimated Cox proportional hazards models using a sample of 10,305 community-dwelling individuals aged ≥ 50 years from the English Longitudinal Study of Ageing.

results2401 deaths were observed over a mean follow-up of 9.4 years. Among participants aged 50-64 years, the fully adjusted HRs for mortality were 1.21 (95% CI 0.92 to 1.59) and 1.77 (1.35 to 2.33) for those in the intermediate and lowest wealth tertiles, respectively, compared with those in the highest wealth tertile. The respective HRs were 2.54 (1.27 to 5.09) and 3.73 (1.86 to 7.45) for cardiovascular mortality and 1.36 (0.76 to 2.42) and 2.53 (1.45 to 4.41) for other non-cancer mortality. Wealth was not associated with cancer mortality in the fully adjusted model. Similar but less strong associations were observed among participants aged ≥ 65 years. The use of repeated measurements of wealth and covariates brought about only minor changes, except for the association between wealth and cardiovascular mortality, which became less strong in the younger participants. Wealth explained the associations between paternal occupation at age 14 years, education, occupational class, and income and mortality.

conclusionsThere are persisting wealth inequalities in mortality at older ages, which only partially are explained by established risk factors. Wealth appears to be more strongly associated with mortality than other socioeconomic position measures.

Indexed as

AgingMortalityCause of DeathFemaleHealth SurveysHumansIncomeLife StyleLongitudinal StudiesMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsSocioeconomic FactorsLONGITUDINAL STUDIESMORTALITYSOCIAL INEQUALITIESSOCIO-ECONOMIC

Identifiers

PMID26511887
PMCPMC4819652

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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.