Evidence map›Paper›PMID 32727399›Full record

ArticleBMC geriatrics2020

Socioeconomic status, health-related behaviours, and death among older people: the Concord health and aging in men project prospective cohort study.

Saman Khalatbari-Soltani, Fiona M Blyth, Vasi Naganathan, David J Handelsman, David G Le Couteur, Markus J Seibel, Louise M Waite, Erin Cvejic, Robert G Cumming

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.7field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Individual and neighborhood socioeconomic inequality and the risk of dementia: A 14-year follow-up study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  12. Life-Course Pathways to Exceptional Longevity: Evidence From the Lothian Birth Cohort of 1921.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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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

9 authors at 1 institution in 1 country.

Saman Khalatbari-SoltaniThe University of Sydney School of Public Health, Faculty of Medicine and Health, Sydney, New South Wales, Australia. saman.khalatbarisoltani@sydney.edu.au.ORCID 0000-0001-8437-1906
Fiona M BlythThe University of Sydney School of Public Health, Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Vasi NaganathanConcord Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
David J HandelsmanANZAC Research Institute, University of Sydney and Concord Hospital, Sydney, Australia.
David G Le CouteurCentre for Education and Research on Ageing, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Markus J SeibelANZAC Research Institute, University of Sydney and Concord Hospital, Sydney, Australia.
Louise M WaiteConcord Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Erin CvejicThe University of Sydney School of Public Health, Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Robert G CummingThe University of Sydney School of Public Health, Faculty of Medicine and Health, Sydney, New South Wales, Australia. robert.cumming@sydney.edu.au.
The University of Sydney · AU

Funding

the Australian Research Council Centre of Excellence in Population Aging Research CE170100005the National Health and Medical Research Council of Australia 301916
6 · The paper itself

Abstract

backgroundConflicting evidence exists regarding the association of socioeconomic status (SES) with mortality among older people and little is known about the mechanisms underlying this association. We investigated the association of SES with mortality among older Australian men. We also investigated potential mediating effects of health-related behaviours in SES-mortality associations.

methodsWe used data from a prospective population-based cohort (the Concord Health and Aging in Men Project), in Sydney, Australia. The main outcomes were all-cause and cause-specific mortality. Educational attainment, occupational position, source of income, housing tenure, and a cumulative SES score were assessed at baseline. Longitudinally assessed alcohol consumption, smoking, physical activity, and body mass index were investigated as potential mediators. Associations were quantified using Cox regression.

resultsWe evaluated 1527 men (mean age: 77.4 ± 5.5 years). During a mean follow-up time of 9.0 years, 783 deaths occurred. For deaths from all causes, the adjusted hazard ratio (HR) for the lowest tertile of cumulative SES score versus the highest tertile was 1.44 (95% CI 1.21 to 1.70); the corresponding sub-HRs were 1.35 (0.96 to 1.89) for cardiovascular disease (CVD) mortality; 1.58 (1.15 to 2.18) for cancer mortality, and 1.86 (1.36 to 2.56) for non-CVD, non-cancer mortality. SES-mortality associations were attenuated by 11-25% after adjustment for mediating health-related behaviours.

conclusionLow SES is associated with increased mortality in older Australian men and health-related behaviours accounted for less than one-fourth of these associations. Further research is needed to fully understand the mechanisms underlying SES inequalities in mortality among older people.

Indexed as

Health BehaviorSocial ClassAgedAged, 80 and overAgingAustraliaCohort StudiesHumansMaleProspective StudiesSocioeconomic FactorsEpidemiologySocioeconomic issuesSuccessful aging

Identifiers

PMID32727399
PMCPMC7391572
OpenAlexW3045533835

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.