Evidence map›Paper›PMID 41649462›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2026

Socioeconomic and clinical predictors of all-cause mortality among older adults in India from 2017 to 2024: the importance of cognitive health and dementia.

Emma Nichols, Sharmistha Dey, Pranali Khobragade, Joyita Banerjee, Sara D Adar, Sandy Chien, Alden L Gross, Sarah Petrosyan, Eileen M Crimmins, Aparajit B Dey and 1 more

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Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Emma NicholsCenter for Economic and Social Research, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, United States.ORCID 0000-0002-9005-3872
Sharmistha DeyDepartment of Biophysics, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0003-4122-7415
Pranali KhobragadeCenter for Economic and Social Research, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, United States.
Joyita BanerjeeCenter for Economic and Social Research, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, United States.ORCID 0000-0002-3432-9782
Sara D AdarDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, United States.
Sandy ChienCenter for Economic and Social Research, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, United States.
Alden L GrossDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States.
Sarah PetrosyanCenter for Economic and Social Research, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, United States.
Eileen M CrimminsLeonard Davis School of Gerontology, University of Southern California, Los Angeles, California, United States.
Aparajit B DeyVenu Geriatric Care Center, New Delhi, India.
Jinkook LeeCenter for Economic and Social Research, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, United States.ORCID 0000-0002-6209-719X

Funding

Integrting Information About Aging SurveysR01AG030153 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Sara Adar, Alden L. Gross · 2007 to 2026
$41.7M
Leveraging a natural experiment to estimate the causal impact of blood sugar on dementia and cognition in IndiaR01AG051125 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Jinkook Lee · 2015 to 2026
$26.8M
Harmonized Diagnostic Assessment of Dementia (DAD) for Longitudinal Aging Study of India (LASI)-Genomic study.U01AG064948 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI KARDIA, SHARON L, LEE, JINKOOK · 2019 to 2023
$12.5M
NIA/NIH R01AG030153NIA/NIH R01AG051125NIA/NIH U01AG064948NIA NIH HHS R01 AG051125NIH HHS
6 · The paper itself

Abstract

backgroundCharacterizing the correlates of adult mortality can lend insights into the factors associated with consequential health outcomes among older adults. In India, the importance of adult mortality has grown given trends in population aging, but prior research has been limited by a lack of high-quality longitudinal data.

methodsWe used new data from Waves 1 (2017-2019) and 2 (2022-2024) of the Longitudinal Aging Study in India-Diagnostic Assessment of Dementia (LASI-DAD) study (N = 3871) to evaluate associations between all-cause mortality and 27 socioeconomic and clinical factors using Cox proportional hazards models. We also evaluated gender differences and the impact of COVID-19.

resultsThe estimated mortality rate was 6.0 (95% confidence intervals [95% CI]: 5.6-6.4) deaths per 100 person-years. A broad range of factors were associated with mortality, but cardiometabolic and cognitive phenotypes had some of the strongest -associations; those with dementia had a 2.84 (95% CI: 2.12-3.81) times greater risk of death than those with -normal -cognitive functioning. Associations with socioeconomic factors tended to be stronger for men than women (eg, wealth quintile; χ2  p = .046), whereas associations with clinical factors tended to be stronger for women than men (eg, diabetes; χ2  p = .033). We observed some evidence of excess mortality due to COVID-19.

conclusionsFindings emphasize the multifaceted nature of health among older adults in India and illustrate the need for solutions that recognize the importance of a wide range of social factors and clinical health conditions. Results also showcase the importance of dementia as a key factor associated with survival among older adults.

Indexed as

CognitionCOVID-19DementiaMortalityAgedAged, 80 and overCause of DeathFemaleHumansIndiaLongitudinal StudiesMaleProportional Hazards ModelsRisk FactorsSARS-CoV-2Socioeconomic Disparities in HealthCorrelatesDementiaGlobal healthIndiaMortality

Identifiers

PMID41649462
PMCPMC13017603

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LicenceCC BY-NC
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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.