Cardiovascular and all-cause mortality attributable to loneliness in older Swedish men and women
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Preprint
- 4 February 2020
- preprint
- Published by Springer Nature in Research Square
Abstract
Background. This study examined whether loneliness predicts cardiovascular- and all-cause mortality in older men and women. Methods. Baseline data from the Gothenburg H70 Birth Cohort Studies, collected during 2000 on 70-year-olds born 1930 and living in Gothenburg were used for analysis (n=524). Mortality data was analyzed until 2012 through Swedish national registers. Results. Perceived loneliness was reported by 17.1% of the men and 30.9% of the women in a face-to-face interview with mental health professional. A total of 142 participants died during the 12-year follow-up period, with 5 334 person-years at risk, corresponding to 26.6 deaths/1000 person-years. Cardiovascular disease accounted for 59.2% of all deaths. The cumulative rates/1000 person-years for cardiovascular mortality were 20.8 (men) and 11.5 (women), and for all-cause mortality 33.8 (men) and 20.5 (women), respectively. In Cox regression models, no significant increased risk of mortality was seen for men with loneliness compared to men without loneliness (cardiovascular mortality HR 1.52, 95% CI 0.78 - 2.96; all-cause HR 1.32, 95% CI 0.77 - 2.28). Increased risk of cardiovascular mortality was observed in women with loneliness compared to those without (HR 2.25 95% CI 1.14 - 4.45), and the risk remained significant in a multivariable-adjusted model (HR 2.42 95% CI 1.04 - 5.65). Conclusions. Loneliness was shown to be an independent predictor of cardiovascular mortality in women. We found no evidence to indicate that loneliness was associated with an increased risk of either cardiovascular- or all-cause mortality in men.Keywords
All Related Versions
- Published version: BMC Geriatrics, 20 (1), 1.
This publication has 13 references indexed in Scilit:
- The Gothenburg H70 Birth cohort study 2014–16: design, methods and study populationEuropean Journal of Epidemiology, 2018
- Correlates and predictors of loneliness in older-adults: a review of quantitative results informed by qualitative insightsInternational Psychogeriatrics, 2016
- Loneliness and Health in Older Adults: A Mini-Review and SynthesisGerontology, 2015
- Loneliness and Mortality Among Older Adults in ChinaThe Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 2014
- Social isolation, loneliness, and all-cause mortality in older men and womenProceedings of the National Academy of Sciences, 2013
- Loneliness, health, and mortality in old age: A national longitudinal studySocial Science & Medicine, 2012
- Situational versus chronic loneliness as risk factors for all-cause mortalityInternational Psychogeriatrics, 2010
- Loneliness is a unique predictor of age-related differences in systolic blood pressure.Psychology and Aging, 2006
- Mental Disorders and the Use of Psychotropic Drugs in an 85-Year-Old Urban PopulationInternational Psychogeriatrics, 1993
- Seventy‐year‐old People in Gothenburg A Population Study in an Industrialized Swedish CityActa Medica Scandinavica, 1975