Full Citation

Title: Psychological distress, life expectancy, and all-cause mortality in the United States: results from the 1997–2014 NHIS-NDI record linkage study

Citation Type: Journal Article

Publication Year: 2021

ISBN:

ISSN: 1047-2797

DOI: 10.1016/J.ANNEPIDEM.2021.01.002

NSFID:

PMCID:

PMID: 33453384

Abstract: Purpose: Previous research has shown a significant association between psychological distress (PD) and all-cause mortality. However, this association is not fully explored, and life expectancy by PD is unknown. Methods: We used the pooled 1997–2014 data from the National Health Interview Survey linked to National Death Index (n = 513,081) to examine the association of the Kessler 6-item PD scale with life expectancy and all-cause mortality. Life expectancy by PD was computed using the standard life table method. Cox regression was used to model survival time as a function of PD and sociodemographic, behavioral, and health characteristics. Results: The age-adjusted mortality rate for adults with serious PD (SPD) was 2632 deaths per 100,000 person-years, compared with 1428 for those without PD. Life expectancy was inversely related to PD. At age 18, those with SPD had a life expectancy of 45.0 years, compared with 55.6 years for those without PD. The age-adjusted relative risk of all-cause mortality was 125% higher for adults with SPD (hazard ratio = 2.25; 95% confidence interval = 2.14, 2.37) than those without PD. Mortality risk associated with SPD remained (hazard ratio = 1.14; 95% confidence interval = 1.08, 1.20) after covariate adjustment. Conclusions: U.S. adults with SPD had significantly higher mortality risk and lower life expectancy.

Url: https://www.sciencedirect.com/science/article/abs/pii/S1047279721000028

User Submitted?: No

Authors: Lee, Hyunjung; Singh, Gopal K.

Periodical (Full): Annals of Epidemiology

Issue:

Volume: 56

Pages: 9-17

Data Collections: IPUMS Health Surveys - NHIS

Topics: Fertility and Mortality, Health

Countries: