Impact of behavioural risk factors on death within 10 years for women and men in their 70s: absolute risk charts

BMC Public Health

Research Article

Julie Byles¹  Wendy Brown²  Graeme J Hankey³  Janni Leung⁴  Deirdre McLaughlin⁴  Annette Dobson⁵  Derrick Lopez⁶  Kieran McCaul⁶  Leon Flicker⁷  Osvaldo Almeida⁸ 

[1] Centre for Gender, Health and Ageing, The University of Newcastle, Newcastle, Australia;School of Human Movement Studies, The University of Queensland, St Lucia, Australia;School of Medicine and Pharmacology, University of Western Australia, Perth, Australia;Stroke Unit, Department of Neurology, Royal Perth Hospital, Perth, Australia;School of Population Health, The University of Queensland, Herston, Australia;School of Population Health, The University of Queensland, Herston, Australia;Centre for Gender, Health and Ageing, School of Population Health, The University of Queensland, Herston Road, 4006, Herston, Queensland, Australia;Western Australian Centre for Health & Ageing, CMR, Western Australian Institute for Medical Research, Perth, Australia;Western Australian Centre for Health & Ageing, CMR, Western Australian Institute for Medical Research, Perth, Australia;School of Medicine and Pharmacology, University of Western Australia, Perth, Australia;Western Australian Centre for Health & Ageing, CMR, Western Australian Institute for Medical Research, Perth, Australia;School of Psychiatry & Clinical Neurosciences, University of Western Australia, Perth, Australia;Department of Psychiatry, Royal Perth Hospital, Perth, Australia;

关键词: Mortality;    Risk factors;    Men;    Women;   

DOI  :  10.1186/1471-2458-12-669

 received in 2011-12-07, accepted in 2012-08-09,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundEstimates of the absolute risk of death based on the combined effects of sex, age and health behaviours are scarce for elderly people. The aim of this paper is to calculate population based estimates and display them using simple charts that may be useful communication tools for public health authorities, health care providers and policy makers.MethodsData were drawn from two concurrent prospective observational cohort studies of community-based older Australian women (N = 7,438) and men (N = 6,053) aged 71 to 79. The outcome measure was death within ten years. The predictor variables were: sex, age, smoking status, alcohol consumption, body mass index and physical activity.ResultsPatterns of risks were similar in men and women but absolute risk of death was between 9 percentage points higher in men (17 %) than in women (8 %) in the lowest risk group (aged 71–73 years, never smoked, overweight, physically active and consumed alcohol weekly) and 21 % higher in men (73-74 %) than women (51-52 %) in the highest risk group (aged 77–79 years, normal weight or obese, current smoker, physically inactive and drink alcohol less than weekly).ConclusionsThese absolute risk charts provide a tool for understanding the combined effects of behavioural risk factors for death among older people.

【 授权许可】

CC BY   
© Dobson et al.; licensee BioMed Central Ltd. 2012