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Determinants of Mortality at Older Ages: The Role of Biological Markers of Chronic Disease

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  • Cassio M. Turra
  • Noreen Goldman
  • Christopher L. Seplaki
  • Dana A. Glei
  • Yu‐Hsuan Lin
  • Maxine Weinstein

Abstract

Researchers have had a longstanding interest in understanding the determinants of mortality. This article examines the impact of a broad array of biological markers, together with self‐reports of physical and mental health status, on the probability of dying for older adults. The estimates are derived from logistic regression models based on data from a national survey in Taiwan. The analysis confirms previous studies demonstrating the effects of clinical measures related to metabolic syndrome on mortality and identifies detrimental effects of neuroendocrine and immune‐system markers. The results reveal that biomarkers provide independent explanatory power in the presence of self‐reported health measures. The associations between biomarkers and mortality found here provide new avenues for projecting future mortality and elucidating differences in longevity across populations.

Suggested Citation

  • Cassio M. Turra & Noreen Goldman & Christopher L. Seplaki & Dana A. Glei & Yu‐Hsuan Lin & Maxine Weinstein, 2005. "Determinants of Mortality at Older Ages: The Role of Biological Markers of Chronic Disease," Population and Development Review, The Population Council, Inc., vol. 31(4), pages 675-698, December.
    • Handle: RePEc:bla:popdev:v:31:y:2005:i:4:p:675-698
    DOI: 10.1111/j.1728-4457.2005.00093.x
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    References listed on IDEAS

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    1. Jennifer Dowd & Noreen Goldman, 2004. "Do Biomarkers of Stress Mediate the Relationship between Socioeconomic Status and Health?," Working Papers 291, Princeton University, Woodrow Wilson School of Public and International Affairs, Office of Population Research..
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    Cited by:

    1. Emily Smith-Greenaway, 2015. "Educational attainment and adult literacy," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 33(35), pages 1015-1034.
    2. Eileen Crimmins & Jung Kim & Sarinnapha Vasunilashorn, 2010. "Biodemography: New approaches to understanding trendsand differences in population health and mortality," Demography, Springer;Population Association of America (PAA), vol. 47(1), pages 41-64, March.
    3. Smith-Greenaway, Emily, 2015. "Are literacy skills associated with young adults' health in Africa? Evidence from Malawi," Social Science & Medicine, Elsevier, vol. 127(C), pages 124-133.
    4. Todd, Megan A. & Shkolnikov, Vladimir M. & Goldman, Noreen, 2016. "Why are well-educated Muscovites more likely to survive? Understanding the biological pathways," Social Science & Medicine, Elsevier, vol. 157(C), pages 138-147.
    5. Dana A. Glei & Noreen Goldman & Germán Rodríguez & Maxine Weinstein, 2014. "Beyond Self-Reports: Changes in Biomarkers as Predictors of Mortality," Population and Development Review, The Population Council, Inc., vol. 40(2), pages 331-360, June.
    6. Jeffrey T. Howard & P. Johnelle Sparks, 2016. "The Effects of Allostatic Load on Racial/Ethnic Mortality Differences in the United States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(4), pages 421-443, August.

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