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dc.contributor.authorKoivunen, Kaisa
dc.contributor.authorSillanpää, Elina
dc.contributor.authorvon Bonsdorff, Mikaela
dc.contributor.authorSakari, Ritva
dc.contributor.authorPynnönen, Katja
dc.contributor.authorRantanen, Taina
dc.date.accessioned2020-03-16T09:46:58Z
dc.date.available2020-03-16T09:46:58Z
dc.date.issued2020
dc.identifier.citationKoivunen, K., Sillanpää, E., von Bonsdorff, M., Sakari, R., Pynnönen, K., & Rantanen, T. (2020). Living alone vs. living with someone as a predictor of mortality after a bone fracture in older age. <i>Aging Clinical and Experimental Research</i>, <i>32</i>(9), Article 1697-1705. <a href="https://doi.org/10.1007/s40520-020-01511-5" target="_blank">https://doi.org/10.1007/s40520-020-01511-5</a>
dc.identifier.otherCONVID_34968594
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/68171
dc.description.abstractBackground Living alone is a risk factor for health decline in old age, especially when facing adverse events increasing vulnerability. Aim We examined whether living alone is associated with higher post-fracture mortality risk. Methods Participants were 190 men and 409 women aged 75 or 80 years at baseline. Subsequent fracture incidence and mortality were followed up for 15 years. Extended Cox regression analysis was used to compare the associations between living arrangements and mortality risk during the first post-fracture year and during the non-fracture time. All participants contributed to the non-fracture state until a fracture occurred or until death/end of follow-up if they did not sustain a fracture. Participants who sustained a fracture during the follow-up returned to the non-fracture state 1 year after the fracture unless they died or were censored due to end of follow-up. Results Altogether, 22% of men and 40% of women sustained a fracture. During the first post-fracture year, mortality risk was over threefold compared to non-fracture time but did not differ by living arrangement. In women, living alone was associated with lower mortality risk during non-fracture time, but the association attenuated after adjustment for self-rated health. In men, living alone was associated with increased mortality risk during non-fracture time, although not significantly. Conclusion The results suggest that living alone is not associated with pronounced mortality risk after a fracture compared to living with someone.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofseriesAging Clinical and Experimental Research
dc.rightsCC BY 4.0
dc.subject.otherhealth stressors
dc.subject.otherliving arrengement
dc.titleLiving alone vs. living with someone as a predictor of mortality after a bone fracture in older age
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202003162416
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineFysioterapiafi
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontologian tutkimuskeskusfi
dc.contributor.oppiaineHyvinvoinnin tutkimuksen yhteisöfi
dc.contributor.oppiainePhysiotherapyen
dc.contributor.oppiaineGerontology and Public Healthen
dc.contributor.oppiaineGerontology Research Centeren
dc.contributor.oppiaineSchool of Wellbeingen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn1594-0667
dc.relation.numberinseries9
dc.relation.volume32
dc.type.versionpublishedVersion
dc.rights.copyright© The Authors, 2020
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumber693045
dc.relation.grantnumber693045
dc.relation.grantnumber310526
dc.relation.projectidinfo:eu-repo/grantAgreement/EC/H2020/693045/EU//AGNES
dc.subject.ysososiaaliset verkostot
dc.subject.ysokuolleisuus
dc.subject.ysoresilienssi
dc.subject.ysoasuminen
dc.subject.ysoikääntyneet
dc.subject.ysososiaalinen tuki
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p408
jyx.subject.urihttp://www.yso.fi/onto/yso/p5003
jyx.subject.urihttp://www.yso.fi/onto/yso/p25253
jyx.subject.urihttp://www.yso.fi/onto/yso/p1797
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p8997
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1007/s40520-020-01511-5
dc.relation.funderEuropean Commissionen
dc.relation.funderResearch Council of Finlanden
dc.relation.funderEuroopan komissiofi
dc.relation.funderSuomen Akatemiafi
jyx.fundingprogramERC European Research Council, H2020en
jyx.fundingprogramAcademy Project, AoFen
jyx.fundingprogramERC European Research Council, H2020fi
jyx.fundingprogramAkatemiahanke, SAfi
jyx.fundinginformationThis work was supported by the Academy of Finland (Grant Number 310526 to T.R.) and the European Research Council (Grant Number 693045 to TR). The Evergreen project has been supported by the Academy of Finland, Finnish Social Insurance Institution, Finnish Ministry of Education, Finnish Ministry of Social Affairs and Health, City of Jyväskylä, and the Association of Finnish Lion Clubs and the Scandinavian Red Feather Project.
dc.type.okmA1


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