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Do hassles mediate between life events and mortality in older men? Longitudinal findings from the VA Normative Aging Study

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Title Do hassles mediate between life events and mortality in older men? Longitudinal findings from the VA Normative Aging Study
Names Aldwin, Carolyn M. (creator)
Jeong, Yu-Jin (creator)
Igarashi, Heidi (creator)
Choun, Soyoung (creator)
Spiro, Avron, III (creator)
Date Issued 2014-11 (iso8601)
Note To the best of our knowledge, one or more authors of this paper were federal employees when contributing to this work. This is the publisher’s final pdf. The published article is copyrighted by Elsevier and can be found at: http://www.journals.elsevier.com/experimental-gerontology.
Abstract We investigated whether hassles mediated the effect of life events on mortality in a sample of 1293 men (M[subscript age] = 65.58, SD = 7.01), participants in the VA Normative Aging Study. We utilized measures of stressful life events
(SLE) and hassles from 1989 to 2004, and men were followed for mortality until 2010. For life events and hassles,
previous research identified three and four patterns of change over time, respectively, generally indicating low,
moderate, and high trajectories, with one moderate, non-linear pattern for hassles (shallow U curve). Controlling
for demographics and health behaviors, we found that those with moderate SLE trajectories (38%) more likely to
die than those with low SLE trajectories, HR = 1.42, 95% CI [1.16, 3.45]. Including the hassles classes showed that
those with the moderate non-linear hassles trajectory were 63% more likely to die than those with low hassles
trajectory, HR = 1.63, 95% CI [1.19, 2.23], while those with consistently high hassles trajectory were over 3
times more likely to die, HR = 3.30, 95% CI [1.58, 6.89]. However, the HR for moderate SLE trajectory decreased
only slightly to 1.38, 95% CI [1.13, 1.68], suggesting that the two types of stress have largely independent effects
on mortality. Research is needed to determine the physiological and behavioral pathways through which SLE and
hassles differentially affect mortality.
Genre Article
Topic Stressful life events
Identifier Aldwin, C. M., Jeong, Y., Igarashi, H., Choun, S., & Spiro, A. (2014). Do hassles mediate between life events and mortality in older men?: Longitudinal findings from the VA Normative Aging Study. Experimental Gerontology, 59, 74-80. doi:10.1016/j.exger.2014.06.019

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