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dc.contributor.authorGoldfarb-Rumyantzev, Alexander
dc.contributor.authorBarenbaum, Anna
dc.contributor.authorRodrigue, James R
dc.contributor.authorRout, Preeti
dc.contributor.authorIsaacs, Ross
dc.contributor.authorMukamal, Ken J.
dc.date.accessioned2012-05-09T00:51:29Z
dc.date.issued2011
dc.identifier.citationGoldfarb-Rumyantzev, Alexander, Anna Barenbaum, James Rodrigue, Preeti Rout, Ross Isaacs, and Kenneth Mukamal. 2011. New social adaptability index predicts overall mortality. Archives of Medical Science 7(4): 720-727.en_US
dc.identifier.issn1734-1922en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:8704120
dc.description.abstractIntroduction: Definitions of underprivileged status based on race, gender and geographic location are neither sensitive nor specific; instead we proposed and validated a composite index of social adaptability (SAI). Material and methods: Index of social adaptability was calculated based on employment, education, income, marital status, and substance abuse, each factor contributing from 0 to 3 points. Index of social adaptability was validated in NHANES-3 by association with all-cause and cause-specific mortality. Results: Weighted analysis of 19,593 subjects demonstrated mean SAI of 8.29 (95% CI 8.17-8.40). Index of social adaptability was higher in Whites, followed by Mexican-Americans and then the African-American population (ANOVA, p < 0.001). The SAI was higher in subjects living in metropolitan compared to rural areas (T-test, p < 0.001), and was greater in men than in women (T-test, p < 0.001). In Cox models adjusted for age, comorbidity index, BMI, race, sex, geographic location, hemoglobin, serum creatinine, albumin, cholesterol, and glycated hemoglobin levels, SAI was inversely associated with mortality (HR 0.87 per point, 95% CI 0.84-0.90, p < 0.001). This association was confirmed in subgroups. Conclusions: We proposed and validated an indicator of social adaptability with a strong association with mortality, which can be used to identify underprivileged populations at risk of death.en_US
dc.language.isoen_USen_US
dc.publisherTermedia Publishing Houseen_US
dc.relation.isversionofdoi:10.5114/aoms.2011.24145en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258768/pdf/en_US
dash.licenseLAA
dc.subjectoutcomeen_US
dc.subjectsurvivalen_US
dc.subjectsocial adaptabilityen_US
dc.subjectdisadvantaged populationen_US
dc.subjectdisparityen_US
dc.subjectunderprivilegeden_US
dc.titleNew Social Adaptability Index Predicts Overall Mortalityen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalArchives of Medical Science : AMSen_US
dash.depositing.authorGoldfarb-Rumyantzev, Alexander
dc.date.available2012-05-09T00:51:29Z
dc.identifier.doi10.5114/aoms.2011.24145*
dash.contributor.affiliatedRodrigue, James
dash.contributor.affiliatedMukamal, Kenneth
dash.contributor.affiliatedGoldfarb-Rumyantzev, Alexander


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