Older Rural Nonsurvivors: Their Prediction and Terminal Care
This research reports on nonsurvivorship by comparing two groups of older rural adults: 138 survivors and 45 nonsurvivors from the third wave of a longitudinal study. They were part of a sample of 418 adults aged 65 and older, first interviewed in 1976. The purposes of these analyses were to examine...
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Veröffentlicht in: | Journal of applied gerontology 1992-12, Vol.11 (4), p.407-424 |
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creator | Kivett, Vira R. McCulloch, B. Jan |
description | This research reports on nonsurvivorship by comparing two groups of older rural adults: 138
survivors and 45 nonsurvivors from the third wave of a longitudinal study. They were part of a
sample of 418 adults aged 65 and older, first interviewed in 1976. The purposes of these analyses
were to examine (a) the predictors of nonsurvivorship to very old age, (b) the final health crises
of rural nonsurvivors, and (c) the formal and informal supports addressing their terminal health
needs. Average age at death was 83. Results showed that only minimal variance in nonsurvival
to very old age could be predicted using standard demographic and psychological variables.
The relative importance of predictors varied according to time of measurement (age). Terminal
illnesses were similar in type to those of the general aging population. Final illnesses were
usually multiple and lengthy, and deaths seldom occurred in the older rural adults' county of
residence. Families usually caredfor older members without the assistance of formal supports
except for a physician, who usually lived out of the county or in the adjoining state. Implications
for practitioners are discussed. |
doi_str_mv | 10.1177/073346489201100403 |
format | Article |
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survivors and 45 nonsurvivors from the third wave of a longitudinal study. They were part of a
sample of 418 adults aged 65 and older, first interviewed in 1976. The purposes of these analyses
were to examine (a) the predictors of nonsurvivorship to very old age, (b) the final health crises
of rural nonsurvivors, and (c) the formal and informal supports addressing their terminal health
needs. Average age at death was 83. Results showed that only minimal variance in nonsurvival
to very old age could be predicted using standard demographic and psychological variables.
The relative importance of predictors varied according to time of measurement (age). Terminal
illnesses were similar in type to those of the general aging population. Final illnesses were
usually multiple and lengthy, and deaths seldom occurred in the older rural adults' county of
residence. Families usually caredfor older members without the assistance of formal supports
except for a physician, who usually lived out of the county or in the adjoining state. Implications
for practitioners are discussed.</description><identifier>ISSN: 0733-4648</identifier><identifier>EISSN: 1552-4523</identifier><identifier>DOI: 10.1177/073346489201100403</identifier><identifier>PMID: 10122830</identifier><language>eng</language><publisher>Thousand Oaks, CA: Sage Publications</publisher><subject>Adult. Elderly ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Demography ; Developmental psychology ; Discriminant Analysis ; Female ; Forecasting ; Fundamental and applied biological sciences. Psychology ; Health administration ; Health Services Needs and Demand ; Health Services Research ; Health Status Indicators ; Humans ; Longitudinal Studies ; Male ; Mortality ; North Carolina ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Rural Health - statistics & numerical data ; Socioeconomic Factors ; Surveys and Questionnaires ; Terminal Care - statistics & numerical data ; Terminal Care - utilization</subject><ispartof>Journal of applied gerontology, 1992-12, Vol.11 (4), p.407-424</ispartof><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c283t-8c36c917b2b2dc2cf0ebb2ab8bbc5616e3ecd381634e834be143860146fe97bd3</citedby><cites>FETCH-LOGICAL-c283t-8c36c917b2b2dc2cf0ebb2ab8bbc5616e3ecd381634e834be143860146fe97bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/073346489201100403$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/073346489201100403$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4439435$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10122830$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kivett, Vira R.</creatorcontrib><creatorcontrib>McCulloch, B. Jan</creatorcontrib><title>Older Rural Nonsurvivors: Their Prediction and Terminal Care</title><title>Journal of applied gerontology</title><addtitle>J Appl Gerontol</addtitle><description>This research reports on nonsurvivorship by comparing two groups of older rural adults: 138
survivors and 45 nonsurvivors from the third wave of a longitudinal study. They were part of a
sample of 418 adults aged 65 and older, first interviewed in 1976. The purposes of these analyses
were to examine (a) the predictors of nonsurvivorship to very old age, (b) the final health crises
of rural nonsurvivors, and (c) the formal and informal supports addressing their terminal health
needs. Average age at death was 83. Results showed that only minimal variance in nonsurvival
to very old age could be predicted using standard demographic and psychological variables.
The relative importance of predictors varied according to time of measurement (age). Terminal
illnesses were similar in type to those of the general aging population. Final illnesses were
usually multiple and lengthy, and deaths seldom occurred in the older rural adults' county of
residence. Families usually caredfor older members without the assistance of formal supports
except for a physician, who usually lived out of the county or in the adjoining state. Implications
for practitioners are discussed.</description><subject>Adult. Elderly</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Demography</subject><subject>Developmental psychology</subject><subject>Discriminant Analysis</subject><subject>Female</subject><subject>Forecasting</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Health administration</subject><subject>Health Services Needs and Demand</subject><subject>Health Services Research</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mortality</subject><subject>North Carolina</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Rural Health - statistics & numerical data</subject><subject>Socioeconomic Factors</subject><subject>Surveys and Questionnaires</subject><subject>Terminal Care - statistics & numerical data</subject><subject>Terminal Care - utilization</subject><issn>0733-4648</issn><issn>1552-4523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90EtLAzEQB_Agiq2PL-BB9iDe1maS7G5WvEjxBcWK1POSZGc1ZR816Rb89qZsEUHwNIf5zQzzJ-QM6BVAlk1oxrlIhcwZBaBUUL5HxpAkLBYJ4_tkvAXxVozIkfdLSmlowiEZAQXGJKdjcjOvS3TRa-9UHT13re_dxm4656-jxQdaF704LK1Z266NVFtGC3SNbYOdKocn5KBStcfTXT0mb_d3i-ljPJs_PE1vZ7EJR9axNDw1OWSaaVYaZiqKWjOlpdYmSSFFjqbkElIuUHKhEQSXKQWRVphnuuTH5HLYu3LdZ49-XTTWG6xr1WLX-yK8KXMhIEA2QOM67x1WxcrZRrmvAmixzaz4m1kYOt9t73WD5a-RIaQALnZAeaPqyqnWWP_jhOC54Elgk4F59Y7FsutdyMn_d_kbCkh_sQ</recordid><startdate>199212</startdate><enddate>199212</enddate><creator>Kivett, Vira R.</creator><creator>McCulloch, B. Jan</creator><general>Sage Publications</general><general>Sage</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199212</creationdate><title>Older Rural Nonsurvivors: Their Prediction and Terminal Care</title><author>Kivett, Vira R. ; McCulloch, B. Jan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c283t-8c36c917b2b2dc2cf0ebb2ab8bbc5616e3ecd381634e834be143860146fe97bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult. Elderly</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Demography</topic><topic>Developmental psychology</topic><topic>Discriminant Analysis</topic><topic>Female</topic><topic>Forecasting</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Health administration</topic><topic>Health Services Needs and Demand</topic><topic>Health Services Research</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mortality</topic><topic>North Carolina</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Rural Health - statistics & numerical data</topic><topic>Socioeconomic Factors</topic><topic>Surveys and Questionnaires</topic><topic>Terminal Care - statistics & numerical data</topic><topic>Terminal Care - utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kivett, Vira R.</creatorcontrib><creatorcontrib>McCulloch, B. Jan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of applied gerontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kivett, Vira R.</au><au>McCulloch, B. Jan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Older Rural Nonsurvivors: Their Prediction and Terminal Care</atitle><jtitle>Journal of applied gerontology</jtitle><addtitle>J Appl Gerontol</addtitle><date>1992-12</date><risdate>1992</risdate><volume>11</volume><issue>4</issue><spage>407</spage><epage>424</epage><pages>407-424</pages><issn>0733-4648</issn><eissn>1552-4523</eissn><abstract>This research reports on nonsurvivorship by comparing two groups of older rural adults: 138
survivors and 45 nonsurvivors from the third wave of a longitudinal study. They were part of a
sample of 418 adults aged 65 and older, first interviewed in 1976. The purposes of these analyses
were to examine (a) the predictors of nonsurvivorship to very old age, (b) the final health crises
of rural nonsurvivors, and (c) the formal and informal supports addressing their terminal health
needs. Average age at death was 83. Results showed that only minimal variance in nonsurvival
to very old age could be predicted using standard demographic and psychological variables.
The relative importance of predictors varied according to time of measurement (age). Terminal
illnesses were similar in type to those of the general aging population. Final illnesses were
usually multiple and lengthy, and deaths seldom occurred in the older rural adults' county of
residence. Families usually caredfor older members without the assistance of formal supports
except for a physician, who usually lived out of the county or in the adjoining state. Implications
for practitioners are discussed.</abstract><cop>Thousand Oaks, CA</cop><pub>Sage Publications</pub><pmid>10122830</pmid><doi>10.1177/073346489201100403</doi><tpages>18</tpages></addata></record> |
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subjects | Adult. Elderly Aged Aged, 80 and over Biological and medical sciences Demography Developmental psychology Discriminant Analysis Female Forecasting Fundamental and applied biological sciences. Psychology Health administration Health Services Needs and Demand Health Services Research Health Status Indicators Humans Longitudinal Studies Male Mortality North Carolina Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Rural Health - statistics & numerical data Socioeconomic Factors Surveys and Questionnaires Terminal Care - statistics & numerical data Terminal Care - utilization |
title | Older Rural Nonsurvivors: Their Prediction and Terminal Care |
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