This paper discusses the role of social factors as determinants of longevity, with special focus on the oldest-old population. In ageing research, genetic and environmental—including social environment—factors are often presented as two separate, mutually independent sets of determinants. There is, however, constant interplay between genes and environment, between biological and social factors; and basically it is often impossible to distinguish between their specific impacts as determinants of longevity. Besides their “own” impact, environments, then, can be understood as contexts, or settings, for genetic influences. As far as humans are concerned, social and cultural characteristics of environments are of fundamental importance.
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References
Antonovsky, A. (1979) Health, Stress and Coping. San Francisco, California: Jossey-Bass.
Avlund, K., Damsgaard, M. T., and Holstein, B. E. (1998) “Social relations and mortality: An eleven-year followup of 70-year-old men and women in Denmark”, Social Science and Medicine, 47:635-643.
Berkman, L. F. (1988 ) “The changing and heterogeneous nature of ageing and longevity: A social and biomedical perspective”, Annual Review of Gerontology and Geriatrics, 8:37-68.
Berkman L. F., and Syme, S. L. (1979) “Social networks, host resistance, and mortality: A nine-year follow-up study of Alameda County Residents”, American Journal of Epidemiology, 109(2):186-204.
Bijnen, F. C., Caspersen, C. J., Feskens, E. J., Saris, W. H., Mosterd, W. L., and Kromhout, D. (1998) “Physical activity and 10-year mortality from cardiovascular diseases and all causes: The Zutphen elderly study”, Archives of Internal Medicine, 158(14):1499-1505.
Blazer, D. G. (1982) “Social support and mortality in an elderly community population”, American Journal of Epidemiology, 115:684-694.
Cavelaars, A. E., Kunst, A. E., Geurts, J. J., Crialesi, R., Grotvedt, L., Helmert, U., Lahelma, E., Lundberg, O., Matheson, J., Mielck, A., Rasmussen, N. K., Regidor, E., do Rosario-Giraldes, M., Spuhler, T., and Mackenbach, J. P. (2000) “Educational differences in smoking: International comparison”, BMJ, 320(7242):1102-1107.
Cerhan, J. R., and Wallace, R. B. (1997) “Change in social ties and subsequent mortality in rural elders”, Epidemiology, 8(5):475-481.
Crimmins, E., and Sato, Y. (2001) “Trends in healthy life expectancy in the United States 1970-1990: Gender, racial, and educational differences”, Social Science and Medicine, 52:1629-1641.
Dorofeyev, V. (2000) “Demographic situation in St. Petersburg. Background materials”, Improving the Planning of Medical and Social services within Elderly care. St. Petersburg: Tacis.
Ferrucci, L., Heikkinen, E., Waters, E., and Baroni, A. (1995) Pendulum: Health and Quality of Life in Older Europeans. Florence and Copenhagen: INRCA and WHO.
Ferrucci, L., Izmirlian, G., Leveille, S., Phillips, C. L., Corti, M-C., Brock, D.B., and Guralnik, J. M. (1999) “Smoking, physical activity, and active life expectancy”, American Journal of Epidemiology, 149(7):645-653.
Fraser, G. E., and Shavlik, D. D. (1997) “Risk factors for all-cause and coronary heart disease mortality in the oldest-old. The Adventist health study”, Archives of Internal Medicine, 157(1)9:2249-2258.
Gaziano, J. M., Gaziano, T. A., Glynn, R. J., Sesso, H. D., Ajani, U. A., Stampfer, M. J., Manson, J. E., Hennekens, C. H., and Buring, J. E. (2000) “Light-to-moderate alcohol consumption and mortality in the physicians’ health study Enrollment Cohort”, Journal of the American College of Cardiology, 35(1):96-105.
Glass, T. A., de Leon, C. M., Marottoli, R. A., and Berkman, L. F. (1999) “Population based study of social and productive activities as predictors of survival among elderly Americans”, BMJ, 319:478-483.
Goebeler, S., Jylhä, M., and Hervonen, A. (2003) “Medical history, cognitive status and mobility at the age of 90. A population-based study in Tampere, Finland”, Aging Clinical and Experimental Research, 15(2):154-161.
Groenbaek, M., Deis, A., Becker, U., Hein, H. O., Schnohr, P., Jensen, G., Borch-Johnsen, K., and Sorensen, T. I. (1998) “Alcohol and mortality: Is there a U-shaped relation in elderly people”, Age and Ageing 27(6):739-744.
Grundy, E. (1997) “Demography and gerontology: Mortality trends among the oldest old”, Aging and Society, 17:713-725.
Hanson, B. S., Isacsson, S-O., Janzon, L., and Lindell, S. E. (1989) “Social network and social support influence mortality in elderly men. The prospective study of ‘Men Born in 1914’ Malm ö , Sweden”, American Journal of Epidemiology, 13(1):100-111.
Hasan, J. (1988) “Social Class, Disease and Death. An Essay in Social Medicine”. Proceedings of the Society for Hornphysiology, p. 6. Tampere.
Heikkinen, E., Waters, W. E., and Bzezinski, Z. J. (1983) The Elderly in Eleven Countries. A Sociomedical Survey. Copenhagen: WHO Regional Office for Europe (Public Health in Europe 21).
Huisman, M., Kunst, A. E., Andersen, O., Bopp, M., Borgan, J-K., Borrell, C., Costa, G., Deboosere, P., Desplanques, G., Donkin, A., Ganeyne, S., Minder, C., Regidor, E., Spadea, T., Valkonen, T., and Mackenbach, J. P. (2004) “Socioeconomic inequalities in mortality among elderly people in 11 European populations”, Journal of Epidemiology and Community Health, 58:468-475.
Idler, E. L., and Benyamini, Y. (1997) “Self-rated health and mortality: A review of twenty-seven community studies”, Journal of Health and Social Behavior, 38:21-37.
Jylhä, M., and Aro, S. (1989) “Social ties and survival among the elderly in Tampere, Finland”, International Journal of Epidemiology, 18(1):158-164.
Jylh ä, M., and Hervonen, A. (1999) “Functional status and need of help among people aged 90 or over: A mailed survey with a total home-dwelling population”, Scandinavian Journal of Public Health, 2:106-111.
Jylh ä, M., Jokela, J., Tolvanen, E., Heikkinen, E., Heikkinen, R-L., Koskinen, S., Leskinen, E., Lyyra, A-L., and Pohjolainen, P. (1992) “The tampere longitudinal study on ageing. Description of the study. Basic results on health and functional ability”, Scandinavian Journal of Social Medicine Supplement, 47:1-58.
Jylh ä, M., Guralnik, J. M., Ferrucci, L., Jokela, J., and Heikkinen, E. (1998) “Is self-rated health comparable across cultures and genders?”, The Journals of Gerontology: Social Sciences, 53B(3):S144-S152.
Jylh ä, M., Guralnik, J. M., Balfour, J., and Fried, L. P. (2000) “Walking difficulty, walking speed, and age as predictors of self-rated health: The women’s health and aging study”, The Journals of Gerontology: Medical Sciences, 56A(10):M609-617.
Kannisto, V., Turpeinen, O., and Nieminen, M. (1999) Finnish Life Tables since 1751. Demographic Research 1/1: Max-Planck-Gesellschaft.
Kaplan, G. A., Salonen, J. T., Cohen, R. D., Brandt, R. J., Syme, S. L., and Puska, P. (1988) “Social connections and mortality from all causes and cardiovasular disease: Prospective evidence from Eastern Finland”, American Journal of Epidemiology, 128:370-380.
Kaplan, G. A., Wilson, T. W., Cohen, R.D., Kauhanen, J., Wu, M., and Salonen, J. T. (1994) “Social functioning and overall mortality: Prospective evidence from the kuopio ischemic heart disease risk factor study”, Epidemiology, 5:495-500.
Knoops, K.T., de Groot, L. C., Kromhout, D., Perrin, A. E., Moreira-Varela, O., Menotti, A., and van Staveren, W. A. (2001) “Mediterranean diet, lifestyle factors, and 10-year mortality in elderly European men and women: The HALE project”, JAMA, 292(12):1433-1439.
Kunst, A. E., Groenhof, F., Andersen, O., Borgan, J-K., Costa, G., Desplanques, G., Filakti, H., do, M., Gi-raldes, R., Faggiano, F., Harding, S., Junker, C., Martikainen, P., Minder, C., Nolan, B., Pagnanelli, F., Regi-dor, E., Vagero, D., Valkonen, T., and Mackenbach, J. P. (1999) “Occupational class and ischemic heart dis-ease mortality in the United States and 11 European countries”, American Journal of Public Health, 89(1):47-53.
LaCroix, A. Z., Lang, J., Scherr, P., Wallace, R. B., Cornoni-Huntley, J., Berkman, L., Curb, J. D., Evans, D., and Hennekens, C. H. (1991) “Smoking and mortality among older men and women in three communities”, New England Journal of Medicine, 324(23):1619-1625.
Liang, J., McCarthy, J., Jain, A., Krause, N., Bennett, J. M., and Gu, S. (2000) “Socioeconomic gradient in old age mortality in Wuhan, China”, The Journals of Gerontology: Social Sciences, 55(4):S222-S233.
Liao, Y., McGee, D. L., Cao, G., and Cooper, R. S. (2000) “Alcohol intake and mortality: Findings from the national health interview surveys (1988 and 1990)”, American Journal Epidemiology, 151(7):651-659.
McEwen, B. S., and Stellar, E. (1993) “Stress and the individual. Mechanisms leading to disease”, Archives of Internal Medicine, 153(18):2093-2101.
McEwen, B. S., and Seeman, T. (1999) “Protective and damaging effects of mediators of stress: Elaborating and testing the concepts of allostasis and allostatic load”. In: Adler, N. D., Marmot, M., McEwen, B. S., Stewart, J. (eds.), Socioeconomic Status and Health in Industrial Nations. Sociological, Psychological and Biological Pathways. New York, NY: The New York Academy of Sciences, pp. 30-47.
Mackenbach, J. P., Kunst, A. E., Cavelaars, A., Groenhof, F., Geurts, J. J. M., and the EU Working group on socioeconomic inequalities in health (1997) “Socioeconomic inequalities in morbidity and mortality in Western Europe”, The Lancet, 349:1655-1659.
Maier, H., and Smith, J. (1999) “Psychological predictors of mortality in old age”, Journal of Gerontology: Psychological Sciences, 54B(1):P44-P54.
Manton, K. G., and Stallard, E. (1981). “Methods for evaluating the heterogeneity of aging processes in human populations using vital statistics data: Explaining the black/white mortality crossover by a model of mortality selection”, Human Biology, 53/1: 47-67.
Marmot, M. (1999) “Epidemiology of socioeconomic status and health: Are determinants within countries the same as between countries?”. In: Adler, N. D., Marmot, M., McEwen, B. S., Stewart, J. (eds.), Socioeconomic Status and Health in Industrial Nations. Sociological, Psychological and Biological Pathways. New York, NY: The New York Academy of Sciences, pp. 16-29.
Marmot, M. G., and Shipley, M. J. (1996) “Do socioeconomic differences in mortality persist after retirement? 25 year follow-up of civil servants from the First Whitehall study”, BMJ, 313:1177-1180.
Marmot, M., Ryff, C. D., Bumpass, L. L., Shipley, M., and Marks, N. F. (1997) “Social inequalities in health: Next questions and converging evidence”, Social Science and Medicine, 44(6):901-910.
Martelin, T., Koskinen, S., and Valkonen, T. (1998) “Sociodemographic mortality differences among the oldest old in Finland”, Journal of Gerontology, 53B(2):S83-S90.
Martelin, T., Koskinen, S., and Notkola, V. (1999) “Socioeconomic Position and Mortality in 1971-95 among the Finnish Elderly. Register-Based Follow-up Study of a Large Sample from the 1950 Census”. Paper pre-sented at the European Population Conference EPC99, The Hague, The Netherlands, 30 August-3 September 1999.
Martikainen P., Valkonen, T., and Martelin, T. (2001) “Change in male and female life expectancy by social class: Decomposition by age and cause of death in Finland 1979-95”, Journal of Epidemiology and Community Health, 55:494-499.
Marmot, M. G. (2003) “Understanding social inequalities in health”, Perspectives in Biology and Medicine, 46(Suppl 3):S9-S23.
Niemi, A-K., Hervonen, A., Hurme, M., Karhunen, P. J., Jylh ä, M., and Majamaa, K. (2003) “Mitochondrial DNA polymorphism associated with longevity in Finnish population”, Human Genetics, 112(1):29-33.
Nybo, H., Chr. Petersen, H., Gaist, D., Jeune, B., Andersen, Kj, McGue, M., Vaupel, J. W., and Christensen, K. (2003) “Predictors of mortality in 2,249 nonagenarians—the Danish 1905-cohort survey”, JAGS, 15:1365-1373.
Ostir, G. V., Markides, K. S., Black, S. A., and Goodwin, J. S. (2000) “Emotional well-being predicts subsequent functional independence and survival”, Journal of the American Geriatrics Society, 48(5):473-478.
Paffenberger, R. S., Hyde, R. T., Wing, A. L., and Hsieh, C. (1986) “Physical activity, all-cause mortality, and longevity of college alumni”, New England Journal of Medicine, 314:605-613.
Palmore, E. B. (1982) “Predictorts of the longevity difference: A 25-year follow-up”, The Gerontologist, 22:513-518.
Penninx, B. W., van Tilburg, T., Kriegsman, D. M., Deeg, D. J., Boeke, A. J., and van Eijk, J. T. (1997) “Effects of social support and personal coping resources on mortality in older age: The Longitudinal Aging Study Amsterdam”, American Journal of Epidemiology, 146:510-519.
Peto, R., Darby, S., Deo, H., Silcocks, P., Whitley, E., and Doll, R. (2000) “Smoking, smoking cessation, and lung cancer in the UK since 1950: Combination of national statistics with two case-control studies”, BMJ, 321 (7257):323-329.
Preston, S. H., Elo, I. T., Rosenwaike, I., and Hill, M. (1996) “African-American mortality at older ages: Results of a matching study”, Demography, 33(2):193-209.
Ryff, C. D., and Singer, B. (1998) “The contours of positive human health”, Psychological Inquiry, 9(1):1-28.
Schoenbach, V. J., Kaplan, B. H., Fredman, L., and Kleinbaum, D. (1986) “Social ties and mortality in evans county, Georgia”, American Journal of Epidemiology, 123:577-591.
Seeman, T. E., and McEwen, S. (1996) “Impact of social environment characteristics on neuroendocrine regulation”, Psychosomatic Medicine, 58:459-471.
Seeman, T. E., Kaplan, G. A., Knudsen, L., Cohen, R., and Guralnik, J. M. (1987) “Social network ties and mortality among the elderly in the Alameda county study”, American Journal of Epidemiology, 126(4):714-723.
Seeman, T. E., Berkman, L. F., Kohout, F., Lacroix, A., Glynn, R., and Blazer, D. (1993) “Intercommunity variations in the association between social ties and mortality in the elderly. A comparative analysis of three communities”, Annals of Epidemiology, 3(4):325-333.
Seeman, T. E., Crimmins, E., Huang, M-H., Singer, B., Bucur, A., Gruenewald, T., Berkman, L. F., and Reuben, D. R. (2004) “Cumulative biological risk and socio-economic differences in mortality: MacArthur studies of successful aging”, Social Science and Medicine, 58:18985-18997.
Shye, D., Mullooly, J. P., Freeborn, D. K., and Pope, C. R. (1995) “Gender differences in the relationship between social network support and mortality: A longitudinal study of an elderly cohort”, Social Science and Medicine, 41 (7):935-947.
Smith, G. D., Hart, C., Blane, D., Gillis, C., and Hawthorne, V. (1997) “Lifetime socioeconomic position and mortality: Prospective observational study”, BMJ, 314:547-552.
Stansfeld, S. A., and Marmot, M. G. (1992) “Deriving a survey measure of social support: The reliability and validity of the close persons questionnaire”, Social Science and Medicine, 35:1027-1035.
Steinbach, U. (1992) “Social networks, instutionalization, and mortality among elderly people in United States”, Journal of Gerontology, 47(4):S183-S190.
Sugisawa, H., Liang, J., and Liu, X. (1994) “Social networks, social support, and mortality among older people in Japan”, Journal of Gerontology, 49(1):S3-S13.
Syme, S. L. (1986) “Social networks in relation to morbidity and mortality”. In: Isacsson, S-O., Janzon, L. (eds.), Social Support-Health and Disease. Stockholm: Almqvist and Wiksell International.
Taylor, S. E., and Seeman, T. E. (1999) “Psychosocial resources and the SES-health relationship”. In: Adler, N. D., Marmot, M., McEwen, B. S., Stewart, J. (eds.), Socioeconomic Status and Health in Industrial Nations. Sociological, Psychological and Biological Pathways. New York, NY: The New York Academy of Sciences, pp. 210-225.
Statistics Finland. (1976). Occupational and Industrial Classification (In Finnish: Tilastokeskus (1976) Asuntoja elinkeinotutkimuksen ammattiluokitus. Aakkosellinen hakemisto).
Valkonen, T., Martelin, T., Rimpel ä, A., Notkola, V., and Savela, S. (1993) “ Socio-Economic Mortality Differences in Finland 1981-1990”, Statistics Finland, Population, 1, Helsinki, Finland.
Walter-Ginzburg, A., Blumstein, T., Chetrit, A., and Modan, B. (2002) “Social factors and mortality in the old-old in Israel: The CALAS study”, The Journals of gerontology: Social Sciences, 57B:S308-S318.
Welin, L., Tibblin, G., Svardudd, K., Tibblin, B., Ander-Perciva, S., Larsson, B., and Wilhelmsen, L. (1985) “Prospective study on social influences on mortality”, Lancet, 1:915-918.
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Jylhä, M., Luukkaala, T. (2007). Social Determinants of Mortality in the Oldest-Old: Social Class and Individual Way-of-Life. In: Robine, JM., Crimmins, E.M., Horiuchi, S., Yi, Z. (eds) Human Longevity, Individual Life Duration, and the Growth of the Oldest-Old Population. International Studies in Population, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-4848-7_13
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