فهرست نشریات علمی دسترسی آزاد ایران

Background and Objectives: As the proportion and number of older individuals in the world is increasing, this study was carried-out to assess the overall survival of older adults (aged 60 years and over) living in an urban region, north of Iran.    Methods: This prospective cohort study (2016-2021) was conducted with assessment of 5-year mortality/survival of older adults. All elderly living in this region were invited to participate in the Amirkola Health and Ageing cohort Project (AHAP) by census. To follow the participants, the available contact numbers of the elderly were called by phone. In addition, the survival was tracked through the death registration system of the ministry of health, and the data related to their family physicians, and health-care service centers of the region. The hazard of factors affecting the survival of the elderly was investigated using the Kaplan-Meier method and the Log rank test.    Results: A total of 2021 people were enrolled and followed. During five-years, 308 elderly (15.24%) died. Mean overall survival time was 55.60 with a standard error of 0.26 months (95% CI: 55.10 - 56.10). The Cox regression model revealed the significant adjusted hazard of older age (P<0.001), male gender (P<0.001), illiteracy (P<0.001) and the number of comorbid disorders (P<0.001) on mortality of the elderly; however, marital status (P=0.102) and living alone (P=0.192) did not show this significant effect.    Conclusion: Given the significant effect of male sex, illiteracy, and the number of comorbidities, the family physicians and health-care providing centers should provide regular and comprehensive cares for older people, especially those with the mentioned risk factors.