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Dan G. Blazer, MD, PhD, Natalie Sachs-Ericsson, PhD and Celia F. Hybels, PhD

Dan G. Blazer and Celia F. Hybels are with the Department of Psychiatry, Duke University Medical Center, Durham, NC. Natalie Sachs-Ericsson is with the Department of Psychology, Florida State University, Tallahassee, Fla.

Correspondence: Requests for reprints should be sent to Dan G. Blazer, MD, PhD, Box 3003, Duke University Medical Center, Durham, NC 27710 (e-mail: blaze001{at}mc.duke.edu).

Objectives. We sought to determine whether, among older adults (>65 years), a perception that their basic needs are not being met increased mortality risk and whether this risk varied by race/ethnicity.

Methods. We used Cox proportional hazards modeling to estimate the effect of perceived inadequacy in having one’s basic needs (adequacy of income, quality of housing, and neighborhood safety) met on 10-year mortality rates.

Results. After control for age, gender, race/ethnicity, marital status, education, income, and cognitive and functional status at baseline, perceived inadequacy in having one’s basic needs met was shown to be a significant predictor of mortality (P<.0001), but no significant differences by race/ethnicity were observed.

Conclusions. Perceived inadequacy in having one’s basic needs met predicted mortality during a 10-year follow-up among community-dwelling elderly persons.

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