American Journal of Epidemiology Vol. 130, No. 5: 999-1012
Copyright © 1989 by The Johns Hopkins University School of Hygiene and Public Health
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EDUCATION, SURVIVAL, AND INDEPENDENCE IN ELDERLY CATHOLIC SISTERS, 1936-1988
1Division of Epidemiology, School of Public Health, University of Minnesota Minneapolis, MN
2Division of Health Services Administration, School of Public Health, University of Minnesota Minneapolis, MN
3School of Public Health, University of Minnesota Minneapolis, MN
Reprint requests to Dr. David A Snowdon, Division of Epidemiology, School of Public Health, University of Minnesota, Stadium Gate 27, 611 Beacon St. SE, Minneapolis, MN 55455
Mortality among 306 Roman Catholic sisters (nuns) from Mankato, Minnesota, was assessed during the period 1936-1988; daily use of nursing services by survivors was determined in 1986; and the ability of survivors to eat, dress, and perform other self-care activities was evaluated in 1987. The median age at death was 89.4 years for sisters with educational attainment of a bachelor's degree or higher, 82.2 years for sisters with some high school or college education, and 82.0 years for sisters with only a grade school education. Odds ratios were calculated for "survival and independence" (i.e., sisters survived to 1986 (ages 75-94 years) and did not use daily nursing services at that time). These odds ratios were 2.67 (95% confidence interval (CI) 1.16-6.16) for sisters with a bachelor's degree or higher, 1.00 for the reference group with some high school or college, and 0.94 (95% CI 0.32-2.73) for sisters with only grade school. Sisters with a bachelor's degree or higher were also more likely than others to survive to old age while maintaining their ability to perform self-care activities. These findings suggest that college graduates lived longer and maintained their ability to care for themselves longer than other persons.
aging; education; health; mortality; survival
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