Naama Fund|Nachman Ash|Avi Porath|Varda Shalev|Gideon Koren
Comparison of Mortality and Comorbidity Rates Between Holocaust Survivors and Individuals in the General Population in Israel
Maccabi Institute for Health Services Research|Maccabi Institute for Health Services Research|Ariel University|Maccabi Institute for Health Services Research|Ben-Gurion University of the Negev|Maccabi Institute for Health Services Research|Tel Aviv University|Maccabi Institute for Health Services Research|Ariel University|Ben-Gurion University of the Negev|Tel Aviv University|Western University
previous studies suggested holocaust survivors may experience different chronic comorbidities often general population however mortality hazard among individuals addressedto assess overall mortality rate comorbidities cohort holocaust survivors compared agematched control groupthis crosssectional study included holocaust survivors insured maccabi healthcare services israel born 1911 1945 europe control individuals born israel years insured service data collected january 1 1998 december 31 2017rates morbidities mortality rates adjusted sex socioeconomic status body mass index using logistic regression cox regression kaplanmeier analysisthe 38 597 holocaust survivors included 22 627 women 586 mean sd age 817 54 years 34 931 individuals control group included 18 615 women 533 mean sd age 777 53 years holocaust survivors higher rates control individuals reported hypertension 32 038 830 vs 23 285 667 obesity 12 838 333 vs 9254 265 chronic kidney disease 11 929 309 vs 6927 198 cancer 11 369 295 vs 9721 278 dementia 6389 166 vs 3355 96 ischemic heart disease nonmyocardial infarction 5729 148 vs 4135 118 myocardial infarction 3641 94 vs 2723 78 osteoporotic fractures among women 6429 284 vs 4120 221 contrast overall mortality rate lower among holocaust survivors 253 compared control group 411 adjustment confounders mean age death significantly higher survivor group compared control groupthe findings showed higher rates comorbidities lower mortality among holocaust survivors may associated combination improved health literacy unique resilience characteristics among holocaust survivors research needed explore biologic psychosocial basis results