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International Journal of
            Population Studies                                                  Health-related quality of life and mortality



            While HRQoL measurement scales may exhibit a ceiling   Conflict of interest
            effect, the response categories of SF-36 version 2 have been
            expanded to mitigate this issue.                   The authors declare that they have no competing interests
                                                               related to the conduct of this research.
            5. Conclusions                                     Author contributions
            This retrospective cohort study, featuring a sample of non-  Conceptualization: Donatila Barbieri de Oliveira Souza,
            institutionalized older adults, reinforces the evidence that   Margareth Guimarães Lima
            higher HRQoL is associated with a reduced risk of all-cause   Formal analysis:  Donatila  Barbieri  de  Oliveira  Souza,
            mortality, particularly in the physical dimension of health.   Luciana Correia Alves, Margareth Guimarães Lima
            Our findings provide further evidence of the predictive   Investigation: All authors
            capacity of SF-36 for mortality risk among older adults   Methodology: All authors
            in low- and middle-income countries. Future research is   Writing – original draft: Donatila Barbieri de Oliveira
            recommended to explore the mediating and moderating   Souza
            factors influencing the association between HRQoL and   Writing – review & editing: Luciana Correia Alves,
            mortality. These findings can inform policymakers about   Margareth  Guimarães  Lima,  Marilisa  Berti  de
            the importance of integrating self-assessed QoL measures   Azevedo Barros
            into routine clinical practice, facilitating early detection of
            health deterioration and increased mortality risk among   Ethical approval and consent to participate
            older adults. This approach would support targeted   This study was  performed in line  with the principles of
            interventions  to  enhance  the  health  and  well-being  of
            seniors in society.                                the Declaration of Helsinki. Approval was granted by
                                                               the Ethics Committee of the University of Campinas
            Acknowledgments                                    (Research Ethics Committee of the Faculty of Medical
                                                               Sciences  -  UNICAMP) (CAAE 72380223.5.0000.5404 –
            The authors express their gratitude to Espaço da Escrita   No. 6.276.539/2023). The ISACamp 2008/09 and ISACamp
            – Pró-Reitoria de Pesquisa – University of Campinas   Cohort projects received approval (certificate numbers:
            (UNICAMP) – for the valuable language support. In   079/2007  and 1,650,093/2018,  respectively). Informed
            addition, the authors extend their appreciation to the   consent was obtained from all participants.
            team at the Collaborating Center for Health Situation
            Analysis (CCAS), the National Council for Scientific and   Consent for publication
            Technological Development (CNPq), the Coordination for   All participants signed the statement of informed consent,
            the Advancement of Higher Education Personnel (CAPES),   authorizing the use of their data for publication.
            and the Municipal Secretary of Health of Campinas, and
            the Ministry of Health.                            Availability of data

            Funding                                            The data are available through the following link: https://
                                                               www.synapse.org/#!Synapse: syn53072108
            The 2008 ISACamp survey was financed by the National
            Council for Scientific and Technological Development   References
            (CNPq;  process  number  409747/2006-8)  and  had   Beller, J., & Wagner, A. (2018). Loneliness, social isolation, their
            complementary funding from the Municipal Health       synergistic interaction, and mortality.  Health Psychology,
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            the Ministry of Health (in partnership with UNICAMP/
            FUNCAMP/SMS number 4300). The ISACamp-Cohort          https://doi.org/10.1037/hea0000605
            project was funded by the National Council for Scientific   Brandão, D.J., Fontenelle, L.F., Da Silva, S.A., Menezes, P.R., &
            and Technological Development (CNPq) under process    Pastor-Valero, M. (2019). Depression and excess mortality
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            received a doctoral grant from the Coordination for the   Systematic review and meta-analysis. International Journal
            Advancement of Higher Education Personnel (CAPES)     of Geriatric Psychiatry, 34(1):22-30.
            (grant number 88887.498920/2020-00). Marilisa Berti      https://doi.org/10.1002/gps.5008
            de Azevedo Barros (grant number 303241/2019-5) and   Brazil. (2020). Elderly people and family in Brazil Facts and
            Luciana Correia Alves (grant number 304871/2020-6)    Figures. In: National Family Secretariat. Ministry of Women,
            received productivity scholarships from CNPq.         Family and Human Rights. Available from: https://www.gov.


            Volume 11 Issue 1 (2025)                        69                        https://doi.org/10.36922/ijps.1928
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