Parts of the findings were presented at the International Conference on Social and Health issues among Holocaust Survivors (Hebrew), Israel, 2006, and as a poster presentation to the 60th Annual Scientific Meeting of the Gerontological Society of America, 2007 (abstract/poster).
Holocaust Survivors in Old Age: The Jerusalem Longitudinal Study
Article first published online: 7 JAN 2008
© 2008, Copyright the Authors; Journal compilation © 2008, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 56, Issue 3, pages 470–477, March 2008
How to Cite
Stesssman, J., Cohen, A., Hammerman-Rozenberg, R., Bursztyn, M., Azoulay, D., Maaravi, Y. and Jacobs, J. M. (2008), Holocaust Survivors in Old Age: The Jerusalem Longitudinal Study. Journal of the American Geriatrics Society, 56: 470–477. doi: 10.1111/j.1532-5415.2007.01575.x
- Issue published online: 7 JAN 2008
- Article first published online: 7 JAN 2008
Vol. 56, Issue 9, 1785, Article first published online: 3 SEP 2008
- Holocaust survivors;
- longitudinal cohort study;
OBJECTIVES: To examine the hypothesis that Holocaust exposure during young adulthood negatively affects physical aging, causing greater morbidity, faster deterioration in health parameters, and shorter survival.
DESIGN: A longitudinal cohort study of the natural history of an age-homogenous representative sample born in 1920/21 and living in Jerusalem.
SETTING: Community-based home assessments.
PARTICIPANTS: Four hundred fifty-eight subjects of European origin aged 70 at baseline and 77 at follow-up.
MEASUREMENTS: Comprehensive assessment of physical, functional, and psychosocial domains; biographical history of concentration camp internment (Camp), exposure to Nazi occupation during World War II (Exposure), or lack thereof (Controls); and 7-year mortality data from the National Death Registry.
RESULTS: Holocaust survivors of the Camp (n=93) and Exposure (n=129) groups were more likely than Controls (n=236) to be male and less educated and have less social support (P=.01), less physical activity (P=.03), greater difficulty in basic activities of daily living (P=.009), poorer self-rated health (P=.04), and greater usage of psychiatric medication (P=.008). No other differences in health parameters or physical illnesses were found. Holocaust survivors had similar rates of deterioration in health and illness parameters over the follow-up period, and 7-year mortality rates were identical. Proportional hazard models showed that being an elderly Holocaust survivor was not predictive of greter 7-year mortality.
CONCLUSION: Fifty years after their Holocaust trauma, survivors still displayed significant psychosocial and functional impairment, although no evidence was found to support the hypothesis that the delayed effects of the trauma of the Holocaust negatively influence physical health, health trajectories, or mortality.