Health status and mortality in Holocaust survivors living in Jerusalem 40-50 years later.

The long-term health sequelae of the Holocaust were assessed 40-50 years later in the framework of a Jerusalem community health study. Holocaust survivors (N = 288, mean age = 67.6 years) and European-born Jews, not exposed to the Holocaust (N = 486, mean age = 68.9 years), were studied in 1985-87. Our objective was to compare psychobehavioral factors, clinical variables, and mortality outcomes. The comparisons revealed higher emotional distress scores in female Holocaust survivors than in unexposed women and poorer self-appraised health status in male Holocaust survivors than unexposed men. A 10-year mortality follow-up that terminated in April 1996 showed no significant association with Holocaust exposure. Long-term Holocaust survivors may represent a selective resilient group.