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Self-rated health in relation to age and gender: influence on mortality risk in the Malmö Preventive Project.

af Sillén, Ulrika LU ; Nilsson, Jan-Åke LU ; Månsson, Nils-Ove LU and Nilsson, Peter LU (2005) In Scandinavian Journal of Public Health 33(3). p.9-183
Abstract
Aims: A study was undertaken to examine whether poor self-rated health (SRH) can independently predict all-cause

mortality during 22-year follow-up in middle-aged men and women. Subjects and methods: Data are derived from a

population-based study in Malmo¨ , Sweden. This included baseline laboratory testing and a self-administered questionnaire.

The question on global SRH was answered by 15,590 men (mean age 46.4 years) and 10,089 women (49.4 years). Social

background characteristics (occupation, marital status) were based on data from national censuses. Mortality was retrieved

from national registers. Results: At screening 4,261 (27.3%) men and 3,085 (30.6%) women reported poor SRH.... (More)
Aims: A study was undertaken to examine whether poor self-rated health (SRH) can independently predict all-cause

mortality during 22-year follow-up in middle-aged men and women. Subjects and methods: Data are derived from a

population-based study in Malmo¨ , Sweden. This included baseline laboratory testing and a self-administered questionnaire.

The question on global SRH was answered by 15,590 men (mean age 46.4 years) and 10,089 women (49.4 years). Social

background characteristics (occupation, marital status) were based on data from national censuses. Mortality was retrieved

from national registers. Results: At screening 4,261 (27.3%) men and 3,085 (30.6%) women reported poor SRH. Among

subjects rating their SRH as low, 1,022 (24.0%) men and 228 (7.4%) women died during follow-up. Corresponding figures

for subjects rating their SRH as high were 1801 (15.9%) men and 376 (5.4%) women. An analysis of survival in subjects

reporting poor SRH revealed an age-adjusted hazard risk ratio (HR, 95%CI) for men HR 1.5 (1.4–1.7), and for women HR

1.4 (1.2–1.6). The corresponding HR after adjusting for possible social confounders was for men HR 1.3 (1.1–1.4), and

women HR 1.1 (0.9–1.4). When additional adjustment was made for biological risk factors the association for men was still

significant, HR 1.2 (1.1–1.3). Conclusion: Poor SRH predicts increased long-term mortality in healthy, middle-aged

subjects. For men the association is independent of both social background and selected biological variables. The

adjustment for biological variables can be questioned as they might represent mediating mechanisms in a possible causal

chain of events. (Less)
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organization
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type
Contribution to journal
publication status
published
subject
keywords
Middle Aged, Mortality, Physical Examination, Questionnaires, Adult, Age Factors, Female, Follow-Up Studies, Health Status, Humans, Life Style, Male, Mental Health, Research Support, Non-U.S. Gov't, Risk Factors, Self Concept, Sex Factors, Socioeconomic Factors, Sweden: epidemiology
in
Scandinavian Journal of Public Health
volume
33
issue
3
pages
9 - 183
publisher
Taylor & Francis
external identifiers
  • wos:000229546800006
  • pmid:16040458
  • scopus:21044435113
ISSN
1651-1905
DOI
10.1080/14034940410019235
language
English
LU publication?
yes
id
8eb1c4d6-af85-4d34-8868-be2012f63e9c (old id 143157)
date added to LUP
2007-07-25 08:54:44
date last changed
2017-01-01 06:46:26
@article{8eb1c4d6-af85-4d34-8868-be2012f63e9c,
  abstract     = {Aims: A study was undertaken to examine whether poor self-rated health (SRH) can independently predict all-cause<br/><br>
mortality during 22-year follow-up in middle-aged men and women. Subjects and methods: Data are derived from a<br/><br>
population-based study in Malmo¨ , Sweden. This included baseline laboratory testing and a self-administered questionnaire.<br/><br>
The question on global SRH was answered by 15,590 men (mean age 46.4 years) and 10,089 women (49.4 years). Social<br/><br>
background characteristics (occupation, marital status) were based on data from national censuses. Mortality was retrieved<br/><br>
from national registers. Results: At screening 4,261 (27.3%) men and 3,085 (30.6%) women reported poor SRH. Among<br/><br>
subjects rating their SRH as low, 1,022 (24.0%) men and 228 (7.4%) women died during follow-up. Corresponding figures<br/><br>
for subjects rating their SRH as high were 1801 (15.9%) men and 376 (5.4%) women. An analysis of survival in subjects<br/><br>
reporting poor SRH revealed an age-adjusted hazard risk ratio (HR, 95%CI) for men HR 1.5 (1.4–1.7), and for women HR<br/><br>
1.4 (1.2–1.6). The corresponding HR after adjusting for possible social confounders was for men HR 1.3 (1.1–1.4), and<br/><br>
women HR 1.1 (0.9–1.4). When additional adjustment was made for biological risk factors the association for men was still<br/><br>
significant, HR 1.2 (1.1–1.3). Conclusion: Poor SRH predicts increased long-term mortality in healthy, middle-aged<br/><br>
subjects. For men the association is independent of both social background and selected biological variables. The<br/><br>
adjustment for biological variables can be questioned as they might represent mediating mechanisms in a possible causal<br/><br>
chain of events.},
  author       = {af Sillén, Ulrika and Nilsson, Jan-Åke and Månsson, Nils-Ove and Nilsson, Peter},
  issn         = {1651-1905},
  keyword      = {Middle Aged,Mortality,Physical Examination,Questionnaires,Adult,Age Factors,Female,Follow-Up Studies,Health Status,Humans,Life Style,Male,Mental Health,Research Support,Non-U.S. Gov't,Risk Factors,Self Concept,Sex Factors,Socioeconomic Factors,Sweden: epidemiology},
  language     = {eng},
  number       = {3},
  pages        = {9--183},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Public Health},
  title        = {Self-rated health in relation to age and gender: influence on mortality risk in the Malmö Preventive Project.},
  url          = {http://dx.doi.org/10.1080/14034940410019235},
  volume       = {33},
  year         = {2005},
}