Global self-rated health data from a longitudinal study predicted mortality better than comparative self-rated health in old age

Vuorisalmi, Merja; Lintonen, Tomi; Jylhä, Marja

doi:10.1016/j.jclinepi.2004.11.025

Cited by 84 publications

(88 citation statements)

References 25 publications

(37 reference statements)

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“…Some studies investigated the association of both measures of SRH with mortality,6, 10, 12, 34, 35, 36, 37 but very few included both SRH measures in one model 12, 35, 36. Consequently, it is difficult to directly identify which one is better for predicting cardiovascular mortality.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies argued that the association between age‐comparative SRH and mortality was stronger and more consistent than that between global SRH and mortality6, 10, 34 because age‐comparative SRH had an explicit reference frame and compared health status for the same age, and thus was semantically clearer than global SRH 10, 34. Some thought, however, that global SRH was a preferable measure in longitudinal studies with a wide age range12, 37 because the age‐comparative index tended to improve with age because of lower expectations for health among older adults, and thus reporting may be less reliable. Others contended that both measures were equally predictors of mortality and may not be comparable because different wording may capture different domains of health 35, 36.…”

Section: Discussionmentioning

confidence: 99%

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Self‐Rated Health Status and Risk of Ischemic Heart Disease in the China Kadoorie Biobank Study: A Population‐Based Cohort Study

Dong

Pan

Yu³

et al. 2017

JAHA

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BackgroundSelf‐rated health (SRH) is a strong predictor of mortality in different populations. However, the associations between SRH measures and risk of ischemic heart disease (IHD) have not been extensively explored, especially in a Chinese population.Methods and ResultsMore than 500 000 adults from 10 cities in China were followed from baseline (2004–2008) through December 31, 2013. Global and age‐comparative SRH were reported from baseline questionnaires. Incident IHD cases were identified through links to well‐established disease registry systems and the national health insurance system. During 3 423 542 person‐years of follow‐up, we identified 24 705 incident cases of IHD. In multivariable‐adjusted models, both global and age‐comparative SRH was significantly associated with incident IHD. Compared with excellent SRH, the hazard ratios for good, fair, and poor SRH were 1.02 (95% confidence interval [CI], 0.98–1.07), 1.32 (95% CI, 1.27–1.37), and 1.76 (95% CI, 1.68–1.85), respectively. Compared with better age‐comparative SRH, the hazard ratios for same and worse age‐comparative SRH were 1.23 (95% CI, 1.19–1.27) and 1.78 (95% CI, 1.70–1.86), respectively. The associations persisted in all subgroup analyses, although they were slightly modified by study location, education, and income levels.ConclusionsA simple questionnaire for self‐assessment of health status was significantly associated with incident IHD in Chinese adults. Individuals and healthcare providers can use SRH measures as a convenient tool for assessing future IHD risk.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Self‐Rated Health Status and Risk of Ischemic Heart Disease in the China Kadoorie Biobank Study: A Population‐Based Cohort Study

Dong

Pan

Yu³

et al. 2017

JAHA

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“…1,9,12,21 These have allowed international comparisons and evaluations of temporal trends and healthy life expectancy. One study 12 evaluating the interrelationships between self-rated health and long-term illness showed a strong association between the two indicators in individuals of both sexes.…”

Section: Discussionmentioning

confidence: 99%

“…3 With regard to measurements of perceptions of longterm illness or disability, not only is there subjectivity in the response, but also there is the infl uence of the question, which includes two sub-questions: the perception of illness and the presence of disabilities. Although this way of asking the question is often used, 21 asking about two different events together may alter the responses. It could mean that individuals with a diagnosis of a given chronic disease might not see themselves as sick because they do not have disabilities.…”

Section: Discussionmentioning

confidence: 99%

Medidas de morbidade referida e inter-relações com dimensões de saúde

2008

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OBJECTIVE: To assess the interrelationships between self-rated health, perceptions of long-term illness and diagnoses of chronic diseases. METHODS:In the World Health Survey, carried out in Brazil in 2003, 5,000 individuals aged 18 years and over who had been selected from a three-stage stratifi ed sample were interviewed. The original questionnaire was adapted for the Brazilian context. It covered the presence of long-term illness or disability, self-rating of health (general and in several domains) and diagnoses of six chronic diseases (arthritis, angina, asthma, depression, schizophrenia and diabetes mellitus). To compare the relationships between self-rated health, perceptions of long-term illness and the chronic diseases evaluated, the statistical test of homogeneity of proportions and multiple logistic regression models were used. RESULTS:Self-rating of health as "not good" and perceptions of having long-term illnesses were signifi cantly more frequent among women, individuals aged 50 years and over and individuals with one or more of the diseases investigated. The interviewees with a diagnosis of diabetes mellitus presented the worst self-rated health: 70.9% reported having a long-term illness and 79.3% considered that their health was "not good". Worse health ratings were found when two or more diseases were present together. The effect of selfrating of health on the perceptions of long-term illness was stronger than was the number of diseases. CONCLUSIONS:The three ways of measuring morbidity presented signifi cant interrelationships. Self-rating of health as "not good" had a more important effect on the perceptions of long-term illness, thus suggesting that subjective measurements of health status may be more sensitive for establishing and monitoring individuals' wellbeing.

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“…Há muito debate sobre qual das duas formas seria a mais adequada, alguns autores indicando que a pergunta comparativa teria a vantagem de "ajustar" pelo efeito idade e doenças a ela associadas 9 e apresentar maior poder de predição de mortalidade 10 , pelo menos entre idosos do sexo masculino 11 . Por outro lado, alguns autores argumentam que, exatamente por ser "ajustada por idade", a pergunta comparativa não é capaz de mensurar condições de saúde da mesma forma para diferentes grupos etários, característica essa que favoreceria o uso da pergunta não-comparativa em inquéritos em população com ampla variação etária e estudos longitudinais 12,13 . Entretanto, ao contrário do que se apregoava 9 , há indicações de que as medidas de auto-avaliação da saúde não são insensíveis à maneira como as perguntas são formuladas e parecem apreender diferentes dimensões da saúde percebida 10,11,13,14 .…”

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Considerações metodológicas à luz da Pesquisa Mundial de Saúde no Brasil, 2003

Werneck

2008

Rev. bras. epidemiol.

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O Seminário "Inquéritos Populacionais: Aspectos Metodológicos, Operacionais e Éticos" deixará marcas na trajetória de desenvolvimento da pesquisa epidemiológica brasileira. A escolha de tema tão central para a própria construção do objeto da epidemiologia contribuiu para resgatar a importância deste desenho de estudo para o diagnóstico, monitoramento e avaliação de saúde, e fez justiça ao acúmulo de experiências de pesquisas brasileiras nesta área. Além disso, recolocou no centro do debate metodológico um tipo de estudo que em certas ocasiões chegou a ser relegado a um segundo plano dentro do arsenal de delineamentos epidemiológicos, na medida em que a lógica de uma certa epidemiologia moderna, dos fatores de risco, ocupou os espaços acadêmicos não só no mundo, mas também em muitos dos principais centros de formação epidemiológica no Brasil.Dentre tantas importantes experiênci-as relatadas neste Seminário, destaca-se a realização, em 2003, da Pesquisa Mundial de Saúde no Brasil (PMS), que pode ser considerada um marco no campo da saú-de coletiva brasileira por pelo menos quatro motivos. Primeiro, porque sua concepção se deveu, pelo menos em parte, a uma atuação decisiva de pesquisadores brasileiros da área de saúde coletiva, que se manifestaram criticamente em relação ao modelo original da pesquisa e contribuí-ram diretamente para definir uma nova metodologia que se deseja com alcance transcultural, mais apropriada para avaliar o desempenho dos sistemas de saúde e prover informações sobre o estado de saú-de das populações. Segundo, porque neste processo, e a partir do próprio compromisso com a realização da Pesquisa no Brasil, a comunidade científica brasileira da área de saúde coletiva se colocou no centro do debate internacional sobre estes temas. Terceiro, porque, do ponto de vista teórico-conceitual, a metodologia empregada supera uma visão simplista do problema, incorporando dimensões variadas -desde as relativas à situação de saúde e distribuição dos seus determinantes, até

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Global self-rated health data from a longitudinal study predicted mortality better than comparative self-rated health in old age

Cited by 84 publications

References 25 publications

Self‐Rated Health Status and Risk of Ischemic Heart Disease in the China Kadoorie Biobank Study: A Population‐Based Cohort Study

Self‐Rated Health Status and Risk of Ischemic Heart Disease in the China Kadoorie Biobank Study: A Population‐Based Cohort Study

Medidas de morbidade referida e inter-relações com dimensões de saúde

Considerações metodológicas à luz da Pesquisa Mundial de Saúde no Brasil, 2003

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