Self-rated health and mortality in a Lithuanian and a Dutch population

Appels, Ad; Bosma, Hans; Grabauskas, Vilius Jonas; Goštautas, Antanas; Sturmans, F.

doi:10.1016/0277-9536(95)00195-6

Cited by 194 publications

(152 citation statements)

References 15 publications

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“…In this study, good physical and self-rated health are associated with more alcohol consumption instead of less. This finding is congruent with the KaunasRotterdam Intervention Study: Lithuanian males who drank a lot of alcohol rated their health better than the others (Appels et al, 1996). Finbalt surveys reach almost the same conclusions (Kasmel, 2004).…”

Section: Conclusion and Discussionsupporting

confidence: 80%

Self-Rated Health in the Baltic Countries, 1994–1999

Gaume¹,

Wunsch²

2010

Eur J Population

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International audienceNumerous studies have examined the explanations of mortality fluctuations in the former USSR during the last decade of the twentieth century—a time of considerable political and socio-economic changes—but fewer studies have considered the health of these populations during this period. Using individual data from the Norbalt surveys held in 1994 and 1999 in the three Baltic countries, we examine the determinants of self-rated health in the three countries and for the two periods, by way of Bayesian structural equation modelling and directed acyclic graphs. The model takes into account, as possible determinants, alcohol consumption, physical health, psychological distress, education, locus of control, and social support. A major result is the remarkable stability of the model's parameters whatever the country, year, gender, ethnicity, or age-group. Particular attention is given to the role of alcohol consumption and to the association observed between better self-assessed health and higher drinking

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Section: Conclusion and Discussionsupporting

confidence: 80%

Self-Rated Health in the Baltic Countries, 1994–1999

Gaume¹,

Wunsch²

2010

Eur J Population

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“…Although SRH was considered a strong predictor of cardiovascular mortality6, 7, 8 and all‐cause mortality,6, 7, 8, 9, 10, 11, 12, 13 its utility for predicting risk of incident IHD has rarely been examined. In a Danish cohort of 1052 men and women,14 Moller et al first reported that poor or miserable SRH was associated with a substantially higher risk of IHD; however, the sample size was small, with only 50 incident cases during 16 years of follow‐up.…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…Consequently, it is difficult to directly identify which one is better for predicting cardiovascular mortality. 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.…”

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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“…A autopercepção negativa de saúde é um preditor de maior risco de mortalidade, isto é, aqueles com a autopercepção de saúde negativa apresentam maior risco de mortalidade em comparação com uma autopercepção positiva da saúde [5][6][7] . Segundo Appels et al 8 , a autopercepção de saúde se associa fortemente com o estado real ou objetivo de saúde das pessoas e pode ser considerada uma representação das avaliações objetivas de saúde.…”

Section: Introductionunclassified

Autopercepção da saúde e desempenho cognitivo em idosos residentes na comunidade

Freitas¹,

Campos²,

Linhares³

et al. 2010

Rev. psiquiatr. clín.

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ResumoContexto: A autopercepção de saúde contempla vários aspectos da saúde física, cognição e capacidade funcional. Objetivo: Comparar idosos com e sem evidência de declínio cognitivo/demência quanto a autopercepção de saúde e variáveis sociodemográficas, destacando as variáveis associadas à autopercepção de saúde positiva e negativa dentro destes grupos. Métodos: Noventa e oito idosos residentes na comunidade foram avaliados em visitas domiciliares para este trabalho. A avaliação cognitiva e funcional foi feita por meio da aplicação do Mini-Exame do Estado Mental (MEEM), do Teste do Desenho do Relógio (TDR), da Escala de Demência de Blessed (EDB) e do Questionário do Informante de Declínio Cognitivo em Idosos (IQCODE). A autopercepção da saúde foi avaliada por intermédio de um questionário adaptado do Brazil Old Age Schedule. Resultados: Vinte e seis idosos (26%) apresentaram quadro de declínio cognitivo. Autopercepção de saúde negativa e menor participação em atividades físicas e recreativas se associaram significativamente a declínio cognitivo nesta amostra (p = 0,006, p = 0,05, p = 0,03, respectivamente). No grupo de sujeitos sem evidência de declínio cognitivo, a história prévia de eventos cerebrovasculares se relacionou à maior frequência de autopercepção negativa da saúde. Conclusão: A autopercepção negativa da saúde está relacionada ao provável diagnóstico de demência. Nos idosos com declínio cognitivo, a autopercepção positiva de saúde associa-se a quadros mais graves, refletindo possivelmente menor insight quanto ao estado mórbido. Freitas DHM, et al. / Rev Psiq Clín. 2010;37(1):32-5Palavras-chave: Autopercepção de saúde, idoso, envelhecimento, cognição, demência. AbstractBackground: The self-perception of health can approach several aspects of physical health, cognition and functional abilities. Objective: To compare elderly subjects wit and without evidence of cognitive decline in relation to health self-perception and socio-demographic variables, highlighting the variables associated with positive or negative health self-perception in these groups. Methods: Ninety eight community-dwelling subjects were assessed in this study. Cognitive and functional abilities were tested using the Mini-Mental State Examination (MMSE), the Clock Drawing Test (CDT), the Blessed Dementia Scale (BDS), and the Informant Questionnaire of Cognitive Decline in the Elderly (IQCODE). Self-perception of health evaluation was performed with the use of an adapted questionnaire of the Brazil Old Age Schedule. Results: Twenty-six subjects (26%) had evidence of cognitive decline in this sample. Negative health self-perception and lower levels of physical and leisure activity were significantly associated with cognitive decline in this sample (p = 0.006, p = 0.05, p = 0.03, respectively). In the group of subjects without evidence of dementia, history of cerebrovascular disease was associated with negative health perception. Discussion: Dementia was associated with worse health self-perception evaluation. In addition, elders with e...

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Self-rated health and mortality in a Lithuanian and a Dutch population

Cited by 194 publications

References 15 publications

Self-Rated Health in the Baltic Countries, 1994–1999

Self-Rated Health in the Baltic Countries, 1994–1999

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

Autopercepção da saúde e desempenho cognitivo em idosos residentes na comunidade

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