The Association of Self-rated Health and Mortality

Background: A prospective cohort study with a 20‐year follow‐up was conducted to examine the association of the ability to perform activities of daily living (ADL) and other risk factors with the risk of subsequent all‐cause mortality in an elderly Japanese population. Methods: Cohort members were 705 men and 964 women aged 65 years and older at the time of the baseline examination in 1976–1977. Results: Disability in the performance of ADL and other risk factors (i.e. bad self‐rated health, low dementia score, decreased pleasure, low morale, and being prone to tears) were significantly associated with an increased risk of subsequent 20‐year all‐cause mortality. The summary population attributable risks of the level of disability in performance of ADL and other risk factors (25.8%, 17.4%, and 6.2% for the follow‐up periods of 0–5, 0–10, and 0–20 years, respectively) were almost of the same magnitude as those of the selected traditional risk factors of mean blood pressure, triceps skinfold thickness and current smoking (24.0%, 18.5%, and 8.6%, respectively). Conclusion: The association of both disability in performing ADL and other risk factors with mortality was as great as those of selected traditional risk factors when assessed in terms of both relative risk and population attributable risk.

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Prospective Cohort Study of Stress, Life Satisfaction, Self‐Rated Health, Insomnia, and Suicide Death in Japan

Fujino

Mizoue

Tokui

et al. 2005

Suicide & Life Threat Behav

Self Cite

132

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The association between many psychosocial factors and risk of suicide was examined. A cohort was conducted over 14 years of follow up among the general population (15,597 people) in Japan. A baseline survey of psychosocial characteristics was conducted by self-administrated questionnaire. The relative risks of occasional emotional stress, difficulty maintaining sleep, and reporting unhealthy as their self-rated health are 3.2 (95% CI: 1.3, 7.6), 2.4 (95% CI: 1.3, 4.3) and 2.6 (95% CI: 1.1, 6.2), respectively. The importance of these observations lie in its potential for improving physician and public awareness of psychosocial factors as an early indication of mental health morbidity.

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The Association of Self-rated Health and Mortality

Cited by 3 publications

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Understanding gender factors affecting self-rated health

Understanding gender factors affecting self-rated health

Excess risk of early death in the elderly attributable to activities of daily living, mental status and traditional risk factors: The Shibata Elderly Cohort Study with a 20‐year follow up

Prospective Cohort Study of Stress, Life Satisfaction, Self‐Rated Health, Insomnia, and Suicide Death in Japan

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