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BMC Public Health
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Association between self-rated health and mortality: 10 years follow-up to the Pró-Saúdecohort study

Authors: Joanna Miguez Nery Guimarães, Dóra Chor, Guilherme Loureiro Werneck, Marilia Sá Carvalho, Claudia Medina Coeli, Claudia S Lopes, Eduardo Faerstein

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

The association between self-rated health (SRH) and mortality is well documented in the literature, but studies on the subject among young adults in Latin America are rare, as are those evaluating this association using repeated SRH measures, beyond the baseline measurement. This study aims to evaluate the association between SRH evaluated at three data collection stages and mortality.

Methods

Cox regression models were used to examine the association between SRH (Very good, Good, Fair/Poor) varying over time and mortality, over a 10 year period, in a cohort of non-faculty civil servants at a public university in Rio de Janeiro, Brazil (Pró-Saúde Study, n = 4009, men = 44.4%).

Results

About 40% of the population changed their self-rating over the course of follow-up. After adjustment for self-reported physician-diagnosed chronic diseases and other covariates, men who reported “Fair/Poor” SRH showed relative hazard of death of 2.13 (CI95% 1.03-4.40) and women, 3.43 (CI95% 1.23-9.59), as compared with those who reported “Very good” SRH.

Conclusions

In a population of young adults, our findings reinforce the role of SRH as a predictor of mortality, even controlling for objective measures of health.
Appendix
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Literature
1.
Miilunpalo S, Vuori I, Oja P, Pasanen M, Urponen H: Self-rated health status as a health measure: the predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. J Clin Epidemiol. 1997, 50: 517-528. 10.1016/S0895-4356(97)00045-0.CrossRefPubMed
2.
Kawada T: Self-rated health and life prognosis. Arch Med Res. 2003, 34: 343-347. 10.1016/S0188-4409(03)00052-3.CrossRefPubMed
3.
Dowd JB, Zajacova A: Does the predictive power of self-rated health for subsequent mortality risk vary by socioeconomic status in the US?. Int J Epidemiol. 2007, 36: 1214-1221. 10.1093/ije/dym214.CrossRefPubMed
4.
Jylhä M: What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med. 2009, 69: 307-316. 10.1016/j.socscimed.2009.05.013.CrossRefPubMed
5.
DeSalvo KB, Fan VS, McDonell MB, Fihn SD: Predicting mortality and healthcare utilization with a single question. Health Serv Res. 2005, 40: 1234-1246. 10.1111/j.1475-6773.2005.00404.x.CrossRefPubMedPubMedCentral
6.
Theme Filha MM, Szwarcwald CL, Souza Junior PR: Measurements of reported morbidity and interrelationships with health dimensions. Rev Saude Publica. 2008, 42: 73-81. 10.1590/S0034-89102008000100010.CrossRefPubMed
7.
Szwarcwald CL, Souza-Júnior PR, Esteves MA, Damacena GN, Viacava F: Socio-demographic determinants of self-rated health in Brazil. Cad Saude Publica. 2005, 21 (Suppl): 54-64.CrossRefPubMed
8.
Idler EL, Benyamini Y: Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997, 38: 21-37. 10.2307/2955359.CrossRefPubMed
9.
DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P: Mortality prediction with a single general self-rated health question. A meta-analysis. J Gen Intern Med. 2006, 21: 267-275. 10.1111/j.1525-1497.2005.00291.x.CrossRefPubMedPubMedCentral
10.
Singh-Manoux A, Gheghen A, Martikainen P, Ferrie J, Marmot M, Shipley M: Self-rated health and mortality: short and long-term associations in the Whitehall II Study. Psychosom Med. 2007, 69: 138-143. 10.1097/PSY.0b013e318030483a.CrossRefPubMed
11.
Idler EL, Kasl SV, Lemke JH: Self-evaluated health and mortality among the elderly in New Haven, Connecticut, and Iowa and Washington counties, Iowa, 1982–1986. Am J Epidemiol. 1990, 131: 91-103.PubMed
12.
13.
Mackenbach JP, Simon JG, Looman CW, Joung IM: Self-assessed health and mortality: could psychosocial factors explain the association?. Int J Epidemiol. 2002, 31: 1162-1168. 10.1093/ije/31.6.1162.CrossRefPubMed
14.
Strawbridge WJ, Wallhagen MI: Self-rated health and mortality over three decades: results from a time-dependent covariate analysis. Res Aging. 1999, 21: 402-416. 10.1177/0164027599213003.CrossRef
15.
Han B, Phillips C, Ferrucci L, Bandeen-Roche K, Jylha M, Kasper J, Guralnik JM: Change in self-rated health and mortality among community-dwelling disabled older women. Gerontologist. 2005, 45: 216-221. 10.1093/geront/45.2.216.CrossRefPubMed
16.
Lyyra TM, Leskinen E, Jylhä M, Heikkinen E: Self-rated health and mortality in older men and women: a time-dependent covariate analysis. Arch Gerontol Geriatr. 2009, 48: 14-18. 10.1016/j.archger.2007.09.004.CrossRefPubMed
17.
Ramos LR, Simoes EJ, Albert MS: Dependence in activities of daily living and cognitive impairment strongly predicted mortality in older urban residents in Brazil: a 2-year follow-up. J Am Geriatr Soc. 2001, 49: 1168-1175. 10.1046/j.1532-5415.2001.49233.x.CrossRefPubMed
18.
Maia FO, Duarte YA, Lebrão ML, Santos JL: Risk factors for mortality among elderly people. Rev Saude Publica. 2006, 40: 1049-1056. 10.1590/S0034-89102006005000009.CrossRef
19.
Lima-Costa MF, Peixoto SV, Matos DL, Firmo JO, Uchôa E: A influência de respondente substituto na percepção da saúde de idosos: um estudo baseado na Pesquisa Nacional por Amostra de Domicílios (1998, 2003) e na coorte de Bambuí, Minas Gerais, Brasil. Cad Saude Publica. 2007, 23: 1893-1902. 10.1590/S0102-311X2007000800016.CrossRefPubMed
20.
Jürges H: True health vs response styles: exploring cross-country differences in self-reported health. Health Econ. 2007, 16: 163-178. 10.1002/hec.1134.CrossRefPubMed
21.
Camargo KR, Coeli CM: Reclink: an application for database linkage implementing the probabilistic record linkage method. Cad Saude Publica. 2000, 16: 439-447. 10.1590/S0102-311X2000000200014.CrossRefPubMed
22.
Herzog TN, Scheuren FJ, Winkler WE: Data quality and record linkage techniques. 2007, New York: Springer
23.
Blakely T, Salmond C: Probabilistic record linkage and a method to calculate the positive predictive value. Int J Epidemiol. 2002, 31: 1246-1252. 10.1093/ije/31.6.1246.CrossRefPubMed
24.
Mari JJ, Williams P: A comparison of the validity of two psychiatric screening questionnaires (GHQ-12 and SRQ-20) in Brazil, using Relative Operating Characteristic (ROC) analysis. Psychol Med. 1985, 15: 651-659. 10.1017/S0033291700031500.CrossRefPubMed
25.
World Health Organization: Obesity: preventing and managing the global epidemic. 1997, Geneva: WHO
26.
R Development Core Team: R: A language and environment for statistical computing. 2009, Vienna, Austria: R Foundation for Statistical Computing, http://​www.​R-project.​org. ISBN ISBN 3-900051-07-0
27.
28.
Höfelmann DA, Blank N: Auto-avaliação de saúde entre trabalhadores de uma indústria no sul do Brasil. Rev Saude Publica. 2007, 41: 777-787. 10.1590/S0034-89102007000500012.CrossRefPubMed
29.
Barros MBA, Zanchetta LM, Moura EC, Malta DC: Self-rated health and associated factors, Brazil, 2006. Rev Saude Publica. 2009, 43 (Suppl. 2): 1-10.CrossRefPubMed
30.
31.
Grant MD, Piotrowski ZH, Chappell R: Self-reported health and survival in the Longitudinal Study of Aging, 1984–1986. J Clin Epidemiol. 1995, 48: 375-387. 10.1016/0895-4356(94)00143-E.CrossRefPubMed
32.
Idler EL, Angel RJ: Self-rated health and mortality in the NHANES-I Epidemiologic Follow-up Study. Am J Public Health. 1990, 80: 446-452. 10.2105/AJPH.80.4.446.CrossRefPubMedPubMedCentral
33.
Baron-Epel O, Shemy G, Carmel S: Prediction of survival: a comparison between two subjective health measures in an elderly population. Soc Sci Med. 2004, 58: 2035-2043. 10.1016/S0277-9536(03)00412-X.CrossRefPubMed
34.
Manderbacka K: Examining what self-rated health question is understood to mean by respondents. Scand J Soc Med. 1998, 26: 145-153.PubMed
35.
Singh-Manoux A, Dugravot A, Shipley MJ, Ferrie JE, Martikainen P, Goldberg M, Zins M: The association between self-rated health and mortality in different socioeconomic groups in the GAZEL cohort study. Int J Epidemiol. 2007, 36: 1222-1228. 10.1093/ije/dym170.CrossRefPubMedPubMedCentral
36.
Ferraro KF, Kelley-Moore JA: Self-rated health and mortality among black and white adults: examining the dynamic evaluation thesis. J Gerontol B Psychol Sci Soc Sci. 2001, 56: S195-S205. 10.1093/geronb/56.4.S195.CrossRefPubMed
37.
Sargent-Cox KA, Anstey KJ, Luszcz MA: The choice of self-rated health measures matter when predicting mortality: evidence from 10 years follow-up of the Australian longitudinal study of ageing. BMC Geriatr. 2010, 10: 18-10.1186/1471-2318-10-18.CrossRefPubMedPubMedCentral
38.
Heidrich J, Liese AD, Lowel H, Keil U: Self-rated health and its relation to all-cause and cardiovascular mortality in southern Germany. Results from the MONICA Augsburg cohort study 1984–1995. Ann Epidemiol. 2002, 12: 338-345. 10.1016/S1047-2797(01)00300-3.CrossRefPubMed
Metadata
Title
Association between self-rated health and mortality: 10 years follow-up to the Pró-Saúdecohort study
Authors
Joanna Miguez Nery Guimarães
Dóra Chor
Guilherme Loureiro Werneck
Marilia Sá Carvalho
Claudia Medina Coeli
Claudia S Lopes
Eduardo Faerstein
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-676

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