Self-rated general health among 40-year-old Danes and its association with all-cause mortality at 10-, 20-, and 29 years' follow-up

Scandinavian Journal of Public Health
Anni Brit Sternhagen NielsenHanne Hollnagel

Abstract

Self-rated general health (SRH) predicts future mortality. We examined all-cause mortality at 10, 20, and 29 years' follow-up and its association with SRH measured at the age of 40 years in a cohort of 1,198 healthy Danes born in 1936 and who were residents in suburban Copenhagen. The association between SRH (dichotomized into good versus poor) and all-cause mortality was estimated in standard time-homogenous Cox regression models adjusting for covariates related to mortality, and in time-heterogeneous Cox regression models without covariate adjustment, where time-heterogeneity features as a separate risk assessment for each of the three follow-up periods defined by the follow-up examinations. At the age of 40 years, 153 (14.6%) of 1,045 participants reported poor and 85.4% good SRH. Dead participants totalled 36 at the 10-year, 96 at the 20-year, and 207 at the 29-year follow-up. For poor SRH, mortality hazard ratios (multivariate analysis) were persistently significant, but slowly declining with follow-up time. The time-heterogeneous models explain this feature: increased mortality risk was significant only in the first decade after assessment: 2.30 (95% CI 1.11-4.78) vs. 0.91 (95% CI 0.36-2.31) and 0.73 (95% CI 0.34-1.55). T...Continue Reading

References

Mar 1, 1973·Journal of Health and Social Behavior·G L Maddox, E B Douglass
Nov 15, 1993·American Journal of Epidemiology·L T PijlsD Kromhout
Mar 1, 1996·Social Science & Medicine·A AppelsF Sturmans
Feb 1, 1996·Australian and New Zealand Journal of Medicine·L A SimonsJ Simons
Aug 1, 1996·Journal of Epidemiology and Community Health·L MøllerHanne Hollnagel
Mar 1, 1997·Journal of Health and Social Behavior·E L Idler, Yael Benyamini
Feb 20, 1998·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·C van Doorn, S V Kasl
Jul 11, 1998·Scandinavian Journal of Social Medicine·K Manderbacka
Mar 31, 1999·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·C HelmerJ F Dartigues
Mar 10, 2001·Journal of Epidemiology and Community Health·S HeistaroP Puska
Jun 18, 2003·The Gerontologist·Dorly J H Deeg, Didi M W Kriegsman
May 1, 2004·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Bettina MeinowMats Thorslund
May 4, 2004·Scandinavian Journal of Primary Health Care·Kirsti Malterud, Hanne Hollnagel
Sep 17, 2004·Scandinavian Journal of Primary Health Care·Tina Aaen GeestTorsten Lauritzen
Nov 18, 2004·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Michael E McCullough, Jean-Philippe Laurenceau
Dec 13, 2005·Journal of General Internal Medicine·Karen B DeSalvoPaul Muntner
Apr 8, 2006·European Journal of Public Health·Kaisla E JoutsenniemiA Aromaa
Nov 30, 2006·Scandinavian Journal of Public Health·Thomas DrivsholmKnut Borch-Johnsen

Citations

Aug 6, 2011·BMC Public Health·Christina DarviriEvangelos C Alexopoulos
Sep 14, 2012·International Journal of Circumpolar Health·Helga SaudnyGrace M Egeland
Nov 11, 2011·International Journal of Public Health·Wim PeersmanSara Willems
Jan 5, 2011·Journal of Multidisciplinary Healthcare·Liv W SørbyeAstrid Norberg
Aug 30, 2014·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Edlira ShehuAnn-Christin Langmaack
Feb 5, 2015·International Journal of Public Health·Sven-Erik JohanssonSusanna Calling
Sep 30, 2016·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Kyle W Murdock, Christopher P Fagundes

Related Concepts

Cause of Death
Health Status
Health Surveys
Life Style Induced Illness
Longitudinal Survey
Decline, Mortality
Physical Examinations and Diagnoses
Self-Perception
Incidence Studies
Outcomes Research

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