Self rated health and mortality: a long term prospective study in eastern Finland
STUDY OBJECTIVE—To assess the relation between self rated health and mortality over a period of 23 years, taking into account medical history, cardiovascular risk factors, and education at the beginning of the follow up. DESIGN—A cohort of random population samples. The baseline studies included a s...
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ftpubmed:oai:pubmedcentral.nih.gov:1731868 2023-05-15T17:00:07+02:00 Self rated health and mortality: a long term prospective study in eastern Finland Heistaro, S Jousilahti, P Lahelma, E Vartiainen, E Puska, P 2001-04 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1731868 http://www.ncbi.nlm.nih.gov/pubmed/11238576 https://doi.org/10.1136/jech.55.4.227 en eng BMJ Group http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1731868 http://www.ncbi.nlm.nih.gov/pubmed/11238576 http://dx.doi.org/10.1136/jech.55.4.227 Research Report Text 2001 ftpubmed https://doi.org/10.1136/jech.55.4.227 2013-08-31T14:29:41Z STUDY OBJECTIVE—To assess the relation between self rated health and mortality over a period of 23 years, taking into account medical history, cardiovascular risk factors, and education at the beginning of the follow up. DESIGN—A cohort of random population samples. The baseline studies included a self administered questionnaire and a health examination. Mortality data were collected from the national mortality register using personal identification numbers. SETTING—The provinces of North Karelia and Kuopio in eastern Finland. PARTICIPANTS—Random samples of working age people (n=21 302) from the population register. MAIN RESULTS—For self rated health, the age adjusted poor to good relative risk for all cause mortality was 2.36 (95% confidence intervals 2.10, 2.64) for men and 1.90 (1.63, 2.22) for women, and for cardiovascular mortality 2.29 (1.96, 2.68) for men and 2.34 (1.84, 2.96) for women. Adjusted for selected potentially fatal diseases from the subjects' medical histories, cardiovascular disease risk factors, and education, the corresponding relative risks for all cause mortality were 1.66 (1.47, 1.88) for men and 1.50 (1.26, 1.78) for women, and for cardiovascular mortality 1.54 (1.29, 1.82) for men and 1.63 (1.26, 2.10) for women. The association between self rated health and mortality attributable to external causes was fairly strong. CONCLUSIONS—Poor self rated health is a strong predictor of mortality, and the association is only partly explained by medical history, cardiovascular disease risk factors, and education. Keywords: self rated health; mortality; Finland Text karelia* PubMed Central (PMC) Journal of Epidemiology & Community Health 55 4 227 232 |
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Research Report Heistaro, S Jousilahti, P Lahelma, E Vartiainen, E Puska, P Self rated health and mortality: a long term prospective study in eastern Finland |
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Research Report |
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STUDY OBJECTIVE—To assess the relation between self rated health and mortality over a period of 23 years, taking into account medical history, cardiovascular risk factors, and education at the beginning of the follow up. DESIGN—A cohort of random population samples. The baseline studies included a self administered questionnaire and a health examination. Mortality data were collected from the national mortality register using personal identification numbers. SETTING—The provinces of North Karelia and Kuopio in eastern Finland. PARTICIPANTS—Random samples of working age people (n=21 302) from the population register. MAIN RESULTS—For self rated health, the age adjusted poor to good relative risk for all cause mortality was 2.36 (95% confidence intervals 2.10, 2.64) for men and 1.90 (1.63, 2.22) for women, and for cardiovascular mortality 2.29 (1.96, 2.68) for men and 2.34 (1.84, 2.96) for women. Adjusted for selected potentially fatal diseases from the subjects' medical histories, cardiovascular disease risk factors, and education, the corresponding relative risks for all cause mortality were 1.66 (1.47, 1.88) for men and 1.50 (1.26, 1.78) for women, and for cardiovascular mortality 1.54 (1.29, 1.82) for men and 1.63 (1.26, 2.10) for women. The association between self rated health and mortality attributable to external causes was fairly strong. CONCLUSIONS—Poor self rated health is a strong predictor of mortality, and the association is only partly explained by medical history, cardiovascular disease risk factors, and education. Keywords: self rated health; mortality; Finland |
format |
Text |
author |
Heistaro, S Jousilahti, P Lahelma, E Vartiainen, E Puska, P |
author_facet |
Heistaro, S Jousilahti, P Lahelma, E Vartiainen, E Puska, P |
author_sort |
Heistaro, S |
title |
Self rated health and mortality: a long term prospective study in eastern Finland |
title_short |
Self rated health and mortality: a long term prospective study in eastern Finland |
title_full |
Self rated health and mortality: a long term prospective study in eastern Finland |
title_fullStr |
Self rated health and mortality: a long term prospective study in eastern Finland |
title_full_unstemmed |
Self rated health and mortality: a long term prospective study in eastern Finland |
title_sort |
self rated health and mortality: a long term prospective study in eastern finland |
publisher |
BMJ Group |
publishDate |
2001 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1731868 http://www.ncbi.nlm.nih.gov/pubmed/11238576 https://doi.org/10.1136/jech.55.4.227 |
genre |
karelia* |
genre_facet |
karelia* |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1731868 http://www.ncbi.nlm.nih.gov/pubmed/11238576 http://dx.doi.org/10.1136/jech.55.4.227 |
op_doi |
https://doi.org/10.1136/jech.55.4.227 |
container_title |
Journal of Epidemiology & Community Health |
container_volume |
55 |
container_issue |
4 |
container_start_page |
227 |
op_container_end_page |
232 |
_version_ |
1766052745347858432 |