Self-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation time
Self-reported health (SRH) is widely used as an epidemiological instrument given the changes in public health since its introduction in the 1980s. We examined the association between SRH and mortality and how this is affected by time and health measurements in a prospective cohort study using repeat...
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ftpubmed:oai:pubmedcentral.nih.gov:7078209 2023-05-15T18:34:40+02:00 Self-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation time Lorem, Geir Cook, Sarah Leon, David A. Emaus, Nina Schirmer, Henrik 2020-03-17 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078209/ http://www.ncbi.nlm.nih.gov/pubmed/32184429 https://doi.org/10.1038/s41598-020-61603-0 en eng Nature Publishing Group UK http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078209/ http://www.ncbi.nlm.nih.gov/pubmed/32184429 http://dx.doi.org/10.1038/s41598-020-61603-0 © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. CC-BY Article Text 2020 ftpubmed https://doi.org/10.1038/s41598-020-61603-0 2020-03-29T01:27:59Z Self-reported health (SRH) is widely used as an epidemiological instrument given the changes in public health since its introduction in the 1980s. We examined the association between SRH and mortality and how this is affected by time and health measurements in a prospective cohort study using repeated measurements and physical examinations of 11652 men and 12684 women in Tromsø, Norway. We used Cox proportional hazard regression to estimate hazard ratios (HRs) of death for SRH, controlling for pathology, biometrics, smoking, sex and age. SRH predicted mortality independently of other, more objective health measures. Higher SRH was strongly associated with lower mortality risk. Poor SRH had HR 2.51 (CI: 2.19, 2.88). SRH is affected by disease, mental health and other risk factors, but these factors had little impact on HRs (Poor SRH: HR 1.99; CI: 1.72, 2.31). SRH predicted mortality, but with a time-dependent effect. Time strongly affected the hazard ratio for mortality, especially after ten-year follow-up (Poor SRH HR 3.63 at 0–5 years decreased to HR 1.58 at 15–21 years). SRH has both methodological and clinical value. It should not be uncritically utilised as a replacement instrument when measures of physical illness and other objective health measures are lacking. Text Tromsø PubMed Central (PMC) Norway Tromsø Scientific Reports 10 1 |
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Article Lorem, Geir Cook, Sarah Leon, David A. Emaus, Nina Schirmer, Henrik Self-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation time |
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Self-reported health (SRH) is widely used as an epidemiological instrument given the changes in public health since its introduction in the 1980s. We examined the association between SRH and mortality and how this is affected by time and health measurements in a prospective cohort study using repeated measurements and physical examinations of 11652 men and 12684 women in Tromsø, Norway. We used Cox proportional hazard regression to estimate hazard ratios (HRs) of death for SRH, controlling for pathology, biometrics, smoking, sex and age. SRH predicted mortality independently of other, more objective health measures. Higher SRH was strongly associated with lower mortality risk. Poor SRH had HR 2.51 (CI: 2.19, 2.88). SRH is affected by disease, mental health and other risk factors, but these factors had little impact on HRs (Poor SRH: HR 1.99; CI: 1.72, 2.31). SRH predicted mortality, but with a time-dependent effect. Time strongly affected the hazard ratio for mortality, especially after ten-year follow-up (Poor SRH HR 3.63 at 0–5 years decreased to HR 1.58 at 15–21 years). SRH has both methodological and clinical value. It should not be uncritically utilised as a replacement instrument when measures of physical illness and other objective health measures are lacking. |
format |
Text |
author |
Lorem, Geir Cook, Sarah Leon, David A. Emaus, Nina Schirmer, Henrik |
author_facet |
Lorem, Geir Cook, Sarah Leon, David A. Emaus, Nina Schirmer, Henrik |
author_sort |
Lorem, Geir |
title |
Self-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation time |
title_short |
Self-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation time |
title_full |
Self-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation time |
title_fullStr |
Self-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation time |
title_full_unstemmed |
Self-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation time |
title_sort |
self-reported health as a predictor of mortality: a cohort study of its relation to other health measurements and observation time |
publisher |
Nature Publishing Group UK |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078209/ http://www.ncbi.nlm.nih.gov/pubmed/32184429 https://doi.org/10.1038/s41598-020-61603-0 |
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Norway Tromsø |
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Norway Tromsø |
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Tromsø |
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Tromsø |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078209/ http://www.ncbi.nlm.nih.gov/pubmed/32184429 http://dx.doi.org/10.1038/s41598-020-61603-0 |
op_rights |
© The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
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CC-BY |
op_doi |
https://doi.org/10.1038/s41598-020-61603-0 |
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Scientific Reports |
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