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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Vydané v:Scientific reports Ročník 10; číslo 1; s. 4886
Hlavní autori: Lorem, Geir, Cook, Sarah, Leon, David A., Emaus, Nina, Schirmer, Henrik
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: London Nature Publishing Group UK 17.03.2020
Nature Publishing Group
Predmet:
692/308/174
692/499
692/699
Adult
Biometrics
Body Mass Index
Cohort analysis
Cohort Studies
Epidemiology
Female
Health hazards
Health risks
Humanities and Social Sciences
Humans
Male
Mental Health
Middle Aged
Mortality
Mortality risk
multidisciplinary
Proportional Hazards Models
Prospective Studies
Public health
Risk Factors
Science
Science (multidisciplinary)
Self Report - statistics & numerical data
ISSN:2045-2322, 2045-2322
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Shrnutí: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.
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ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-020-61603-0