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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Abstract	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.
AbstractList	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. 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.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.
ArticleNumber	4886
Author	Emaus, Nina Lorem, Geir Leon, David A. Cook, Sarah Schirmer, Henrik
Author_xml	– sequence: 1 givenname: Geir orcidid: 0000-0003-0334-4768 surname: Lorem fullname: Lorem, Geir email: Geir.lorem@uit.no organization: UiT The Arctic University of Norway – sequence: 2 givenname: Sarah surname: Cook fullname: Cook, Sarah organization: London School of Hygiene & Tropical Medicine – sequence: 3 givenname: David A. orcidid: 0000-0001-9747-1762 surname: Leon fullname: Leon, David A. organization: London School of Hygiene & Tropical Medicine – sequence: 4 givenname: Nina surname: Emaus fullname: Emaus, Nina organization: UiT The Arctic University of Norway – sequence: 5 givenname: Henrik surname: Schirmer fullname: Schirmer, Henrik organization: UiT The Arctic University of Norway, University of Oslo, Akershus University Hospital
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/32184429$$D View this record in MEDLINE/PubMed
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Snippet	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...
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SubjectTerms	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
Title	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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