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Self-rated health in relation to age and gender: influence on mortality risk in the Malmö Preventive Project.

Publiceringsår: 2005
Språk: Engelska
Sidor: 9-183
Publikation/Tidskrift/Serie: Scandinavian Journal of Public Health1999-01-01+01:00
Volym: 33
Nummer: 3
Dokumenttyp: Artikel i tidskrift
Förlag: Taylor & Francis


Aims: A study was undertaken to examine whether poor self-rated health (SRH) can independently predict all-cause

mortality during 22-year follow-up in middle-aged men and women. Subjects and methods: Data are derived from a

population-based study in Malmo¨ , Sweden. This included baseline laboratory testing and a self-administered questionnaire.

The question on global SRH was answered by 15,590 men (mean age 46.4 years) and 10,089 women (49.4 years). Social

background characteristics (occupation, marital status) were based on data from national censuses. Mortality was retrieved

from national registers. Results: At screening 4,261 (27.3%) men and 3,085 (30.6%) women reported poor SRH. Among

subjects rating their SRH as low, 1,022 (24.0%) men and 228 (7.4%) women died during follow-up. Corresponding figures

for subjects rating their SRH as high were 1801 (15.9%) men and 376 (5.4%) women. An analysis of survival in subjects

reporting poor SRH revealed an age-adjusted hazard risk ratio (HR, 95%CI) for men HR 1.5 (1.4–1.7), and for women HR

1.4 (1.2–1.6). The corresponding HR after adjusting for possible social confounders was for men HR 1.3 (1.1–1.4), and

women HR 1.1 (0.9–1.4). When additional adjustment was made for biological risk factors the association for men was still

significant, HR 1.2 (1.1–1.3). Conclusion: Poor SRH predicts increased long-term mortality in healthy, middle-aged

subjects. For men the association is independent of both social background and selected biological variables. The

adjustment for biological variables can be questioned as they might represent mediating mechanisms in a possible causal

chain of events.


  • Public Health, Global Health, Social Medicine and Epidemiology
  • Middle Aged
  • Mortality
  • Physical Examination
  • Questionnaires
  • Adult
  • Age Factors
  • Female
  • Follow-Up Studies
  • Health Status
  • Humans
  • Life Style
  • Male
  • Mental Health
  • Research Support
  • Non-U.S. Gov't
  • Risk Factors
  • Self Concept
  • Sex Factors
  • Socioeconomic Factors
  • Sweden: epidemiology


  • Clinical and Molecular Osteoporosis Research
  • Joint and Soft Tissue Unit
  • Family Medicine and Community Medicine
  • Internal Medicine
  • ISSN: 1651-1905

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