OBJECTIVES: To examine the predictive value of subjective health on mortality separately in women and men, independently of other health measures, and to explain the differences between sexes by way of cognition, depression, and disability. METHODS: The PAQUID (Personnes Agées QUID) cohort is a representative sample of 3,660 nondemented elderly community residents, aged 65 and older. The relationship between subjective health and 5-year mortality was studied using the Cox model with delayed entry. RESULTS: In men, subjective health was a predictor of mortality, independent of sociodemographic characteristics, physical health status, depressive symptomatology, cognitive function, and disability, particularly in the middle-range categories of subjective health. In women, the relationship between subjective health and mortality was explained by physical health status and disability. DISCUSSION: Self-rated health seems to be a better predictor of mortality in men than in women. In men, the way in which self-ratings of health are produced remains unknown. In order to better understand sex differences, the pathways from healthy life to dependency and death, and their related changes in subjective health, should be explored further.
OBJECTIVES: To examine the predictive value of subjective health on mortality separately in women and men, independently of other health measures, and to explain the differences between sexes by way of cognition, depression, and disability. METHODS: The PAQUID (Personnes Agées QUID) cohort is a representative sample of 3,660 nondemented elderly community residents, aged 65 and older. The relationship between subjective health and 5-year mortality was studied using the Cox model with delayed entry. RESULTS: In men, subjective health was a predictor of mortality, independent of sociodemographic characteristics, physical health status, depressive symptomatology, cognitive function, and disability, particularly in the middle-range categories of subjective health. In women, the relationship between subjective health and mortality was explained by physical health status and disability. DISCUSSION: Self-rated health seems to be a better predictor of mortality in men than in women. In men, the way in which self-ratings of health are produced remains unknown. In order to better understand sex differences, the pathways from healthy life to dependency and death, and their related changes in subjective health, should be explored further.
Authors: Carolien L van den Brink; Marja Tijhuis; Geertrudis A M van den Bos; Simona Giampaoli; Aulikki Nissinen; Daan Kromhout Journal: Am J Public Health Date: 2005-09-29 Impact factor: 9.308
Authors: Maria Teresa Sanchez-Santos; Maria Victoria Zunzunegui; Angel Otero-Puime; Ramiro Cañas; Alfonso Jaime Casado-Collado Journal: Eur J Ageing Date: 2011-08-17
Authors: Archana Singh-Manoux; Aline Dugravot; Martin J Shipley; Jane E Ferrie; Pekka Martikainen; Marcel Goldberg; Marie Zins Journal: Int J Epidemiol Date: 2007-11-19 Impact factor: 7.196
Authors: Archana Singh-Manoux; Alice Guéguen; Pekka Martikainen; Jane Ferrie; Michael Marmot; Martin Shipley Journal: Psychosom Med Date: 2007-02-08 Impact factor: 4.312