Chen Shen1, C Mary Schooling2, Wai Man Chan3, Jiang Xiu Zhou1, Janice M Johnston1, Siu Yin Lee3, Tai Hing Lam1. 1. School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. 2. School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China; School of Public Health, The City University of New York and Hunter College, NY, USA. Electronic address: cms1@hkucc.hku.hk. 3. Department of Health, Hong Kong SAR, China.
Abstract
OBJECTIVES: In the West, self-rated health reliably predicts death, but conceptualizations of health and cause-composition of mortality may be contextually specific. Little is known as to how self-rated health predicts death in non-Western settings. METHODS: Multivariable Cox regression analysis was used to assess the adjusted associations of age-comparative and self-comparative self-rated health with death from all- and specific-causes using a population-based cohort of 66,820 Chinese (65+years) enrolled from 1998 to 2001 at 18 Elderly Health Centers in Hong Kong, and followed until May 31, 2012. RESULTS: During an average of 10.9 years follow-up, 19,845 deaths occurred with 6336 from cancer. Worse age-comparative self-rated health, compared with better, was positively associated with death from all-causes (hazard ratio 1.68, 95% confidence interval 1.59, 1.77), cardiovascular disease (hazard ratio 1.83, 95% confidence interval 1.66, 2.02), stroke (hazard ratio 1.93, 95% confidence interval 1.63, 2.29), ischemic heart disease (hazard ratio 1.77, 95% confidence interval 1.51, 2.08), cancer (hazard ratio 1.17, 95% confidence interval 1.06, 1.30) and respiratory disease (hazard ratio 2.25, 95% confidence interval 2.01, 2.52), adjusted for age and sex. Self-comparative self-rated health was not associated with higher mortality. CONCLUSION: Age-comparative self-rated health predicted death in older people from a non-Western setting although the association was less marked than in Western settings.
OBJECTIVES: In the West, self-rated health reliably predicts death, but conceptualizations of health and cause-composition of mortality may be contextually specific. Little is known as to how self-rated health predicts death in non-Western settings. METHODS: Multivariable Cox regression analysis was used to assess the adjusted associations of age-comparative and self-comparative self-rated health with death from all- and specific-causes using a population-based cohort of 66,820 Chinese (65+years) enrolled from 1998 to 2001 at 18 Elderly Health Centers in Hong Kong, and followed until May 31, 2012. RESULTS: During an average of 10.9 years follow-up, 19,845 deaths occurred with 6336 from cancer. Worse age-comparative self-rated health, compared with better, was positively associated with death from all-causes (hazard ratio 1.68, 95% confidence interval 1.59, 1.77), cardiovascular disease (hazard ratio 1.83, 95% confidence interval 1.66, 2.02), stroke (hazard ratio 1.93, 95% confidence interval 1.63, 2.29), ischemic heart disease (hazard ratio 1.77, 95% confidence interval 1.51, 2.08), cancer (hazard ratio 1.17, 95% confidence interval 1.06, 1.30) and respiratory disease (hazard ratio 2.25, 95% confidence interval 2.01, 2.52), adjusted for age and sex. Self-comparative self-rated health was not associated with higher mortality. CONCLUSION: Age-comparative self-rated health predicted death in older people from a non-Western setting although the association was less marked than in Western settings.
Authors: Annabel Q Patterson; Rachel E Culbreth; Rogers Kasirye; Senait Kebede; Jackson Bitarabeho; Monica H Swahn Journal: Glob Public Health Date: 2021-12-09
Authors: Lidvine Godaert; C Godard-Sebillotte; L Allard Saint-Albin; L Bousquet; I Bourdel-Marchasson; J-L Fanon; M Dramé Journal: Qual Life Res Date: 2017-09-01 Impact factor: 4.147
Authors: Hanna Falk; Ingmar Skoog; Lena Johansson; Maëlenn Guerchet; Rosie Mayston; Helena Hörder; Martin Prince; A Matthew Prina Journal: Age Ageing Date: 2017-11-01 Impact factor: 10.668