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dc.contributor.authorLorem, Geir
dc.contributor.authorCook, Sarah Anne
dc.contributor.authorLeon, David A.
dc.contributor.authorEmaus, Nina
dc.contributor.authorSchirmer, Henrik
dc.date.accessioned2020-05-20T11:14:12Z
dc.date.available2020-05-20T11:14:12Z
dc.date.issued2020-03-17
dc.description.abstractSelf-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.en_US
dc.identifier.citationCook, Leon, Emaus, Schirmer. Self-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation time. Scientific Reports. 2020en_US
dc.identifier.cristinIDFRIDAID 1811610
dc.identifier.doi10.1038/s41598-020-61603-0
dc.identifier.issn2045-2322
dc.identifier.urihttps://hdl.handle.net/10037/18350
dc.language.isoengen_US
dc.publisherNature Researchen_US
dc.relation.journalScientific Reports
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleSelf-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation timeen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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