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dc.contributor.authorFylkesnes, Knut
dc.contributor.authorJakobsen, Monika Dybdahl
dc.contributor.authorHenriksen, Nils Oddbjørn
dc.date.accessioned2021-06-29T08:20:16Z
dc.date.available2021-06-29T08:20:16Z
dc.date.issued2021-06-18
dc.description.abstractBackground - General health perception as measured by self-rated health (SRH) is an individual's synthesis of personal overall health and has value in its own right. In addition, this subjective perspective has a unique predictive power of subsequent mortality and adds valuable information not captured by objective measures. We studied the relationship between SRH and subsequent mortality to demonstrate how simple self-ratings can enhance our understanding of health inequities.<p> <p>Methods - Data from a population-based survey conducted in Finnmark 1987/1988 were linked to the Norwegian Cause of Death Registry for information on all deaths by the end of 2017. We used Cox proportional hazard regression modelling to estimate the relative effects of all-cause mortality separately for sex and age (30–49 and 50–62 years) with stepwise adjustment for socio-demographics and various other health status and behavioural measures.<p> <p>Results - The age-adjusted power of mortality prediction of SRH was strong (most pronounced in the youngest age-group) but markedly attenuated by other factors. Education inequality in mortality was most substantial in the youngest age-group, which might partly be due to a combination of selective mortality and historical changes in health inequality. In comparison, educational inequality in SRH was clearly pronounced regardless of age. Work disability pension appeared as the common key factor affecting the mortality prediction of SRH and educational inequity for both subsequent mortality and SRH.<p> <p>Conclusion - SRH adds unique information to our understanding of health inequities. The consistency in shared predictors of educational inequity concerning both mortality and SRH underscores the correspondence of these measures. In addition to predicting the fatal effects of social selection mechanisms, SRH adds non-fatal effects and seems less prone to selective mortality. The results are relevant to approaches in health equity research and have important policy implications.en_US
dc.identifier.citationFylkesnes K, Jakobsen MDJ, Henriksen no. The value of general health perception in health equity research: A community-based cohort study of long-term mortality risk (Finnmark cohort study 1987–2017) . SSM - Population Health. 2021en_US
dc.identifier.cristinIDFRIDAID 1918375
dc.identifier.doihttps://doi.org/10.1016/j.ssmph.2021.100848
dc.identifier.issn2352-8273
dc.identifier.urihttps://hdl.handle.net/10037/21593
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalSSM - Population Health
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 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.titleThe value of general health perception in health equity research: A community-based cohort study of long-term mortality risk (Finnmark cohort study 1987–2017)en_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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