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Trajectories of sel...
Trajectories of self-rated health in the last 15 years of life by cause of death
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Stenholm, Sari (författare)
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Kivimäki, Mika (författare)
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Jylhä, Marja (författare)
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Kawachi, Ichiro (författare)
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- Westerlund, Hugo (författare)
- Stockholms universitet,Stressforskningsinstitutet
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Pentti, Jaana (författare)
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Goldberg, Marcel (författare)
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Zins, Marie (författare)
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Vahtera, Jussi (författare)
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(creator_code:org_t)
- 2015-07-23
- 2016
- Engelska.
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Ingår i: European Journal of Epidemiology. - : Springer Science and Business Media LLC. - 0393-2990 .- 1573-7284. ; 31:2, s. 177-185
- Relaterad länk:
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https://dash.harvard...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Poor self-rated health is associated with increased risk of mortality, but no previous study has examined how long-term trajectories of self-rated health differ among people at risk of subsequent death compared to those who survive. Data were drawn from French occupational cohort (the GAZEL study, 1989-2010). This nested case-control study included 915 deceased men and women and 2578 controls matched for sex, baseline age, occupational grade and marital status. Self-rated health was measured annually and dichotomized into good versus poor health. Trajectories of poor self-rated health up to 15 years were compared among people who subsequently died to those who survived. Participants contributed to an average 10.3 repeated assessments of self-rated health. Repeated-measures log-binomial regression analysis with generalized estimating equations showed an increased prevalence of poor self-rated health in cases 13-15 years prior to death from ischemic and other cardiovascular disease [multivariable-adjusted risk ratio 2.06, 95 % confidence interval (CI) 1.55-2.75], non-smoking-related cancers (1.57, 95 % CI 1.30-1.89), and suicide (1.78, 95 % CI 1.00-3.16). Prior to death from ischemic and other cardiovascular disease, increased rates of poor self-rated health were evident even among persons who were free of cardiovascular diseases (2.05, 95 % CI 1.50-2.78). In conclusion, perceptions of health diverged between the surviving controls and the deceased already 15 years prior to death. For cardiovascular mortality, decline in self-rated health started before diagnosis of the disease leading to death. The findings suggest that declining self-rated health might capture pathological changes before and beyond the disease diagnosis.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Self-rated health
- Cause-specific mortality
- Trajectory
- Cohort study
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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