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Sökning: swepub > Umeå universitet > Stenlund Hans > (2000-2004) > Stegmayr Birgitta

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1.
  • Emmelin, Maria, et al. (författare)
  • Self-rated ill-health strengthens the effect of biomedical risk factors in predicting stroke especially for men : An incident case referent study
  • 2003
  • Ingår i: Journal of Hypertension. - 0263-6352. ; 21:5, s. 887-896
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVES: To examine how self-rated ill-health interacts with biomedical stroke risk factors in predicting stroke and to explore differences between men and women and educational groups. DESIGN: An incident case-referent study where the study subjects had participated in a prior health survey. SETTING: Nested within the Västerbotten Intervention Program (VIP) and the Northern Sweden MONICA cohorts. SUBJECTS: The 473 stroke cases had two referents per case, matched for age, sex and residence, from the same study cohorts. RESULTS: Self-rated ill-health independently increased the risk of stroke, specifically for men. The interaction effect between self-rated health and biomedical risk factor load was greater for men than for women. The attributable proportion due to interaction between having a risk factor load of 2+ and self-rated ill-health was 42% for men and 15% for women. Better-educated individuals with self-rated ill-health and two or more of the biomedical risk factors had a higher risk of stroke than the less educated. Calculations of the respective contribution to the stroke cases of self-rated health, hypertension and smoking showed that self-rated ill-health had a role in 20% of the cases and could alone explain more than one-third of the cases among those who rated their health as bad, more so for men than for women. CONCLUSIONS: The results underscore the importance of including both a gender and a social perspective in discussing the role of self-rated health as a predictor of disease outcome. Physicians must be more gender sensitive when discussing their patient's own evaluation of health in relation to biomedical risk factors.
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Weinehall, Lars (2)
Wall, Stig, (1)
Emmelin, Maria, (1)
Dahlgren, Lars, (1)
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Johansson, L (1)
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