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Self-rated ill-heal...
Self-rated ill-health strengthens the effect of biomedical risk factors in predicting stroke especially for men : An incident case referent study
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- Emmelin, Maria (author)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin
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- Weinehall, Lars (author)
- Umeå universitet,Epidemiologi och folkhälsovetenskap
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- Stegmayr, Birgitta (author)
- Umeå universitet,Medicin
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- Dahlgren, Lars (author)
- Umeå universitet,Epidemiologi och folkhälsovetenskap
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- Stenlund, Hans (author)
- Umeå universitet,Epidemiologi och folkhälsovetenskap
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- Wall, Stig (author)
- Umeå universitet,Epidemiologi och folkhälsovetenskap
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(creator_code:org_t)
- 2003
- 2003
- English.
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In: Journal of Hypertension. - 0263-6352 .- 1473-5598. ; 21:5, s. 887-896
- Related links:
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http://www.ncbi.nlm....
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https://urn.kb.se/re...
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Abstract
Subject headings
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- 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.
Keyword
- stroke
- self-rated health
- cardiovascular risk factors
- social factors
- interaction
- effect modification
- incident case-referent study
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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