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Does self-rated hea...
Does self-rated health predict death in adults aged 50 years and above in India? Evidence from a rural population under health and demographic surveillance.
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- Hirve, Siddhivinayak (författare)
- Vadu Rural Health Program, KEM Hospital Research Centre, Pune, Maharashtra, India
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- Juvekar, Sanjay (författare)
- Vadu Rural Health Program, KEM Hospital Research Centre, Pune, Maharashtra, India
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- Sambhudas, Somnath (författare)
- Vadu Rural Health Program, KEM Hospital Research Centre, Pune, Maharashtra, India
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- Lele, Pallavi (författare)
- Vadu Rural Health Program, KEM Hospital Research Centre, Pune, Maharashtra, India
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- Blomstedt, Yulia (författare)
- Umeå universitet,Epidemiologi och global hälsa
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- Wall, Stig (författare)
- Umeå universitet,Epidemiologi och global hälsa
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- Berkman, Lisa (författare)
- 3 Harvard Center for Population and Development Studies, Harvard University, Boston, MA, USA
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- Tollman, Steve (författare)
- Umeå universitet,Epidemiologi och global hälsa
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- Ng, Nawi (författare)
- Umeå universitet,Epidemiologi och global hälsa
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(creator_code:org_t)
- 2012-11-21
- 2012
- Engelska.
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Ingår i: International Journal of Epidemiology. - : Oxford University Press (OUP). - 0300-5771 .- 1464-3685. ; 41:6, s. 1719-1727
- Relaterad länk:
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https://academic.oup...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Background The Study on Global Ageing and Adult Health (SAGE) aims to improve empirical understanding of health and well-being of adults in developing countries. We examine the role of self-rated health (SRH) in predicting mortality and assess how socio-demographic and other disability measures influence this association.Methods In 2007, a shortened SAGE questionnaire was administered to 5087 adults aged >= 50 years under the Health Demographic Surveillance System in rural Pune district, India. Respondents rated their own health with a single global question on SRH. Disability and well-being were assessed using the WHO Disability Assessment Schedule Index, Health State Score and quality-of-life score. Respondents were followed up every 6 months till June 2011. Any change in spousal support, migration or death during follow-up was updated in the SAGE dataset.Results In all, 410 respondents (8%) died in the 3-year follow-up period. Mortality risk was higher with bad/very bad SRH [hazard ratio (HR) in men: 3.06, 95% confidence interval (CI): 1.93-4.87; HR in women: 1.64, 95% CI: 0.94-2.86], independent of age, disability and other covariates. Disability measure (WHO Disability Assessment Schedule Index) and absence of spousal support were also associated with increased mortality risk.Conclusion Our findings confirm an association between bad/very bad SRH and mortality for men, independent of age, socio-demographic factors and other disability measures, in a rural Indian population. This association loses significance in women when adjusted for disability. Our study highlights the strength of nesting cross-sectional surveys within the context of the Health Demographic Surveillance System in studying the role of SRH and mortality.
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
- Ageing
- self-rated health
- mortality
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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