Abstract:
BACKGROUND:Previous studies have reported an increased risk of death in those who report their health is poor, however, the role of underlying and subclinical disease in this association has not been carefully studied. METHODS:The associations between perceived health status and mortality from all causes and cardiovascular disease, incidence of myocardial infarction, carotid atherosclerosis, forced expiratory volume, and maximal exercise capacity were studied in the Kuopio Ischaemic Heart Disease Risk Factor Study, a population-based study of 2682 men, aged 42-60, in eastern Finland. RESULTS:There were strong, statistically significant, age-adjusted associations between level of perceived health and mortality from all causes (RH(bad versus good) = 3.67), cardiovascular causes (RH(bad versus good) = 6.64), and incidence of myocardial infarction (RH(bad versus good) = 3.87). Perceived health levels were strongly associated with risk factors and disease indicators. The associations with mortality and myocardial infarction outcomes were considerably weakened with progressive adjustment for eight risk factors and prevalent disease. Higher levels of perceived health were associated with less carotid atherosclerosis, and greater forced expiratory volume and maximal exercise capacity. Associations between level of perceived health and these indicators were considerably stronger in those with prevalent diseases than in those who were healthy. CONCLUSIONS:The overall pattern of results suggests that perceived health levels mainly reflect underlying disease burden.
journal_name
Int J Epidemioljournal_title
International journal of epidemiologyauthors
Kaplan GA,Goldberg DE,Everson SA,Cohen RD,Salonen R,Tuomilehto J,Salonen Jdoi
10.1093/ije/25.2.259subject
Has Abstractpub_date
1996-04-01 00:00:00pages
259-65issue
2eissn
0300-5771issn
1464-3685journal_volume
25pub_type
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