Self-rated health measures and their relations to all-cause and cardiovascular mortality in adults from 10 regions of China
10.3760/cma.j.cn112338-20200622-00872
- VernacularTitle:中国10个地区成年人自评健康状况与全因死亡、心血管疾病死亡风险的关联研究
- Author:
Wenhong DONG
1
;
Jing WU
;
Canqing YU
;
Xingyue SONG
;
Jun LYU
;
Yu GUO
;
Zheng BIAN
;
Ling YANG
;
Yiping CHEN
;
Zhengming CHEN
;
An PAN
;
Liming LI
Author Information
1. 华中科技大学同济医学院公共卫生学院流行病与卫生统计学系/环境与健康教育部重点实验室，武汉430030
- Keywords:
Self-rated health status;
Cardiovascular disease;
Mortality;
Cohort study
- From:
Chinese Journal of Epidemiology
2021;42(5):763-770
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the association between self-rated health status (SRH) and all-cause and cardiovascular mortality.Methods:A total of 512 713 adults aged 30-79 years from 10 areas of China were followed from baseline (2004-2008) until 31 December 2016 in the China Kadoorie Biobank study. Global and age-comparative SRH [general self-rated health status (GSRH) and age-comparative self-rated health status (ASRH), respectively] were asked in baseline questionnaires. Causes for mortality were monitored through linkage with established Disease Surveillance Point system and health insurance records. Multivariable Cox proportional regression models were used to estimate the HRs and 95% CIs for the association between SRH measures and all-cause or cardiovascular mortality. Results:During an average of 9.9 years' follow-up, 44 065 deaths were recorded, among which 17 648 were from cardiovascular disease. Compared with excellent GSRH, the HR(95% CI) for all-cause and cardiovascular mortality associated with poor GSRH was 1.84(1.78-1.91) and 1.94(1.82-2.06), respectively. Relative to better ASRH, the HR(95% CI) for all-cause and cardiovascular mortality associated with worse ASRH was 1.75(1.70-1.81) and 1.83(1.73-1.92), respectively. Conclusion:In this large prospective cohort study in China, participants reporting poor GSRH or worse ASRH had significantly higher risk of all-cause and cardiovascular mortality.
