Abstract
Poor self-rated health is associated with increased risk of mortality, but no previous study has examined how long-term trajectories of self-rated health differ among people at risk of subsequent death compared to those who survive. Data were drawn from French occupational cohort (the GAZEL study, 1989–2010). This nested case–control study included 915 deceased men and women and 2578 controls matched for sex, baseline age, occupational grade and marital status. Self-rated health was measured annually and dichotomized into good versus poor health. Trajectories of poor self-rated health up to 15 years were compared among people who subsequently died to those who survived. Participants contributed to an average 10.3 repeated assessments of self-rated health. Repeated-measures log-binomial regression analysis with generalized estimating equations showed an increased prevalence of poor self-rated health in cases 13–15 years prior to death from ischemic and other cardiovascular disease [multivariable-adjusted risk ratio 2.06, 95 % confidence interval (CI) 1.55–2.75], non-smoking-related cancers (1.57, 95 % CI 1.30–1.89), and suicide (1.78, 95 % CI 1.00–3.16). Prior to death from ischemic and other cardiovascular disease, increased rates of poor self-rated health were evident even among persons who were free of cardiovascular diseases (2.05, 95 % CI 1.50–2.78). In conclusion, perceptions of health diverged between the surviving controls and the deceased already 15 years prior to death. For cardiovascular mortality, decline in self-rated health started before diagnosis of the disease leading to death. The findings suggest that declining self-rated health might capture pathological changes before and beyond the disease diagnosis.
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References
Mossey JM, Shapiro E. Self-rated health: a predictor of mortality among the elderly. Am J Public Health. 1982;72(8):800–8.
Tsuji I, Minami Y, Keyl PM, Hisamichi S, Asano H, Sato M, et al. The predictive power of self-rated health, activities of daily living, and ambulatory activity for cause-specific mortality among the elderly: a three-year follow-up in urban Japan. J Am Geriatr Soc. 1994;42(2):153–6.
Pijls LT, Feskens EJ, Kromhout D. Self-rated health, mortality, and chronic diseases in elderly men. The Zutphen study, 1985–1990. Am J Epidemiol. 1993;138(10):840–8.
Giltay EJ, Vollaard AM, Kromhout D. Self-rated health and physician-rated health as independent predictors of mortality in elderly men. Age Ageing. 2012;41(2):165–71.
Benjamins MR, Hummer RA, Eberstein IW, Nam CB. Self-reported health and adult mortality risk: an analysis of cause-specific mortality. Soc Sci Med. 2004;59(6):1297–306.
Kaplan GA, Goldberg DE, Everson SA, Cohen RD, Salonen R, Tuomilehto J, et al. Perceived health status and morbidity and mortality: evidence from the Kuopio ischaemic heart disease risk factor study. Int J Epidemiol. 1996;25(2):259–65.
Heistaro S, Jousilahti P, Lahelma E, Vartiainen E, Puska P. Self rated health and mortality: a long term prospective study in eastern Finland. J Epidemiol Community Health. 2001;55(4):227–32.
Fernandez-Ruiz M, Guerra-Vales JM, Trincado R, Fernandez R, Medrano MJ, Villarejo A, et al. The ability of self-rated health to predict mortality among community-dwelling elderly individuals differs according to the specific cause of death: data from the NEDICES cohort. Gerontology. 2013;59(4):368–77.
Stenholm S, Pentti J, Kawachi I, Westerlund H, Kivimaki M, Vahtera J. Self-rated health in the last 12 years of life compared to matched surviving controls: the health and retirement study. PLoS One. 2014;9(9):e107879.
Goldberg M, Leclerc A, Bonenfant S, Chastang JF, Schmaus A, Kaniewski N, et al. Cohort profile: the GAZEL cohort study. Int J Epidemiol. 2007;36(1):32–9.
Niedhammer I, Chea M. Psychosocial factors at work and self reported health: comparative results of cross sectional and prospective analyses of the French GAZEL cohort. Occup Environ Med. 2003;60(7):509–15.
Zins M, Carle F, Bugel I, Leclerc A, Di Orio F, Goldberg M. Predictors of change in alcohol consumption among Frenchmen of the GAZEL study cohort. Addiction. 1999;94(3):385–95.
Sjösten N, Kivimäki M, Singh-Manoux A, Ferrie JE, Goldberg M, Zins M, et al. Change in physical activity and weight in relation to retirement: the French GAZEL cohort study. BMJ Open. 2012;2:e000522.
Metzger MH, Goldberg M, Chastang JF, Leclerc A, Zins M. Factors associated with self-reporting of chronic health problems in the French GAZEL cohort. J Clin Epidemiol. 2002;55(1):48–59.
Zeger SL, Liang K-Y. Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986;42:121–30.
Diggle PJ, Liang KY, Zeger SL. Analysis of longitudinal data. Oxford: Oxford University Press; 1994.
DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P. Mortality prediction with a single general self-rated health question. A meta-analysis. J Gen Intern Med. 2006;21(3):267–75.
Jylhä M. What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med. 2009;69(3):307–16.
Poncet M, Chevalier A, Bumsel F, Lahon G. Mortality among active workers at EDG–GDF: social and occupational disparities and evolution. Rev Epidemiol Sante Publique. 2003;51(5):481–91.
Acknowledgments
This work was supported by the EU’s Era-Age 2 program (Academy of Finland 264944), Academy of Finland (286294) and the Swedish Research Council for Health, Working Life and Welfare (Forte, 2012-1661). Mika Kivimäki is supported by the Medical Research Council (K013351) and a professorial fellowship from the Economic and Social Research Council, UK. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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This study was approved by the French national ethics committee [Commission nationale de l’informatique et des libertés (CNIL)] and informed consent was obtained from all participants.
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Stenholm, S., Kivimäki, M., Jylhä, M. et al. Trajectories of self-rated health in the last 15 years of life by cause of death. Eur J Epidemiol 31, 177–185 (2016). https://doi.org/10.1007/s10654-015-0071-0
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DOI: https://doi.org/10.1007/s10654-015-0071-0