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A population-based study of nearly 15 000 observations among Swedish women and men during 1973-2003
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).
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2012 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 2, no 6, e001353- p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES:

Global self-rated health (SRH) has become extensively used as an outcome measure in population health surveillance. The aim of this study was to analyse the effects of age and secular trend (year of investigation) on SRH.

DESIGN:

Prospective cohort study, using population-based data from eight ongoing cohort studies, with sampling performed between 1973 and 2003.

SETTING:

Sweden.

PARTICIPANTS:

11 880 women and men, aged 25-99 years, providing 14 470 observations.

PRIMARY OUTCOME MEASURE:

Global SRH.

RESULTS:

In multiple ordinal logistic regression analyses, adjusted for the effects of covariates, there were independent effects of age (p<0.0001) and of year of investigation (p<0.0001) on SRH. In women the association was linear, showing lower levels of SRH with increased age, and more recent year of investigation. In men the association was curvilinear, and thus more complex. The final model explained 76.2% of the SRH variance in women and 74.5% of the variance in men.

CONCLUSIONS:

SRH was strongly and inversely associated with age in both sexes, after adjustment for other outcome-affecting variables. There was a strongly significant effect of year of investigation indicating a change in SRH, in women towards lower levels over calendar time, in men with fluctuations across time.

Place, publisher, year, edition, pages
2012. Vol. 2, no 6, e001353- p.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-189474DOI: 10.1136/bmjopen-2012-001353ISI: 000315081400025PubMedID: 23117561OAI: oai:DiVA.org:uu-189474DiVA: diva2:581509
Available from: 2013-01-02 Created: 2013-01-02 Last updated: 2017-12-06Bibliographically approved

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Halford, ChristinaBogefeldt, JohanWallman, ThorneBardel, AnnikaSvärdsudd, Kurt

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Family Medicine and Preventive MedicineCentrum för klinisk forskning i Sörmland (CKFD)
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Public Health, Global Health, Social Medicine and Epidemiology

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