American Journal of Epidemiology, Vol 152, Issue 9 874-883, Copyright © 2000 by Oxford University Press
EL Idler, LB Russell and D Davis
This study examined relative hazards for mortality and functional
limitations according to poor self-ratings of health using prospective data
from the NHANES I Epidemiologic Follow-up Study, a representative sample of
US adults aged 25-74 years that has been followed since the First National
Health and Nutrition Examination Survey (NHANES I) was conducted in
1971-1975. Follow-up data were taken from death records and from the 1982
and 1992 reinterviews. Respondents (n = 6,913) provided extensive baseline
data through physician examinations, laboratory testing, and self-reports
of conditions, symptoms, and risk behaviors. Functional limitations were
assessed among survivors in 1982 and 1992. Cox regression models accounting
for sample design indicated that baseline self-rated health was associated
with a significantly reduced hazard of mortality for males but not for
females through 1992; adjusted hazards ratios for excellent health as
compared with poor health were 0.52 for males (95% confidence interval:
0.36, 0.73) and 0.80 for females (95% confidence interval: 0.51, 1.23).
Self-rated health also predicted 1982 and 1992 functional limitation for
both men and women and 1992 function net of 1982 function for men only.
Self- rated health contributes unique information to epidemiologic studies
that is not captured by standard clinical assessments or self-reported
histories, but evidence suggests that the effect may be stronger for men
than for women.
Survival, functional limitations, and self-rated health in the NHANES I Epidemiologic Follow-up Study, 1992. First National Health and Nutrition Examination Survey [In Process Citation]
Institute for Health, Health Care Policy, and Aging Research, Rutgers-- The State University of New Jersey, New Brunswick 08903, USA. idler@rci.rutgers.edu
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