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American Journal of Public Health, Vol. 72, Issue 8 800-808, Copyright © 1982 by American Public Health Association

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Self-rated health: a predictor of mortality among the elderly.

J M Mossey and E Shapiro

Data from the Manitoba Longitudinal Study on Aging (MLSA) were used to test the hypothesis that self-rated health (SRH) is a predictor of mortality independent of "objective health status" (OHS). Subjects were a random sample of non-institutionalized residents of Manitoba aged 65+ in 1971 (n = 3,128). A single item measure of SRH was obtained during a survey conducted in 1971; a baseline measure of OHS was derived from physician and self-reported conditions and health service utilization data. Occurrence and date of death during the years 1971-1977 were known. Analyses of the data revealed that, controlling for OHS, age, sex, life satisfaction, income and urban/rural residence, the risk of early mortality (1971-1973) and late mortality (1974-1977) for persons whose SRH was poor was 2.92 and 2.77 times that of those whose SRH was excellent. This increased risk of death associated with poor self-rated health was greater than that associated with poor OHS, poor life satisfaction, low income and being male. These findings provide empirical support for the long held, but inadequately substantiated, belief that the way a person views his health is importantly related to subsequent health outcomes.




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J Aging HealthHome page
S. A. Murrell and S. Meeks
Psychological, Economic, and Social Mediators of the Education-Health Relationship in Older Adults
J Aging Health, November 1, 2002; 14(4): 527 - 550.
[Abstract] [PDF]


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JAMAHome page
M. Hollifield, T. D. Warner, N. Lian, B. Krakow, J. H. Jenkins, J. Kesler, J. Stevenson, and J. Westermeyer
Measuring Trauma and Health Status in Refugees: A Critical Review
JAMA, August 7, 2002; 288(5): 611 - 621.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. S. Rumsfeld
Health Status and Clinical Practice: When Will They Meet?
Circulation, July 2, 2002; 106(1): 5 - 7.
[Full Text] [PDF]


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Mayo Clin Proc.Home page
G. H. Guyatt, D. Osoba, A. W. Wu, K. W. Wyrwich, G. R. Norman, and Clinical Significance Consensus Meeting Group
Methods to Explain the Clinical Significance of Health Status Measures
Mayo Clin. Proc., April 1, 2002; 77(4): 371 - 383.
[Abstract] [PDF]


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JCOHome page
L. Repetto, L. Fratino, R. A. Audisio, A. Venturino, W. Gianni, M. Vercelli, S. Parodi, D. Dal Lago, F. Gioia, S. Monfardini, et al.
Comprehensive Geriatric Assessment Adds Information to Eastern Cooperative Oncology Group Performance Status in Elderly Cancer Patients: An Italian Group for Geriatric Oncology Study
J. Clin. Oncol., January 15, 2002; 20(2): 494 - 502.
[Abstract] [Full Text] [PDF]


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Am J EpidemiolHome page
P. N. Singh and X. Wang
Simulation Study of the Effect of the Early Mortality Exclusion on Confounding of the Exposure-Mortality Relation by Preexisting Disease
Am. J. Epidemiol., November 15, 2001; 154(10): 963 - 971.
[Abstract] [Full Text] [PDF]


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J. Epidemiol. Community HealthHome page
B Burstrom and P Fredlund
Self rated health: Is it as good a predictor of subsequent mortality among adults in lower as well as in higher social classes?
J Epidemiol Community Health, November 1, 2001; 55(11): 836 - 840.
[Abstract] [Full Text] [PDF]


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J. Epidemiol. Community HealthHome page
P Guallar-Castillon, F Rodriguez-Artalejo, L D. Ganan, J R B. Banegas, P L. Urdinguio, and R H. Cabrera
Consumption of alcoholic beverages and subjective health in Spain
J Epidemiol Community Health, September 1, 2001; 55(9): 648 - 652.
[Abstract] [Full Text] [PDF]


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Journal of Applied GerontologyHome page
R. T. Goins, J. C. Hays, L. R. Landerman, and G. Hobbs
Access to Health Care and Self-Rated Health Among Community-Dwelling Older Adults
Journal of Applied Gerontology, September 1, 2001; 20(3): 307 - 321.
[Abstract] [PDF]


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Health Promot PractHome page
H. P. Greenwald and W. L. Beery
Reducing Isolation among Inner-City Elders: An Outcome Evaluation
Health Promot Pract, July 1, 2001; 2(3): 233 - 241.
[Abstract] [PDF]


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Scand J Public HealthHome page
K. C. Ringsberg, K. A. E. Alexanderson, K. E. Borg, and G. K. E. Hensing
The health-line - a method for collecting data on self-rated health over time: a pilot study
Scand J Public Health, July 1, 2001; 29(3): 233 - 239.
[Abstract] [PDF]




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