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) wereused to test the hypothesis that self-rated health (SRH) isa predictor of mortality independent of "objective health status"(OHS). Subjects were a random sample of non-institutionalizedresidents of Manitoba aged 65+ in 1971 (n = 3,128). A singleitem measure of SRH was obtained during a survey conducted in1971; a baseline measure of OHS was derived from physician andself-reported conditions and health service utilization data.Occurrence and date of death during the years 1971-1977 wereknown. 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 thatof those whose SRH was excellent. This increased risk of deathassociated with poor self-rated health was greater than thatassociated with poor OHS, poor life satisfaction, low incomeand being male. These findings provide empirical support forthe long held, but inadequately substantiated, belief that theway a person views his health is importantly related to subsequenthealth outcomes.
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