A population-based study of nearly 15 000 observations among Swedish women and men during 1973–2003

Halford, Christina; Welin, Catharina; Bogefeldt, Johan P; Wallman, Thorne; Rosengren, Annika; Bardel, Annika; Johansson, Saga; Eriksson, Henry; Svärdsudd, Kurt

doi:10.1136/bmjopen-2012-001353

Cited by 6 publications

(8 citation statements)

References 27 publications

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“…Global SRH is known to encompass assessments of a wide range of health determinants [28], and may furthermore reflect norms and expectations in relation to health. A negative trend in self-rated health with gradually poorer self-ratings observed in later years of investigation was recently reported, based on data from the same study population [29]. In the present analyses, using register-based data, significant associations were observed between sick leave, disability pension, mortality, and self-rated health which remained after adjusting for covariates, including year of investigation.…”

Section: Discussionsupporting

confidence: 81%

Effects of self-rated health on sick leave, disability pension, hospital admissions and mortality. A population-based longitudinal study of nearly 15,000 observations among Swedish women and men

Halford

Wallman

Welin³

et al. 2012

BMC Public Health

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BackgroundSimple global self-ratings of health (SRH) have become increasingly used in national and international public health monitoring, and in recent decades recommended as a standard part of health surveys. Monitoring developments in population health requires identification and use of health measures, valid in relation to targets for population health. The aim of the present study was to investigate associations between SRH and sick leave, disability pension, hospital admissions, and mortality, adjusted for effects of significant covariates, in a large population-based cohort.MethodsThe analyses were based on screening data from eight population-based cohorts in southern and central Sweden, and on official register data regarding sick-leave, disability pension, hospital admissions, and death, with little or no data loss. Sampling was performed 1973–2003. The study population consisted of 11,880 women and men, age 25–99 years, providing 14,470 observations. Information on SRH, socio-demographic data, lifestyle variables and somatic and psychological symptoms were obtained from questionnaires.ResultsThere was a significant negative association between SRH and sick leave (Beta −13.2, p<0.0001, and −9.5, p<0.01, in women and men, respectively), disability pension (Hazard ratio 0.77, p<0.0001 and 0.76, p<0.0001, in women and men, respectively), and mortality, adjusted for covariates. SRH was also significantly associated with hospital admissions in men (Hazard ratio 0.87, p<0.0001), but not in women (Hazard ratio 0.96, p0.20). Associations between SRH on the one hand, and sick leave, disability pension, hospital admission, and mortality, on the other, were robust during the follow-up period.ConclusionsSRH had strong predictive validity in relation to use of social insurance facilities and health care services, and to mortality. Associations were strong and robust during follow-up.

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Section: Discussionsupporting

confidence: 81%

Effects of self-rated health on sick leave, disability pension, hospital admissions and mortality. A population-based longitudinal study of nearly 15,000 observations among Swedish women and men

Halford

Wallman

Welin³

et al. 2012

BMC Public Health

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“…SRH was generally poorer in females than in males, as was reported earlier (Halford et al 2012;McCullough and Laurenceau 2004;Singh-Manoux et al 2007). Furthermore, we found improved SRH over time in individuals aged ≥48 years, but stable or poorer SRH in younger individuals.…”

Section: Discussionsupporting

confidence: 80%

“…However, this research area is incompletely explored and differences between cohorts and populations may exist (Halford et al 2012;Sacker et al 2011;Zack et al 2004;Zheng et al 2011). Several longitudinal studies have reported improved SRH among older individuals (Ishizaki et al 2009;Zack et al 2004).…”

Section: Introductionmentioning

confidence: 99%

Longitudinal trends in good self-rated health: effects of age and birth cohort in a 25-year follow-up study in Sweden

Johansson

Midlöv

Sundquist

et al. 2015

Int J Public Health

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“…Analyses were based on data from eight on-going Swedish cohort studies, with baseline investigations performed between 1973 and 2003. The study population has previously been described in detail [7, 8]. Briefly, all Swedish residents, whether citizens or not, have a unique personal identification number based on year and date of birth.…”

Section: Methodsmentioning

confidence: 99%

Age and sex related self-reported symptoms in a general population across 30 years: Patterns of reporting and secular trend

et al. 2019

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ObjectiveTo study age and sex specific prevalence of 30 symptoms in random samples from the general population and to analyze possible secular trends across time.Study populationThe study was based on data from eight on-going Swedish cohort studies, with baseline investigations performed between 1973 and 2003. Samples were drawn from the general population of the cities of Gothenburg and Eskilstuna, and of Uppsala County. Overall, 20,160 subjects were sampled, 14,470 (71.8%) responded, of whom 12.000 were unique subjects, and 2548 were part of more than one sample.MethodsThe Complaint score sub-scale of the Gothenburg Quality of Life instrument, listing 30 general symptoms was used. Responders were asked to indicate which symptoms they had experienced during the last three months.ResultsWomen reported on average 7.8 symptoms, and men 5.3 (p<0.0001). Women reported higher prevalence than men for 24 of the 30 symptoms. In multivariate analyses four patterns of prevalence across age were identified in both men and women; increasing prevalence, decreasing, stable and biphasic prevalence. The symptoms in the various pattern groups differed somewhat between men and women. However, symptoms related to strain were prominent among symptoms decreasing with age. Moreover, there were secular trends. Across all symptoms reporting prevalence increased over time in men (p<0.001) as well as in women (p<0.0001).ConclusionsWomen reported higher total symptom prevalence than men. Symptoms related to health generally increased with age, while symptoms related to stress decreased markedly. Significant secular trends across time regarding symptom prevalence were found.

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A population-based study of nearly 15 000 observations among Swedish women and men during 1973–2003

Cited by 6 publications

References 27 publications

Effects of self-rated health on sick leave, disability pension, hospital admissions and mortality. A population-based longitudinal study of nearly 15,000 observations among Swedish women and men

Effects of self-rated health on sick leave, disability pension, hospital admissions and mortality. A population-based longitudinal study of nearly 15,000 observations among Swedish women and men

Longitudinal trends in good self-rated health: effects of age and birth cohort in a 25-year follow-up study in Sweden

Age and sex related self-reported symptoms in a general population across 30 years: Patterns of reporting and secular trend

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