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Self-rated health (SRH) in young people and causes of death and mortality in young adulthood. A prospective registry-based Norwegian HUNT-study

机译:年轻人的自我评价的健康(SRH)和年轻成年期死亡和死亡的原因。一名潜在注册处的挪威狩猎学习

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摘要

Background: Self-rated health (SRH), which is frequently used in epidemiological research, has consistently been shown to be a strong predictor of morbidity and mortality, even after controlling for demographic, social and medical risk factors. However, less is known about the relationship between SRH and all-cause and cause-specific mortality in young adulthood. Objective: To investigate SRH in young people (13–35 years-old) as a predictor of all-cause mortality in young adulthood (deaths before age 54) and examine the associated causes of death. Methods: We used data from two large population-based cohort studies (N = 23,679): Young-HUNT1 (1995–1997, persons 13 to 20 years old, participation rate = 90%) and HUNT2 (1995–1997, persons 20 to 35 years old, participation rate = 70%). These data were linked to the Norwegian Cause of Death Registry up to 2014, and 247 deaths were identified. Other predictors we examined included age, gender, baseline smoking, physical activity and physical and mental disability. Results: Participants reporting ‘not so good’/‘poor’ SRH had approximately twice the risk of death compared to those reporting ‘good’ or ‘very good’ SRH at baseline. The association between low SRH and risk of death was attenuated when the models were adjusted for other predictors, but remained statistically significant. The causes of death differed somewhat between SRH levels. Most of the deaths for people reporting ‘very good’ SRH at baseline were mostly due to neoplasms (34%) and other external causes (30%). The causes of death were more varied for people reporting ‘not so good’/‘poor’ SRH, with suicide (23%), other external causes (21%) and other/unknown causes of death (17%) being the most frequent causes. Conclusion: SRH predicts all-cause mortality in young adulthood, with poor SRH being associated with death in young adulthood. The findings also indicate different causes of death for different SRH. This knowledge is important for identifying groups at risk for later disease, which can potentially be used to prevent morbidity in the adult population. Keywords: self-rated health, subjective health, epidemiology, mortality, registry study, young adulthood
机译:背景:常常用于流行病学研究的自我评价的健康(SRH)一直被证明是在控制人口,社会和医疗危险因素的控制之后,这一直被证明是一种强烈的发病和死亡率的预测因素。然而,较少是众所周知的,关于年轻成年期的SRH与均原因和造成特异性死亡率之间的关系。目的:探讨年轻人(13-35岁)的SRH,作为年轻成年期(54岁以上死亡的死亡人数的预测因子,并审查了相关的死亡原因。方法:我们使用来自两个基于大量的群组研究的数据(n = 23,679):Young-hunt1(1995-1997,13至20岁的人,参与率= 90%)和Hunt2(1995-1997,20岁) 35岁,参与率= 70%)。这些数据与挪威人的死亡登记原因相关联2014年,确定了247人死亡。我们审查的其他预测因子包括年龄,性别,基线吸烟,身体活动和身体和精神残疾。结果:参与者报告“不那么好”/“贫困”SRH与基线报告“良好”或“非常好”的SRH相比,死亡风险大致两倍。当模型被调整为其他预测因子时,低SRH与死亡风险之间的关联,但保持统计学意义。死亡原因在SRH水平之间存在稍微有些不同。在基线报告“非常好”的人的大部分死亡大多是由于肿瘤(34%)和其他外部原因(30%)。对于报告“不那么好”/'SRH的人来说,死亡的原因更加多样化,自杀(23%),其他外部原因(21%)和其他/未知的死因(17%)是最常见的原因。结论:SRH预测年轻成年期的所有导致死亡率,贫困人员与年轻成年期死亡有关。调查结果还表明不同SRH的不同原因。这种知识对于鉴定以后疾病风险的群体是重要的,这可能用于预防成年人群的发病率。关键词:自我评价的健康,主观健康,流行病学,死亡率,注册表研究,年轻成年

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