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BMC Public Health

, 12:676

Chronic Disease epidemiology


BackgroundThe association between self-rated health SRH and mortality is well documented in the literature, but studies on the subject among young adults in Latin America are rare, as are those evaluating this association using repeated SRH measures, beyond the baseline measurement. This study aims to evaluate the association between SRH evaluated at three data collection stages and mortality.

MethodsCox regression models were used to examine the association between SRH Very good, Good, Fair-Poor varying over time and mortality, over a 10 year period, in a cohort of non-faculty civil servants at a public university in Rio de Janeiro, Brazil Pró-Saúde Study, n = 4009, men = 44.4%.

ResultsAbout 40% of the population changed their self-rating over the course of follow-up. After adjustment for self-reported physician-diagnosed chronic diseases and other covariates, men who reported -Fair-Poor- SRH showed relative hazard of death of 2.13 CI95% 1.03-4.40 and women, 3.43 CI95% 1.23-9.59, as compared with those who reported -Very good- SRH.

ConclusionsIn a population of young adults, our findings reinforce the role of SRH as a predictor of mortality, even controlling for objective measures of health.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-12-676 contains supplementary material, which is available to authorized users.

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Autor: Joanna Miguez Nery Guimarães - Dóra Chor - Guilherme Loureiro Werneck - Marilia Sá Carvalho - Claudia Medina Coeli - C


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