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[Subjective health as predictor for mortality].

S Müters1, T Lampert, U Maschewsky-Schneider

  • 1Technische Universität Berlin, Institut für Gesundheitswissenschaften. mueters@ifg.tu-berlin.de

Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|March 5, 2005
PubMed
Summary

Self-rated health consistently predicts mortality. This study in Germany reveals that while poor self-rated health predicts short-term mortality, its long-term impact suggests complex links beyond objective health indicators.

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Area of Science:

  • Gerontology
  • Epidemiology
  • Public Health

Context:

  • Self-rated health (SRH) is a recognized predictor of mortality in international studies.
  • Limited research exists on the long-term, independent effect of SRH on mortality in Germany, especially compared to objective health indicators.
  • The Life-Expectancy-Study (1984/86 - 1998) provides a unique dataset for analyzing this association over time.

Purpose:

  • To investigate the association between self-rated health and mortality in Germany.
  • To examine how the length of follow-up influences the predictive power of self-rated health for mortality.
  • To determine if the effect of self-rated health on mortality is independent of objective health status over different time frames.

Summary:

  • Analysis of the Life-Expectancy-Study (1984/86 - 1998) indicates a stronger correlation between poor self-rated health and objective health status, with better short-term mortality prediction.

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  • A significant independent effect of self-rated health on mortality was observed in the long-term follow-up, excluding short-term deaths.
  • These findings suggest that the relationship between subjective health perception and mortality is more intricate than initially presumed, involving complex mechanisms.

    • Impact:

    • Highlights the prognostic value of self-rated health for mortality prediction in the German population.
    • Underscores the importance of considering different follow-up durations when assessing the impact of self-rated health.
    • Provides evidence for the complex interplay between subjective well-being, objective health, and long-term survival outcomes.