Journal article
Self-rated health status and risk of ischemic heart disease in the China Kadoorie Biobank study: a population based cohort study
- Abstract:
- Background: Self-rated health (SRH) is a strong predictor of mortality in different populations. However, the associations between SRH measures and risk of ischemic heart disease (IHD) have not been extensively explored, especially in Chinese population. Methods and Results: Over 0.5 million adults from 10 cities of China were followed from baseline (2004-2008) until 31 December 2013. Global SRH and age-comparative SRH were inquired in baseline questionnaires. Incident IHD cases were identified through linkage to well-established disease registry systems and national health insurance system. During 3,423,542 person-years of follow-up, we identified 24,705 incident cases of IHD. In multivariable-adjusted models, both SRH and age-comparative SRH were significantly associated with incident IHD. Compared with excellent SRH, the HRs (95% CIs) of good, fair, and poor SRH were 1.02 (0.98-1.07), 1.32 (1.27-1.37), and 1.76 (1.68-1.85), respectively. Compared with better age-comparative SRH, the HRs (95% CIs) of same and worse age-comparative SRH were 1.23 (1.19-1.27) and 1.78 (1.70-1.86), respectively. The associations persisted in all subgroup analyses, though slightly modified by study location, education and income levels. Conclusions: A simple question of self-assessment of health status was significantly associated with incident IHD in Chinese adults. Individuals and healthcare providers can use SRH measures as a convenient measure to assess future IHD risk.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, pdf, 1.6MB, Terms of use)
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- Publisher copy:
- 10.1161/JAHA.117.006595
Authors
+ National Key Research and Development Program of China
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- Grant:
- 2016YFC0900500,2016YFC0900501,2016YFC0900504,2017YFC0907500
- 2017YFC0907504
+ National Natural Science Foundation of China
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- Grant:
- 81390540,81390541,81390542,81202266,
- 81230069
- Publisher:
- American Heart Association
- Journal:
- Journal of the American Heart Association More from this journal
- Volume:
- 6
- Issue:
- 9
- Article number:
- e006595
- Publication date:
- 2017-09-22
- Acceptance date:
- 2017-08-16
- DOI:
- ISSN:
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2047-9980
- Keywords:
- Pubs id:
-
pubs:724449
- UUID:
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uuid:debff737-9f42-45e5-b768-37078fd19503
- Local pid:
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pubs:724449
- Source identifiers:
-
724449
- Deposit date:
-
2017-08-29
- ARK identifier:
Terms of use
- Copyright holder:
- Dong et al
- Copyright date:
- 2017
- Notes:
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Copyright
© 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- Licence:
- CC Attribution (CC BY)
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