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Does the association between self-rated health and mortality vary by social class?

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  • McFadden, E.
  • Luben, R.
  • Bingham, S.
  • Wareham, N.
  • Kinmonth, A.-L.
  • Khaw, K.-T.

Abstract

Self-rated health (SRH) predicts future mortality. Individuals in different social classes with similar physical health status may have different reference levels and criteria against which they judge their health, therefore the SRH-mortality relationship may vary according to social class. We examine the relationship between SRH and mortality by occupational social class in a prospective study of 22,457 men and women aged 39-79 years, without prevalent disease, living in the general community in Norfolk, United Kingdom, recruited using general practice age-sex registers in 1993-1997 and followed up for an average of 10 years. As expected, SRH was related to subsequent mortality. The age and sex adjusted hazard ratio for mortality for those with poor compared to those with excellent SRH was 4.35 (95% confidence interval 3.38-5.59, PÂ

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  • McFadden, E. & Luben, R. & Bingham, S. & Wareham, N. & Kinmonth, A.-L. & Khaw, K.-T., 2009. "Does the association between self-rated health and mortality vary by social class?," Social Science & Medicine, Elsevier, vol. 68(2), pages 275-280, January.
    • Handle: RePEc:eee:socmed:v:68:y:2009:i:2:p:275-280
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    1. Wiktoria Wróblewska, 2010. "Stan zdrowia w Polsce - rola czynników ekonomiczno-spo³ecznych i stylu zycia.Ocena na podstawie wskaŸnika SRH i PAR," Working Papers 22, Institute of Statistics and Demography, Warsaw School of Economics.
    2. van Ooijen, R. & Alessi, R. & Knoef, M., 2015. "Health status over the life cycle," Health, Econometrics and Data Group (HEDG) Working Papers 15/21, HEDG, c/o Department of Economics, University of York.
    3. Morefield Brant & Ribar David C. & Ruhm Christopher J., 2012. "Occupational Status and Health Transitions," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 11(3), pages 1-29, March.
    4. van der Wel, Kjetil A. & Dahl, Espen & Thielen, Karsten, 2011. "Social inequalities in ‘sickness’: European welfare states and non-employment among the chronically ill," Social Science & Medicine, Elsevier, vol. 73(11), pages 1608-1617.
    5. Akihiro Nishi & Ichiro Kawachi & Kokoro Shirai & Hiroshi Hirai & Seungwon Jeong & Katsunori Kondo, 2012. "Sex/Gender and Socioeconomic Differences in the Predictive Ability of Self-Rated Health for Mortality," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-7, January.
    6. Zheng Xie & Adrienne N Poon & Zhijun Wu & Weiyan Jian & Kit Yee Chan, 2015. "Is Occupation a Good Predictor of Self-Rated Health in China?," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-18, May.
    7. Niclas Berggren & Martin Ljunge, 2021. "Good Faith and Bad Health: Self-Assessed Religiosity and Self-Assessed Health of Women and Men in Europe," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 153(1), pages 323-344, January.
    8. Dahl, Espen & van der Wel, Kjetil A., 2013. "Educational inequalities in health in European welfare states: A social expenditure approach," Social Science & Medicine, Elsevier, vol. 81(C), pages 60-69.
    9. Arku, Godwin & Luginaah, Isaac & Mkandawire, Paul & Baiden, Philip & Asiedu, Alex B., 2011. "Housing and health in three contrasting neighbourhoods in Accra, Ghana," Social Science & Medicine, Elsevier, vol. 72(11), pages 1864-1872, June.
    10. Wiktoria Wróblewska, 2012. "Nierówności społeczne w stanie zdrowia w Polsce – analiza na podstawie samooceny stanu zdrowia oraz poziomu wykształcenia," Collegium of Economic Analysis Annals, Warsaw School of Economics, Collegium of Economic Analysis, issue 28, pages 65-84.
    11. Nawi Ng & Mohammad Hakimi & Ailiana Santosa & Peter Byass & Siswanto Agus Wilopo & Stig Wall, 2012. "Is Self-Rated Health an Independent Index for Mortality among Older People in Indonesia?," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-8, April.
    12. Wim Peersman & Dirk Cambier & Jan Maeseneer & Sara Willems, 2012. "Gender, educational and age differences in meanings that underlie global self-rated health," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(3), pages 513-523, June.
    13. Levinsky, Michal & Schiff, Miriam, 2021. "Lifetime cumulative adversity and physical health deterioration in old age: Evidence from a fourteen-year longitudinal study," Social Science & Medicine, Elsevier, vol. 289(C).

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