ArticleBMJ open2015
Self-rated health and standard risk factors for myocardial infarction: a cohort study.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- The association between self-rated health and risk of atrial fibrillation: a northern Sweden cohort study.Preventive medicine reports · 2026Article
- Sex Differences in Self-Rated Health and Cardiovascular Disease Events.JAMA network open · 2026Article
- Association between the COVID-19 pandemic and mental health in very old people in Sweden.PloS one · 2024Article
- Risk perception of cardiovascular disease among Turkish adults: a cross-sectional study.Primary health care research & development · 2023Article
- Association of the number of teeth and self-rated mastication with self-rated health in community-dwelling Japanese aged 40 years and older: the Yamagata cohort study.Scientific reports · 2022Article
- Cross-cultural adaptation of the Spanish MINICHAL instrument into English for use in the United Kingdom.Health and quality of life outcomes · 2022Article
- Neighborhood Ethnic Composition and Self-rated Health Among Chinese and Vietnamese American Immigrants.Journal of immigrant and minority health · 2021Article
- Self-Rated Health and Age-Related Differences in Ambulatory Blood Pressure: The Mediating Role of Behavioral and Affective Factors.Psychosomatic medicine · 2020Article
- Integrating a diet quality screener into a cardiology practice: assessment of nutrition counseling, cardiometabolic risk factors and patient/provider satisfaction.BMJ nutrition, prevention & health · 2020Article
- The associations of self-rated health with cardiovascular risk proteins: a proteomics approach.Clinical proteomics · 2019Article
- Screening for type 2 diabetes: do screen-detected cases fare better?Diabetologia · 2017Article
- Self-Reported Health and Outcomes in Patients With Stable Coronary Heart Disease.Journal of the American Heart Association · 2017Observational
- Epidemiology of self-rated health in rural China: a population-based cross-sectional study.Scientific reports · 2017Article
- Lifestyle-related factors that explain disaster-induced changes in socioeconomic status and poor subjective health: a cross-sectional study from the Fukushima health management survey.BMC public health · 2017Article
- Time trends of comparative self-rated health in adults aged 25-34 in the Northern Sweden MONICA study, 1990-2014.PloS one · 2017Article
- Information and communication technology demands at work: the association with job strain, effort-reward imbalance and self-rated health in different socio-economic strata.International archives of occupational and environmental health · 2016Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the relationship between self-rated health, adjusted for standard risk factors, and myocardial infarction.
designPopulation-based prospective cohort study.
settingEnrolment took place between 1990 and 2004 in Västerbotten County, Sweden
participantsEvery year, persons in the total population, aged 40, 50 or 60 were invited. Participation rate was 60%. The cohort consisted of 75 386 men and women. After exclusion for stroke or myocardial infarction before, or within 12 months after enrolment or death within 12 months after enrolment, 72 530 persons remained for analysis. Mean follow-up time was 13.2 years. OUTCOME MEASURES: Cox regression analysis was used to estimate HRs for the end point of first non-fatal or fatal myocardial infarction. HR were adjusted for age, sex, systolic blood pressure, total cholesterol, smoking, diabetes, body mass index, education, physical activity and self-rated health in the categories very good; pretty good; somewhat good; pretty poor or poor.
resultsIn the cohort, 2062 persons were diagnosed with fatal or non-fatal myocardial infarction. Poor self-rated health adjusted for sex and age was associated with the outcome with HR 2.03 (95% CI 1.45 to 2.84). All categories of self-rated health worse than very good were statistically significant and showed a dose-response relationship. In a multivariable analysis with standard risk factors (not including physical activity and education) HR was attenuated to 1.61 (95% CI 1.13 to 2.31) for poor self-rated health. All categories of self-rated health remained statistically significant. We found no interaction between self-rated health and standard risk factors except for poor self-rated health and diabetes.
conclusionsThis study supports the use of self-rated health as a standard risk factor among others for myocardial infarction. It remains to demonstrate whether self-rated health adds predictive value for myocardial infarction in combined algorithms with standard risk factors.
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