Evidence map›Paper›PMID 26202668›Full record

ArticleEuropean journal of epidemiology2016

Trajectories of self-rated health in the last 15 years of life by cause of death.

Sari Stenholm, Mika Kivimäki, Marja Jylhä, Ichiro Kawachi, Hugo Westerlund, Jaana Pentti, Marcel Goldberg, Marie Zins, Jussi Vahtera

Abstract read
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In one paragraph

Article in European journal of epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Reporting heterogeneity and health measurement bias in older adults: nationwide cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  4. Article
  5. Article
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  7. Article
  8. The Synthesis of NovelMolecules (Basel, Switzerland) · 2023
    Article
  9. Article
  10. Polypharmacy and the Change of Self-Rated Health in Community-Dwelling Older Adults.International journal of environmental research and public health · 2023
    Article
  11. Article
  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sari StenholmDepartment of Public Health, University of Turku, 20014, Turku, Finland. sari.stenholm@utu.fi.
Mika KivimäkiDepartment of Epidemiology and Public Health, University College London, London, UK.
Marja JylhäSchool of Health Sciences and the Gerontology Research Center (GEREC), University of Tampere, Tampere, Finland.
Ichiro KawachiDepartment of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA, USA.
Hugo WesterlundUniversity of Stockholm, Stockholm, Sweden.
Jaana PenttiFinnish Institute of Occupational Health, Helsinki, Finland.
Marcel GoldbergINSERM, UMS 011, Hôpital Paul Brousse, Villejuif, France.
Marie ZinsINSERM, UMS 011, Hôpital Paul Brousse, Villejuif, France.
Jussi VahteraDepartment of Public Health, University of Turku, 20014, Turku, Finland.

Funding

Medical Research Council K013351Medical Research Council MR/K013351/1
6 · The paper itself

Abstract

Poor self-rated health is associated with increased risk of mortality, but no previous study has examined how long-term trajectories of self-rated health differ among people at risk of subsequent death compared to those who survive. Data were drawn from French occupational cohort (the GAZEL study, 1989-2010). This nested case-control study included 915 deceased men and women and 2578 controls matched for sex, baseline age, occupational grade and marital status. Self-rated health was measured annually and dichotomized into good versus poor health. Trajectories of poor self-rated health up to 15 years were compared among people who subsequently died to those who survived. Participants contributed to an average 10.3 repeated assessments of self-rated health. Repeated-measures log-binomial regression analysis with generalized estimating equations showed an increased prevalence of poor self-rated health in cases 13-15 years prior to death from ischemic and other cardiovascular disease [multivariable-adjusted risk ratio 2.06, 95 % confidence interval (CI) 1.55-2.75], non-smoking-related cancers (1.57, 95 % CI 1.30-1.89), and suicide (1.78, 95 % CI 1.00-3.16). Prior to death from ischemic and other cardiovascular disease, increased rates of poor self-rated health were evident even among persons who were free of cardiovascular diseases (2.05, 95 % CI 1.50-2.78). In conclusion, perceptions of health diverged between the surviving controls and the deceased already 15 years prior to death. For cardiovascular mortality, decline in self-rated health started before diagnosis of the disease leading to death. The findings suggest that declining self-rated health might capture pathological changes before and beyond the disease diagnosis.

Indexed as

Cause of DeathHealth StatusAdultAgedCardiovascular DiseasesCase-Control StudiesFemaleFranceHumansMaleMiddle AgedMyocardial IschemiaNeoplasmsPrevalenceRegression AnalysisRisk FactorsCause-specific mortalityCohort studySelf-rated healthTrajectory

Identifiers

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.