Evidence map›Paper›PMID 28985329›Full record

ArticleAge and ageing2017

Self-rated health and its association with mortality in older adults in China, India and Latin America-a 10/66 Dementia Research Group study.

Hanna Falk, Ingmar Skoog, Lena Johansson, Maëlenn Guerchet, Rosie Mayston, Helena Hörder, Martin Prince, A Matthew Prina

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Age and ageing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing 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

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

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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

8 authors.

Hanna FalkInstitute of Neuroscience and Physiology, Neuropsychiatric Epidemiology, Sahlgrenska Academy, University of Gothenburg, Wallinsgatan 6, SE-431 41 Mölndal, Sweden.
Ingmar SkoogInstitute of Neuroscience and Physiology, Neuropsychiatric Epidemiology, Sahlgrenska Academy, University of Gothenburg, Wallinsgatan 6, SE-431 41 Mölndal, Sweden.
Lena JohanssonInstitute of Neuroscience and Physiology, Neuropsychiatric Epidemiology, Sahlgrenska Academy, University of Gothenburg, Wallinsgatan 6, SE-431 41 Mölndal, Sweden.
Maëlenn GuerchetHealth Services and Population Research Department, Psychology and Neuroscience, Centre for Global Mental Health, Institute of Psychiatry, King's College London, Strand, London WC2R2LS, UK.
Rosie MaystonHealth Services and Population Research Department, Psychology and Neuroscience, Centre for Global Mental Health, Institute of Psychiatry, King's College London, Strand, London WC2R2LS, UK.
Helena HörderInstitute of Neuroscience and Physiology, Neuropsychiatric Epidemiology, Sahlgrenska Academy, University of Gothenburg, Wallinsgatan 6, SE-431 41 Mölndal, Sweden.
Martin PrinceHealth Services and Population Research Department, Psychology and Neuroscience, Centre for Global Mental Health, Institute of Psychiatry, King's College London, Strand, London WC2R2LS, UK.
A Matthew PrinaHealth Services and Population Research Department, Psychology and Neuroscience, Centre for Global Mental Health, Institute of Psychiatry, King's College London, Strand, London WC2R2LS, UK.

Funding

Medical Research Council MR/K021907/1Wellcome Trust
6 · The paper itself

Abstract

Background: empirical evidence from high-income countries suggests that self-rated health (SRH) is useful as a brief and simple outcome measure in public health research. However, in many low- and middle-income countries (LMIC) there is a lack of evaluation and the cross-cultural validity of SRH remains largely untested. This study aims to explore the prevalence of SRH and its association with mortality in older adults in LMIC in order to cross-culturally validate the construct of SRH. Methods: population-based cohort studies including 16,940 persons aged ≥65 years in China, India, Cuba, Dominican Republic, Peru, Venezuela, Mexico and Puerto Rico in 2003. SRH was assessed by asking 'how do you rate your overall health in the past 30 days' with responses ranging from excellent to poor. Covariates included socio-demographic characteristics, use of health services and health factors. Mortality was ascertained through a screening of all respondents until 2007. Results: the prevalence of good SRH was higher in urban compared to rural sites, except in China. Men reported higher SRH than women, and depression had the largest negative impact on SRH in all sites. Without adjustment, those with poor SRH showed a 142% increase risk of dying within 4 years compared to those with moderate SRH. After adjusting for all covariates, those with poor SRH still showed a 43% increased risk. Conclusion: our findings support the use of SRH as a simple measure in survey settings to identify vulnerable groups and evaluate health interventions in resource-scares settings.

Indexed as

Geriatric AssessmentSelf ReportAgedAge FactorsAgingChinaCross-Cultural ComparisonDementiaFemaleHealth SurveysHumansIndiaLatin AmericaMalePredictive Value of TestsPrognosis10/66 Dementia Research Grouplow- and middle-income countriesmortalityOlder peopleself-rated health

Identifiers

PMID28985329
PMCPMC5860352

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Registered trials

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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.