ArticleBMC public health2018
Association between multiple comorbidities and self-rated health status in middle-aged and elderly Chinese: the China Kadoorie Biobank study.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Self-rated health after stroke: a systematic review of the literature.BMC neurology · 2019Pooled it
- Factors contributing to self-rated health in community-dwelling independent 75-year-old Finns: a population-based cross-sectional cohort study.BMC geriatrics · 2025Trial
- Detecting comorbidity patterns in rare disease patients with machine learning.Frontiers in epidemiology · 2026Article
- Examining Age-Adjusted Associations between BMI and Comorbidities in Mongolia: Cross-Sectional Prevalence.Healthcare (Basel, Switzerland) · 2024Article
- Why is there a gap in self-rated health among people with hypertension in Zambia? A decomposition of determinants and rural‒urban differences.BMC public health · 2024Article
- Poor self-rated health is associated with faster cognitive decline and greater small vessel disease in older adults with type 2 diabetes.Diabetes/metabolism research and reviews · 2024Article
- Determinants of Self-Rated Health Disparities among Independent Community-Dwelling Older Adults: An Age-Stratified Analysis.Healthcare (Basel, Switzerland) · 2023Article
- Association between impairment and self-rated heath: a brazilian population study considering type, origin, and degree of limitation.BMC public health · 2023Article
- Pregnancy Loss and Risk of All-Cause Mortality in Chinese Women: Findings From the China Kadoorie Biobank.International journal of public health · 2023Article
- Association of smoking status and nicotine dependence with multi-morbidity in China: A nationally representative crosssectional study.Tobacco induced diseases · 2023Article
- Leading Predictors of COVID-19-Related Poor Mental Health in Adult Asian Indians: An Application of Extreme Gradient Boosting and Shapley Additive Explanations.International journal of environmental research and public health · 2022Article
- Multimorbidity patterns and the relation to self-rated health among older Japanese people: a nationwide cross-sectional study.BMJ open · 2022Article
- Dairy intake and incident functional disability among older Japanese adults: the Ohsaki Cohort 2006 Study.European journal of nutrition · 2022Article
- Self-rated health and multimorbidity in patients with type 2 diabetes.Journal of health psychology · 2022Article
- Patient preferences for lifestyle behaviours in osteoporotic fracture prevention: a cross-European discrete choice experiment.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Performance of the SarQoL quality of life tool in a UK population of older people with probable sarcopenia and implications for use in clinical trials: findings from the SarcNet registry.BMC geriatrics · 2022Article
- General and comparative self-rated health in chronic stroke: an important outcome measure for health professionals.BMC neurology · 2022Article
- The Relationship of Health-Related Behavior and Chronic Diseases with Self-Rated Health, a Multinational Comparison among Adult Population: Evidence from EASS 2010 Health Survey.Iranian journal of public health · 2022Article
- Profit versus Quality: The Enigma of Scientific Wellness.Journal of personalized medicine · 2022Review
- Health insurance, healthcare utilization and language use among populations who experience risk for tuberculosis, California 2014-2017.PloS one · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
Abstract
backgroundUnderstanding the correlates of self-rated health (SRH) can help public health professionals prioritize health-promotion and disease-prevention interventions. This study aimed to investigate the association between multiple comorbidities and global SRH and age-comparative SRH.
methodsA total of 512,891 participants aged 30-79 years old were recruited into the China Kadoorie Biobank study from ten regions between 2004 and 2008. Multivariate logistic regression models were used to estimate the odds ratios (ORs) for the associations between comorbidities (including diabetes, hypertension, coronary heart disease, rheumatic heart disease, stroke, tuberculosis, emphysema/bronchitis, asthma, cirrhosis/chronic hepatitis, peptic ulcer, gallbladder disease, kidney disease, fracture, rheumatic arthritis, psychiatric disorders, depressive symptoms, neurasthenia, head injury and cancer) and SRH. Population attributable risks (PARs) were used to estimate the contribution of multiple comorbidities to poor global SRH and worse age-comparative SRH.
resultsAfter adjusting for covariates, suffering from various diseases increased the chance of reporting a poor global SRH [OR (95% CI) ranged from 1.10 (1.07, 1.13) for fracture to 3.21 (2.68, 3.83) for rheumatic heart disease] and a worse age-comparative SRH [OR (95% CI) ranged from 1.18 (1.13, 1.23) for fracture to 7.56 (6.93, 8.25) for stroke]. From the population perspective, 20.23% of poor global SRH and 45.12% of worse age-comparative SRH could attributed to the cardiometabolic diseases, with hypertension (7.84% for poor global SRH and 13.79% for worse age-comparative SRH), diabetes (4.35% for poor global SRH and 10.71% for worse age-comparative SRH), coronary heart disease (4.44% for poor global SRH and 9.51% for worse age-comparative SRH) and stroke (3.20% for poor global SRH and 10.19% for worse age-comparative SRH) making the largest contribution.
conclusionsVarious diseases were major determinants of global and age-comparative SRH, and cardiometabolic diseases had the strongest impact on both global SRH and age-comparative SRH at the population level. Prevention measures concentrated on these conditions would greatly reduce the total burden of poor SRH and its consequences such as poor quality of life and use of health care services.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.