Evidence map›Paper›PMID 32184429›Full record

ArticleScientific reports2020

Self-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation time.

Geir Lorem, Sarah Cook, David A Leon, Nina Emaus, Henrik Schirmer

Abstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 147 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
147citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Underdiagnosis of Health: A Key Driver of Overdiagnosis of Disease.Journal of evaluation in clinical practice · 2026
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  8. Diminished returns to Black health: A Canadian problem?Canadian journal of public health = Revue canadienne de sante publique · 2026
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  13. Article
  14. Health inequalities and subjective wellbeing.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  15. Article
  16. Article
  17. Physical frailty, self-rated health, and all-cause mortality: implications for understanding resilience in aging.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  18. Article
  19. Article
  20. Article

87 more citing papers are in PubMed but not listed here.

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

5 authors.

Geir LoremUiT The Arctic University of Norway, Tromsø, Norway. Geir.lorem@uit.no.ORCID http://orcid.org/0000-0003-0334-4768
Sarah CookLondon School of Hygiene & Tropical Medicine, London, United Kingdom.
David A LeonLondon School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID http://orcid.org/0000-0001-9747-1762
Nina EmausUiT The Arctic University of Norway, Tromsø, Norway.
Henrik SchirmerUiT The Arctic University of Norway, Tromsø, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Self-reported health (SRH) is widely used as an epidemiological instrument given the changes in public health since its introduction in the 1980s. We examined the association between SRH and mortality and how this is affected by time and health measurements in a prospective cohort study using repeated measurements and physical examinations of 11652 men and 12684 women in Tromsø, Norway. We used Cox proportional hazard regression to estimate hazard ratios (HRs) of death for SRH, controlling for pathology, biometrics, smoking, sex and age. SRH predicted mortality independently of other, more objective health measures. Higher SRH was strongly associated with lower mortality risk. Poor SRH had HR 2.51 (CI: 2.19, 2.88). SRH is affected by disease, mental health and other risk factors, but these factors had little impact on HRs (Poor SRH: HR 1.99; CI: 1.72, 2.31). SRH predicted mortality, but with a time-dependent effect. Time strongly affected the hazard ratio for mortality, especially after ten-year follow-up (Poor SRH HR 3.63 at 0-5 years decreased to HR 1.58 at 15-21 years). SRH has both methodological and clinical value. It should not be uncritically utilised as a replacement instrument when measures of physical illness and other objective health measures are lacking.

Indexed as

MortalityAdultBody Mass IndexCohort StudiesFemaleHumansMaleMental HealthMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsSelf Report

Identifiers

PMID32184429
PMCPMC7078209

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.