ArticleBMC geriatrics2021
Subjective and objective health predicting mortality and institutionalization: an 18-year population-based follow-up study among community-dwelling Finnish older adults.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 26 citations in OpenAlex.
- How do discrepancies between self-rated and physical health predict self-reported overnight hospitalizations in later life?British journal of health psychology · 2026Observational
- Is educational expansion beneficial for health? A counterfactual mediation analysis of its impact on trends of daily activity limitations among different age groups in Germany.Archives of public health = Archives belges de sante publique · 2026Article
- Mapping behavior change techniques and health data combinations in virtual agents for chronic condition management: A systematic scoping review.PLOS digital health · 2026Article
- Reasons behind individuals' self-ratings of health: an analysis of responses to an open-ended survey question.BMC public health · 2026Article
- 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 · 2026Article
- Cognitive biotypes identified through ECG-derived workload and behavioral accuracy.Scientific reports · 2026Article
- Association between behavioral and sociodemographic factors and high subjective health among adolescents: a nationwide representative study in South Korea.Scientific reports · 2025Article
- Bidirectional intergenerational support and mental health in older adults based on latent profile analysis: a moderated mediation model.Frontiers in public health · 2025Article
- Change of self-rated physical health predicts mortality in aging individuals: results of a population-based cohort study.Archives of public health = Archives belges de sante publique · 2024Article
- Predicting successful ageing among older adults seems possible even as far as two decades ahead.BMC geriatrics · 2024Article
- Joint Association of Physical Frailty and Self-Rated Health With Mortality Among Community-Dwelling Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Self-rated physical health predicts mortality in aging persons beyond objective health risks.Scientific reports · 2023Article
- Re-examination of successful agers with lower biological than chronological age still after a 20-year follow-up period.BMC geriatrics · 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-classification between self-rated health and health status: longitudinal analyses of all-cause mortality and leading causes of death in the UK.Scientific reports · 2022Article
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Authors and funding
12 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObjective health measures, such as registered illnesses or frailty, predict mortality and institutionalization in older adults. Also, self-reported assessment of health by simple self-rated health (SRH) has been shown to predict mortality and institutionalization. The aim of this study was to assess the association of objective and subjective health with mortality and institutionalization in Finnish community-dwelling older adults.
methodsIn this prospective study with 10- and 18-year follow-ups, objective health was measured by registered illnesses and subjective health was evaluated by simple SRH, self-reported walking ability (400 m) and self-reported satisfaction in life. The participants were categorized into four groups according to their objective and subjective health: 1. subjectively and objectively healthy, 2. subjectively healthy and objectively unhealthy, 3. subjectively unhealthy and objectively healthy and 4. subjectively and objectively unhealthy. Cox regression model was used in the analyses. Death was used as a competing factor in the institutionalization analyses.
resultsThe mean age of the participants (n = 1259) was 73.5 years (range 64.0-100.0). During the 10- and 18-year follow-ups, 466 (37%) and 877 (70%) died, respectively. In the institutionalization analyses (n = 1106), 162 (15%) and 328 (30%) participants were institutionalized during the 10- and 18-year follow-ups, respectively. In both follow-ups, being subjectively and objectively unhealthy, compared to being subjectively and objectively healthy, was significantly associated with a higher risk of institutionalization in unadjusted models and with death both in unadjusted and adjusted models.
conclusionsThe categorization of objective and subjective health into four health groups was good at predicting the risk of death during 10- and 18-year follow-ups, and seemed to also predict the risk of institutionalization in the unadjusted models during both follow-ups. Poor subjective health had an additive effect on poor objective health in predicting mortality and could therefore be used as part of an older individual's health evaluation when screening for future adverse outcomes.
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