Health self-perception is associated with life-styles and comorbidities and its effect on mortality is confounded by age. A population based study
BackgroundHealth self-perception (HSP) is the individual and subjective concept that a person has of their state of health. Despite its simplicity, HSP is considered a valid and relevant indicator employed in epidemiological research and in professional practice as an overall measure of health.Objec...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.1015195/full |
| _version_ | 1811179381389787136 |
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| author | Oscar Rañó-Santamaría Carmen Fernandez-Merino Ana Isabel Castaño-Carou Óscar Lado-Baleato Óscar Lado-Baleato María José Fernández-Domínguez Juan Jose Sanchez-Castro Francisco Gude Francisco Gude |
| author_facet | Oscar Rañó-Santamaría Carmen Fernandez-Merino Ana Isabel Castaño-Carou Óscar Lado-Baleato Óscar Lado-Baleato María José Fernández-Domínguez Juan Jose Sanchez-Castro Francisco Gude Francisco Gude |
| author_sort | Oscar Rañó-Santamaría |
| collection | DOAJ |
| description | BackgroundHealth self-perception (HSP) is the individual and subjective concept that a person has of their state of health. Despite its simplicity, HSP is considered a valid and relevant indicator employed in epidemiological research and in professional practice as an overall measure of health.Objectives(1) To describe and analyze the associations between HSP and demographic variables, lifestyle and diseases prevalent in a population and (2) to investigate the relationship between HSP and mortality.Materials and methodsIn a primary care setting, we conducted a longitudinal study of a random populational sample of a Galician municipality, stratified by decade of life. A total of 1,516 adults older than 18 years, recruited by the 2013–2015 AEGIS study, were followed-up for more than 5 years. During the clinical interview, data were collected on lifestyle and prevalent diseases. The HSP was grouped into 2 categories (good/poor). The statistical analysis consisted of a logistic regression, Kaplan–Meier curves and Cox regression.ResultsA total of 540 (35.6%) participants reported poor HSP. At the end of the follow-up, 78 participants had died (5.1%). The participants with increased age and body mass index and chronic diseases (anxiety, depression, ischemic heart disease, diabetes, and cancer) presented a poorer subjective health. A high level of physical activity and moderate alcohol consumption were associated with better HSP. A poorer HSP was associated with increased mortality, an association that disappeared after adjusting for the rest of the covariates (HR, 0.82; 95% CI 0.50–1.33).Conclusion(1) Health self-perception is associated with age, lifestyle, and certain prevalent diseases. (2) A poorer HSP is associated with increased mortality, but this predictive capacity disappeared after adjusting for potential confounders such as age, lifestyle, and prevalent diseases. |
| first_indexed | 2024-04-11T06:34:44Z |
| format | Article |
| id | doaj.art-4f90b0c8a22740919ceed43f18ad9e10 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-11T06:34:44Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-4f90b0c8a22740919ceed43f18ad9e102022-12-22T04:39:52ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-11-01910.3389/fmed.2022.10151951015195Health self-perception is associated with life-styles and comorbidities and its effect on mortality is confounded by age. A population based studyOscar Rañó-Santamaría0Carmen Fernandez-Merino1Ana Isabel Castaño-Carou2Óscar Lado-Baleato3Óscar Lado-Baleato4María José Fernández-Domínguez5Juan Jose Sanchez-Castro6Francisco Gude7Francisco Gude8Faculty of Medicine, Santiago de Compostela, SpainA Estrada Primary Care Center, A Estrada, SpainBertamiráns Primary Care Center, Ames, SpainResearch Methods Group (RESMET), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, SpainISCIII Support Platforms for Clinical Research, Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, SpainLeiro Primary Care Center, Leiro, SpainA Estrada Primary Care Center, A Estrada, SpainHealth Research Institute (IDIS), Santiago de Compostela, SpainClinical Epidemiology Unit, University Clinic Hospital, Santiago de Compostela, SpainBackgroundHealth self-perception (HSP) is the individual and subjective concept that a person has of their state of health. Despite its simplicity, HSP is considered a valid and relevant indicator employed in epidemiological research and in professional practice as an overall measure of health.Objectives(1) To describe and analyze the associations between HSP and demographic variables, lifestyle and diseases prevalent in a population and (2) to investigate the relationship between HSP and mortality.Materials and methodsIn a primary care setting, we conducted a longitudinal study of a random populational sample of a Galician municipality, stratified by decade of life. A total of 1,516 adults older than 18 years, recruited by the 2013–2015 AEGIS study, were followed-up for more than 5 years. During the clinical interview, data were collected on lifestyle and prevalent diseases. The HSP was grouped into 2 categories (good/poor). The statistical analysis consisted of a logistic regression, Kaplan–Meier curves and Cox regression.ResultsA total of 540 (35.6%) participants reported poor HSP. At the end of the follow-up, 78 participants had died (5.1%). The participants with increased age and body mass index and chronic diseases (anxiety, depression, ischemic heart disease, diabetes, and cancer) presented a poorer subjective health. A high level of physical activity and moderate alcohol consumption were associated with better HSP. A poorer HSP was associated with increased mortality, an association that disappeared after adjusting for the rest of the covariates (HR, 0.82; 95% CI 0.50–1.33).Conclusion(1) Health self-perception is associated with age, lifestyle, and certain prevalent diseases. (2) A poorer HSP is associated with increased mortality, but this predictive capacity disappeared after adjusting for potential confounders such as age, lifestyle, and prevalent diseases.https://www.frontiersin.org/articles/10.3389/fmed.2022.1015195/fullhealth self-perception (HSP)chronic diseasesmortalitylifestylesprimary care |
| spellingShingle | Oscar Rañó-Santamaría Carmen Fernandez-Merino Ana Isabel Castaño-Carou Óscar Lado-Baleato Óscar Lado-Baleato María José Fernández-Domínguez Juan Jose Sanchez-Castro Francisco Gude Francisco Gude Health self-perception is associated with life-styles and comorbidities and its effect on mortality is confounded by age. A population based study Frontiers in Medicine health self-perception (HSP) chronic diseases mortality lifestyles primary care |
| title | Health self-perception is associated with life-styles and comorbidities and its effect on mortality is confounded by age. A population based study |
| title_full | Health self-perception is associated with life-styles and comorbidities and its effect on mortality is confounded by age. A population based study |
| title_fullStr | Health self-perception is associated with life-styles and comorbidities and its effect on mortality is confounded by age. A population based study |
| title_full_unstemmed | Health self-perception is associated with life-styles and comorbidities and its effect on mortality is confounded by age. A population based study |
| title_short | Health self-perception is associated with life-styles and comorbidities and its effect on mortality is confounded by age. A population based study |
| title_sort | health self perception is associated with life styles and comorbidities and its effect on mortality is confounded by age a population based study |
| topic | health self-perception (HSP) chronic diseases mortality lifestyles primary care |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.1015195/full |
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