self perceived health and mortality

From: Doug Skrecky (oberon@vcn.bc.ca)
Date: Wed May 27 1998 - 18:17:39 MDT


Authors
  Peck AM. Vagero DH.
Institution
  Department of Social Medicine, Huddinge University Hospital, Sweden.
Title
  Adult body height, self perceived health
  and mortality in the Swedish population.
Source
  Journal of Epidemiology & Community Health. 43(4):380-4, 1989 Dec.
Abstract
  STUDY OBJECTIVE: The purpose of the study was to examine adult
  body height as an indicator of general
  health. DESIGN: The study was a survey of a randomly selected sample of the
  adult Swedish population obtained by the Swedish National Central Bureau of
  Statistics. PARTICIPANTS: The sample studied was identified in 1980-81 and
  comprised 14,757 persons aged 16-74. Of these, 12,695 (86%) consented to
  interview. MEASUREMENTS AND MAIN RESULTS: Information was obtained on adult
  height, socioeconomic status in childhood and adult life,
  self perceived health, self reported longstanding illness, and
  mortality during a six year follow up. The numbers of people
  in three height groups who considered their general health
  as bad, who reported any longstanding illness or who died during the follow
  up were compared with the expected numbers in the same groups. The number of
  persons with reduced health and the number of deaths was larger than expected
  in the shortest height group. The excess risk of dying in
  the shortest group (about 20% higher compared to the tallest group) was
  reduced but not eliminated when present and childhood socioeconomic group was
  taken into account. Coronary heart disease mortality in
  particular was linked to height. The shortest group of men
  and women reported the largest proportion with bad general health and
  longstanding illness. For the latter the differences between
  height groups disappeared after controlling for present
  socioeconomic status. CONCLUSIONS: There is a detectable excess risk of
  morbidity and mortality from being short. Assuming that the
  childhood environment is an important determinant of adult stature it is also
  important for adult health.



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