Self-rated health and mortality: gender- and age-specific contributions of explanatory factors in South Korea

Int J Public Health. 2010 Aug;55(4):279-89. doi: 10.1007/s00038-010-0121-z. Epub 2010 Feb 9.

Abstract

Objectives: This study explored gender- and age-specific contributions of explanatory factors to the relationship between self-rated health (SRH) and all-cause mortality.

Methods: We used mortality follow-up data from 1998 and 2001 National Health and Nutrition Examination Surveys of South Korea (n = 9,663). Explanatory factors included baseline health status, socioeconomic status, health behaviors, clinical risk factors, psychosocial factors, and family medical history.

Results: The ability of explanatory factors to explain the SRH-mortality relationship differed with age. For those aged 30-64, most excess hazards were explained by all explanatory factors. However, a large part of the mortality differentials by SRH remained unexplained among elderly samples.

Conclusions: A wide range of health-related factors could explain the SRH-mortality association in younger population but not in older population. Factors to explain a large part of mortality differentials by SRH among older population should be identified.

MeSH terms

  • Adult
  • Age Factors
  • Female
  • Health Behavior
  • Health Status*
  • Humans
  • Male
  • Mental Health
  • Middle Aged
  • Mortality*
  • Republic of Korea / epidemiology
  • Risk Factors
  • Self Concept
  • Sex Factors
  • Socioeconomic Factors