Are there educational differences in the association between self-rated health and mortality in Norway? The HUNT Study

Scand J Public Health. 2012 Nov;40(7):641-7. doi: 10.1177/1403494812459817. Epub 2012 Oct 5.

Abstract

Aims: The aim of this study was to test whether the association between self-rated health and mortality differs between educational groups in Norway, and to examine whether health problems and health-related behaviour can explain any of these differences within a previously unexplored contextual setting.

Methods: The study used data from the Nord-Trøndelag Health Study 84-86 (HUNT) with a 20-year follow up. The analyses were performed for respondents between 25-101 years at baseline (n = 56,788). The association between self-rated health and mortality was tested using Cox regression.

Results: The results indicate that although self-rated health is associated with mortality there is no difference in the association between self-rated health and mortality between educational groups. Introducing health-related variables did not have an impact on the result.

Conclusions: Given the small educational differences in the association between self-rated health and mortality, this supports the reliability of self-reported health as a measurement for objective health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Diagnostic Self Evaluation*
  • Educational Status*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Mortality / trends*
  • Norway / epidemiology
  • Proportional Hazards Models