Self‐Rated Health Status and Risk of Ischemic Heart Disease in the China Kadoorie Biobank Study: A Population‐Based Cohort Study. Issue 9 (22nd September 2017)

• Record Type: Journal Article
• Authors: Dong, Wenhong; Pan, Xiong‐Fei; Yu, Canqing; Lv, Jun; Guo, Yu; Bian, Zheng; Yang, Ling; Chen, Yiping; Wu, Tangchun; Chen, Zhengming; Pan, An; Li, Liming
• Other Names: Chen Junshi investigator.; Chen Zhengming investigator.; Collins Rory investigator.; Peto Richard investigator.; Avery Daniel investigator.; Boxall Ruth investigator.; Derrick Bennett investigator.; Chang Yumei investigator.; Clarke Robert investigator.; Du Huaidong investigator.; Gilbert Simon investigator.; Hacker Alex investigator.; Hill Mike investigator.; Holmes Michael investigator.; Iona Andri investigator.; Kartsonaki Christiana investigator.; Kerosi Rene investigator.; Kong Ling investigator.; Kurmi Om investigator.; Lancaster Garry investigator.; Lewington Sarah investigator.; Lin Kuang investigator.; McDonnell John investigator.; Millwood Iona investigator.; Nie Qunhua investigator.; Radhakrishnan Jayakrishnan investigator.; Rafiq Sajjad investigator.; Ryder Paul investigator.; Sansome Sam investigator.; Schmidt Dan investigator.; Sherliker Paul investigator.; Sohoni Rajani investigator.; Stevens Becky investigator.; Turnbull Iain investigator.; Walters Robin investigator.; Wang Jenny investigator.; Wang Lin investigator.; Wright Neil investigator.; Yang Ling investigator.; Yang Xiaoming investigator.; Bian Zheng investigator.; Guo Yu investigator.; Han Xiao investigator.; Hou Can investigator.; Lv Jun investigator.; Pei Pei investigator.; Tan Yunlong investigator.; Yu Canqing investigator.; Pang Zengchang investigator.; Gao Ruqin investigator.; Li Shanpeng investigator.; Wang Shaojie investigator.; Liu Yongmei investigator.; Du Ranran investigator.; Zang Yajing investigator.; Cheng Liang investigator.; Tian Xiaocao investigator.; Zhang Hua investigator.; Zhai Yaoming investigator.; Ning Feng investigator.; Sun Xiaohui investigator.; Li Feifei investigator.; Lv Silu investigator.; Wang Junzheng investigator.; Hou Wei investigator.; Zeng Mingyuan investigator.; Jiang Ge investigator.; Zhou Xue investigator.; Yang Liqiu investigator.; He Hui investigator.; Yu Bo investigator.; Li Yanjie investigator.; Xu Qinai investigator.; Kang Quan investigator.; Guo Ziyan investigator.; Wang Dan investigator.; Hu Ximin investigator.; Wang Hongmei investigator.; Chen Jinyan investigator.; Fu Yan investigator.; Fu Zhenwang investigator.; Wang Xiaohuan investigator.; Weng Min investigator.; Guo Zhendong investigator.; Wu Shukuan investigator.; Li Yilei investigator.; Li Huimei investigator.; Fu Zhifang investigator.; Wu Ming investigator.; Zhou Yonglin investigator.; Zhou Jinyi investigator.; Tao Ran investigator.; Yang Jie investigator.; Su Jian investigator.; liu Fang investigator.; Zhang Jun investigator.; Hu Yihe investigator.; Lu Yan investigator.; Ma Liangcai investigator.; Tang Aiyu investigator.; Zhang Shuo investigator.; Jin Jianrong investigator.; Liu Jingchao investigator.; Tang Zhenzhu investigator.; Chen Naying investigator.; Huang Ying investigator.; Li Mingqiang investigator.; Meng Jinhuai investigator.; Pan Rong investigator.; Jiang Qilian investigator.; Lan Jian investigator.; Liu Yun investigator.; Wei Liuping investigator.; Zhou Liyuan investigator.; Chen Ningyu investigator.; Wang Ping investigator.; Meng Fanwen investigator.; Qin Yulu investigator.; Wang Sisi investigator.; Wu Xianping investigator.; Zhang Ningmei investigator.; Chen Xiaofang investigator.; Zhou Weiwei investigator.; Luo Guojin investigator.; Li Jianguo investigator.; Chen Xiaofang investigator.; Zhong Xunfu investigator.; Liu Jiaqiu investigator.; Sun Qiang investigator.; Ge Pengfei investigator.; Ren Xiaolan investigator.; Dong Caixia investigator.; Zhang Hui investigator.; Mao Enke investigator.; Wang Xiaoping investigator.; Wang Tao investigator.; zhang Xi investigator.; Zhang Ding investigator.; Zhou Gang investigator.; Feng Shixian investigator.; Chang Liang investigator.; Fan Lei investigator.; Gao Yulian investigator.; He Tianyou investigator.; Sun Huarong investigator.; He Pan investigator.; Hu Chen investigator.; Zhang Xukui investigator.; Wu Huifang investigator.; He Pan investigator.; Yu Min investigator.; Hu Ruying investigator.; Wang Hao investigator.; Qian Yijian investigator.; Wang Chunmei investigator.; Xie Kaixu investigator.; Chen Lingli investigator.; Zhang Yidan investigator.; Pan Dongxia investigator.; Gu Qijun investigator.; Huang Yuelong investigator.; Chen Biyun investigator.; Yin Li investigator.; Liu Huilin investigator.; Fu Zhongxi investigator.; Xu Qiaohua investigator.; Xu Xin investigator.; Zhang Hao investigator.; Long Huajun investigator.; Li Xianzhi investigator.; Zhang Libo investigator.; Qiu Zhe investigator.;
• Is Part Of: Journal of the American Heart Association. Volume 6:Issue 9(2017)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2017-09-22
• Subjects: Chinese -- cohort study -- ischemic heart disease -- self‐rated health status; Heart -- Diseases -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; Cerebrovascular disease -- Periodicals; Cardiology -- Periodicals; 616.1
• DOI: 10.1161/JAHA.117.006595
• Languages: English
• ISSNs: 2047-9980

Abstract

Abstract : Background: Self‐rated health (SRH) is a strong predictor of mortality in different populations. However, the associations between SRH measures and risk of ischemic heart disease (IHD) have not been extensively explored, especially in a Chinese population. Methods and Results: More than 500 000 adults from 10 cities in China were followed from baseline (2004–2008) through December 31, 2013. Global and age‐comparative SRH were reported from baseline questionnaires. Incident IHD cases were identified through links to well‐established disease registry systems and the national health insurance system. During 3 423 542 person‐years of follow‐up, we identified 24 705 incident cases of IHD. In multivariable‐adjusted models, both global and age‐comparative SRH was significantly associated with incident IHD. Compared with excellent SRH, the hazard ratios for good, fair, and poor SRH were 1.02 (95% confidence interval [CI], 0.98–1.07), 1.32 (95% CI, 1.27–1.37), and 1.76 (95% CI, 1.68–1.85), respectively. Compared with better age‐comparative SRH, the hazard ratios for same and worse age‐comparative SRH were 1.23 (95% CI, 1.19–1.27) and 1.78 (95% CI, 1.70–1.86), respectively. The associations persisted in all subgroup analyses, although they were slightly modified by study location, education, and income levels. Conclusions: A simple questionnaire for self‐assessment of health status was significantly associated with incident IHD in Chinese adults. Individuals and healthcare providers can use SRH measures as a convenient tool for assessing future IHD risk.