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A cross-sectional study of self-reported general health, lifestyle factors, and disease: the Hordaland Health Study

Jepsen, Randi; Dogisso, Tadesse Washo; Dysvik, Elin; Andersen, John Roger; Natvig, Gerd Karin
Journal article, Peer reviewed
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Jepsen_peerJ_2014_Cross_sectional.pdf (226.0Kb)
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http://hdl.handle.net/11250/222930
Utgivelsesdato
2014
Metadata
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  • Institutt for helse- og omsorgsvitskap [2182]
Originalversjon
Jepsen et al. (2014), A cross-sectional study of self-reported general health, lifestyle factors, and disease: the Hordaland Health Study. PeerJ 2:e609; DOI 10.7717/peerj.609   10.7717/peerj.609
Sammendrag
Background. Information on self-reported health is important for health

professionals, and the aim of this study was to examine associations between lifestyle

factors and self-reported health and the mediating effect of disease in a Norwegian

population.

Methods andMaterials. The data collection was conducted as part of the Hordaland

Health Study (HUSK) 1997–99, which was a cross-sectional epidemiological study.

All individuals in Hordaland county born in 1953–1957 were invited to participate

(aged 40–44 years). Complete information for the present study was obtained from

12,883 individuals (44% response rate). Height and weight were measured at a physical

examination. Information on lifestyle factors, self-reported health, disease (heart

attack, apoplexy, angina pectoris, and diabetes), and socio-demographic variables

was obtained froma self-administered questionnaire. Self-reported health was measured with a one-item question. Odds ratios for fair or poor self-reported health

were calculated using multiple logistic regression analyses adjusted for disease and

socio-demographic variables.

Results. Respondents reporting adverse lifestyle behaviours (obesity (odds ratio

(OR) 1.7, p < 0.001), smoking (OR 1.2, p < 0.001), or excessive intake of alcohol (OR

3.3, p < 0.001)) showed an increased risk of poor self-reported health. Furthermore,

a moderate intake of wine (OR 0.6, p < 0.001) or strenuous physical activity (OR 0.5,

p < 0.001) decreased the risk of poor health.Disease did not mediate the effect.

Conclusion. A one-item question measuring self-reported health may be a suitable

measure for health professionals to identify levels of subjective health and reveal a

need to target lifestyle factors in relatively young individuals with or without disease.
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