Shafran Itamar, Benyamini Yael, Keinan-Boker Lital, Gerber Yariv
Department of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel.
Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv 6997801, Israel.
J Clin Med. 2024 Nov 20;13(22):6978. doi: 10.3390/jcm13226978.
: Self-rated health (SRH) has been shown to predict mortality across a lifespan. However, its predictive value might differ between populations. We compared the association between SRH and mortality in Israeli Jewish and Arab older adults (65+). : A prospective cohort study was conducted among Jewish (n = 1463) and Arab (n = 298) participants in the first National Health and Nutrition Survey of Older Adults (2005-2006). SRH was measured on a four-point scale. Mortality data were available from baseline (2005-2006) through 2019. A survival analysis was performed using Cox models. : Mean baseline age (SD) was 75 (6) years among Jewish participants (54% women) and 72 (5) years among Arab participants (50% women). Jewish participants were more likely to rate their health as not good (35% vs. 29%) or poor (11% vs. 8%) than Arab participants ( = 0.01). During a median follow-up of 13.3 years, 896 deaths occurred; 744 in the Jewish group (mean age [SD] 77.8 [6.6] years) and 152 in the Arab group (mean age [SD] 74.0 [5.2] years). The age- and sex-adjusted hazard ratio (HR) for mortality in the Arab vs. Jewish participants was 1.33 (95% CI: 1.12-1.60). Mortality risk increased with declining SRH, with multivariable-adjusted HRs in the lowest vs. most-favorable SRH categories of 2.46 (95% CI: 1.66-3.63) in the Jewish sample and 2.60 (95% CI: 0.98-6.93) in the Arab sample. : Although Jewish participants reported poorer SRH, their survival rate was better than Arab participants. Lower SRH was consistently and strongly associated with higher mortality in both groups in a dose-response manner.
自评健康状况（SRH）已被证明可预测全生命周期的死亡率。然而，其预测价值在不同人群中可能存在差异。我们比较了以色列犹太和阿拉伯老年人（65岁及以上）中SRH与死亡率之间的关联。：在首次全国老年人健康与营养调查（2005 - 2006年）中，对犹太（n = 1463）和阿拉伯（n = 298）参与者进行了一项前瞻性队列研究。SRH采用四点量表进行测量。可获得从基线（2005 - 2006年）到2019年的死亡率数据。使用Cox模型进行生存分析。：犹太参与者的平均基线年龄（标准差）为75（6）岁（54%为女性），阿拉伯参与者为72（5）岁（50%为女性）。与阿拉伯参与者相比，犹太参与者更有可能将自己的健康状况评为不好（35%对29%）或差（11%对8%）（P = 0.01）。在中位随访13.3年期间，发生了896例死亡；犹太组744例（平均年龄[标准差]77.8[6.6]岁），阿拉伯组152例（平均年龄[标准差]74.0[5.2]岁）。阿拉伯与犹太参与者死亡率的年龄和性别调整风险比（HR）为1.33（95%置信区间：1.12 - 1.60）。死亡率风险随SRH下降而增加，在犹太样本中，最低与最有利SRH类别之间的多变量调整HR为2.46（95%置信区间：1.66 - 3.63），在阿拉伯样本中为2.60（95%置信区间：0.98 - 6.93）。：尽管犹太参与者报告的SRH较差，但他们的生存率高于阿拉伯参与者。较低的SRH在两组中均以剂量反应方式始终如一地与较高的死亡率密切相关。
