Self-Rated Health Status and the Risk of Incident Type 2 Diabetes: A Prospective Cohort Study of Middle-Aged and Older Chinese

Self-Rated Health Status and the Risk of Incident Type 2 Diabetes: A Prospective Cohort Study of Middle-Aged and Older Chinese

Evidence on the relationship between self-rated health status and incident type 2 diabetes (T2DM) in China is scarce. This study aims to examine the prospective association of self-rated health status with the subsequent risk of T2DM among middle-aged and older Chinese subjects. Data were obtained f...

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Published in:International journal of public health Vol. 69; p. 1606401
Main Authors: Wu, Lin, Chen, Ruyi, Sheng, Aiping, Lou, Hongqiang, Wang, Xiaowen
Format: Journal Article
Language:English
Published: Switzerland Frontiers Media S.A 15-08-2024
Subjects:
Aged
China - epidemiology
Chinese
cohort
Diabetes Mellitus, Type 2 - epidemiology
East Asian People
Female
Health Status
Humans
Incidence
Longitudinal Studies
Male
Middle Aged
Proportional Hazards Models
Prospective Studies
prospective study
Public Health Archive
Risk Factors
Self Report
self-rated health status
Sex Factors
type 2 diabetes
China
Chinese
cohort
type 2 diabetes
self-rated health status
prospective study
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Summary:Evidence on the relationship between self-rated health status and incident type 2 diabetes (T2DM) in China is scarce. This study aims to examine the prospective association of self-rated health status with the subsequent risk of T2DM among middle-aged and older Chinese subjects. Data were obtained from the China Health and Retirement Longitudinal Study of 9844 Chinese individuals aged 45 years or older. Cox proportional hazards models were used to yield hazard ratios (HRs) relating self-rated health status to the 7-year incidence of T2DM, adjusting for conventional risk factors. Compared to those with very good or good self-rated health, individuals with poor health had a significantly higher risk of developing T2DM in the multivariable-adjusted model [HR = 1.36 (1.07, 1.73)]. Subgroup analysis by sex showed stronger associations in women [HR = 1.53 (1.11, 2.12)]. Interaction analyses indicated that factors such as age, sex, obesity, smoking status, drinking status, history of hypertension and history of dyslipidemia did not modify the association (all -interaction >0.05). Poor self-rated health status is associated with a higher risk of developing T2DM in middle-aged and older Chinese people.
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Reviewed by: Keyang Liu, Osaka University, Japan
Guido Muharremi, Epistudia, Switzerland
Edited by: Taulant Muka, Epistudia, Switzerland
ISSN:1661-8564
1661-8556
1661-8564
DOI:10.3389/ijph.2024.1606401