AUTHOR=Wu Lin , Chen Ruyi , Sheng Aiping , Lou Hongqiang , Wang Xiaowen 

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

JOURNAL=International Journal of Public Health

VOLUME=Volume 69 - 2024

YEAR=2024

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2024.1606401

DOI=10.3389/ijph.2024.1606401

ISSN=1661-8564

ABSTRACT=Purpose:To examine the prospective association of self-rated health status with subsequent risk of T2DM among middle-aged and old Chinese.
Methods: Data were from China Health and Retirement Longitudinal Study of 9844 Chinese aged 45 years or older. Cox proportional hazards models were conducted to yield hazard ratios (HRs) relating self-rated health status to 7-year T2DM incidence after adjusting for conventional risk factors.
Results: As compared with people who were self-rated health status as very good or good, people with poor self-rated health status had a significant higher risk of developing T2DM in the multivariable-adjusted model (HR = 1.36 (1.07, 1.73)). The subgroup analysis by sex showed that the associations appeared to be evident among
women (HR = 1.53 (1.11, 2.12)). However, interaction analyses indicated that none of factors (age, sex, obesity, smoking status, drinking status, history of hypertension and dyslipidemia) modify the association between self-rated health status and
incidence of T2DM (all P-interaction > 0.05). Poor self-rated health status, compared with good self-rated health status, was associated with a higher risk of developing T2DM among middle-aged and older Chinese people.