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Nahal Mavaddat GP and Primary Care Research Unit. Self-Rated H ealth: Det erminants and Outcomes. School for Primary Care Research. Research Questions. How are subjective perceptions of health and wellbeing created?

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Nahal mavaddat gp and primary care research unit


GP and Primary Care Research Unit

Self-Rated Health:Determinants and Outcomes

School for Primary Care Research

Research questions
Research Questions

How are subjective perceptions of health and wellbeing created?

How do these influence morbidity and mortality outcomes among healthy subjects and patients with chronic disease?

Self-Rated Health Question:





In general, how do you rate your health?

Self rated health and cardiovascular outcome
Self-Rated Health and Cardiovascular Outcome

Hospitalisation and mortality from IHD or stroke in those not previously diagnosed with stroke, heart attack or angina

n=7279 men aged 39-79 in EPIC-Norfolk Cohort (1992-2007)

Determinants of self rated health proposed model
Determinants of Self-Rated Health:Proposed Model


Physical activity


Disease or treatment

Pre-clinical disease





Thoughts and feelings

Resilience and optimism

Coping strategies

Sense of coherence

Mental ill health

Subjective Assessment of Health





Social class

Social deprivation

Social networks

Determinants of self rated health publications
Determinants of Self-Rated Health: Publications

  • What determines self-rated health (SRH)? A cross-sectional study of functional status in the EPIC-Norfolk population. Mavaddatet al. J EpidComm Health doi: 10.1136/jech2009.090845

  • Patient-centred assessment of the burden of multiple chronic conditions in primary care: a study of self rated health in the EPIC-Norfolk cohort Mavaddat et al. (in submission JECH)

  • Social inequalities in self-rated health by age: cross-sectional study of 22,357 middle-aged men and women. Mcfadden et al. BMC Public Health 2008;8(230):1471-2458

  • Self-rated health does not explain the socioeconomic differential in mortality: a prospective study in the EPIC-Norfolk cohort.Mcfadden et al. J EpidComm Health 2009;63 (4),329-31

  • Combined impact of health-related behaviours on self-rated health in men and women: The EPIC-Norfolk prospective population study. Van der Wilde et al. (for submission Eu J Epidemiol)


GP and Primary Care Research Unit

Ann Louise Kinmonth, Simon Sanderson, NahalMavaddat, Rianne van der Wilde, Sonya Smith, Simon Cohn, Jonathan Mant, Stephen Sutton, Lisa Lim

Clinical Gerontology Unit

Emily Mcfadden, Kay-Tee Khaw

Public Health

Carol Brayne