Gerontology & Geriatric Research

Stephen R. Rapp

Publications

• Research Article
  Self-rated Health and Medical Outcomes in the Women ’ s Health Initiative: The Aging Continuum, Health, Morbidity, Mortality
  Author(s): Robert Brunner, Marcia L. Stefanick, Aaron K. Aragaki, Shirley A.A. Beresford, F. Allan Hubbell, Andrea LaCroix, Dorothy S. Lane, Stephen R. Rapp, Monika M. Safford, Nazmus Saquib, Nelson B. Watts and Nancy Fugate WoodsRobert Brunner, Marcia L. Stefanick, Aaron K. Aragaki, Shirley A.A. Beresford, F. Allan Hubbell, Andrea LaCroix, Dorothy S. Lane, Stephen R. Rapp, Monika M. Safford, Nazmus Saquib, Nelson B. Watts and Nancy Fugate Woods
  
  Background: Self-rated health (SRH) predicts all-cause mortality in many studies; whereas, SRH has been inconsistently related to disease specific death, at least in part because often carefully documented cause of death is lacking. Methods: Physician-adjudicated cardiovascular disease (CVD), cancer, and other outcomes were evaluated in the Women’s Health Initiative (WHI) multi-ethnic Observational Study (OS) cohort of 93,6756 postmenopausal women, aged 50 to79 years. SRH was assessed by the RAND36 at baseline and three years later. Results: After adjusting for confounders, compared with women reporting excellent health, the risk of all-cause death among women reporting fair/poor health was significantly higher (HR=1.91, CI 1.68, 2.16) during a 7.6 year (1.6) follow-up, as were risks of death from CVD (HR=2.12, CI 1.65, 2.71) and from cancer (HR=1.40, CI, 1.15, 1.69) but not acc.. View More»
  DOI: 10.4172/2167-7182.1000139

  Abstract PDF