caa a22 4500 606222073 CHVBK 20210128101131.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00038-015-0658-y doi (NATIONALLICENCE)springer-10.1007/s00038-015-0658-y Longitudinal trends in good self-rated health: effects of age and birth cohort in a 25-year follow-up study in Sweden [Elektronische Daten] [Sven-Erik Johansson, Patrik Midlöv, Jan Sundquist, Kristina Sundquist, Susanna Calling] Objectives: Although average life expectancy has increased considerably in Sweden, there is less evidence for improved self-rated health (SRH). We analyzed longitudinal trends in SRH between 1980/1981 and 2004/2005 in age and birth cohort subgroups. Methods: 2,728 males and 2,770 females, aged 16-71 years, were interviewed every eighth year. Mixed models with random intercepts were used to estimate changes in SRH within different age groups and birth cohorts, adjusting for potential confounders. Results: During the 25-year follow-up, SRH improved in individuals aged ≥48 years, but became poorer or was unchanged in those aged 16-47 years. All birth cohorts showed poorer SRH with increasing age, with an adjusted odds ratio (95% confidence interval) of 0.94 (0.93-0.95) in males and 0.92 (0.91-0.93) in females. Conclusions: While SRH in the older age groups improved, SRH became poorer in the youngest. Poorer SRH is deeply worrying for the affected individuals, and may also have a negative impact on the health care system. Although mental illness, socioeconomic factors, and lifestyle may be potential mechanisms, future studies are needed to investigate the reasons behind this trend. Swiss School of Public Health, 2015 Self-rated health nationallicence Longitudinal studies nationallicence Age effect nationallicence Cohort effect nationallicence Mixed models nationallicence Johansson Sven-Erik Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden aut Midlöv Patrik Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden aut Sundquist Jan Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden aut Sundquist Kristina Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden aut Calling Susanna Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden aut International Journal of Public Health Springer Basel 60/3(2015-03-01), 363-373 1661-8556 60:3<363 2015 60 38 https://doi.org/10.1007/s00038-015-0658-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-015-0658-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Johansson Sven-Erik Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden aut NATIONALLICENCE 700 1- Midlöv Patrik Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden aut NATIONALLICENCE 700 1- Sundquist Jan Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden aut NATIONALLICENCE 700 1- Sundquist Kristina Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden aut NATIONALLICENCE 700 1- Calling Susanna Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden aut NATIONALLICENCE 773 0- International Journal of Public Health Springer Basel 60/3(2015-03-01), 363-373 1661-8556 60:3<363 2015 60 38