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- Title
Update and validation of a national health risk appraisal tool in Korea.
- Authors
Park, Jin Ho; Kwon, Hyuktae; Oh, Seung-Won; Lee, Cheol Min; Cho, Belong
- Abstract
Background Health risk appraisal (HRA) is an effective tool for lifestyle modification. We updated a national HRA using Robbins' method and tested its validity for predicting mortality. Methods We used various national statistical data (such as life tables and mortality rates) to construct a Geller-Gesner table and referred to well-designed cohort studies to calculate composite risks. We compiled an HRA age table from these data and calculated health age (HA). To test the validity of this HRA, we compared the difference in 8-year mortality among different chronological age and health age (CA–HA) categories and used age-adjusted, sex-specific Cox proportional hazard models to investigate the association between CA–HA and all-cause mortality. Results There was a significant difference in mortality according to CA–HA category, and the Cox proportional hazard model showed that as CA–HA decreased from ≥2 to ≤−6, the cumulative survival rate was significantly decreased. Conclusions This HRA can be an effective tool for detecting people at risk and for motivating lifestyle modification in Korea.
- Subjects
SOUTH Korea; RISK assessment; BEHAVIOR modification; SECONDARY analysis; RESEARCH funding; RESEARCH methodology evaluation; RELATIVE medical risk; CHI-squared test; DESCRIPTIVE statistics; HEALTH behavior; DATA analysis software; CONFIDENCE intervals; PROPORTIONAL hazards models
- Publication
Journal of Public Health, 2013, Vol 35, Issue 1, p107
- ISSN
1741-3842
- Publication type
Article
- DOI
10.1093/pubmed/fds061