Diagnostic labelling influences self-rated health. A prospective cohort study: the HUNT Study, Norway
Open accessAbstract
BACKGROUND: Studies have shown an independent association between poor self-rated health (SRH) and increased mortality. Few studies, however, have investigated any possible impact on SRH of diagnostic labelling. OBJECTIVE: To test whether SRH differed in persons with known and unknown hypothyroidism, diabetes mellitus (DM) or hypertension, opposed to persons without these conditions, after 11-year follow-up. METHODS: Prospective population-based cohort study in North-Trøndelag County, Norway, HUNT2 (1995-97) to HUNT3 (2006-08). All inhabitants aged 20 years and older were invited. The response rate was 69.5% in HUNT2 and 54.1% in HUNT3. In total, 34144 persons aged 20-70 years were included in the study population. The outcome was poor SRH. RESULTS: Persons with known disease had an increased odds ratio (OR) to report poor SRH at follow-up; figures ranging from 1.11 (0.68-1.79) to 2.52 (1.46-4.34) (men with hypothyroidism kept out owing to too few numbers). However, in persons not reporting, but having laboratory results indicating these diseases (unknown disease), no corresponding associations with SRH were found. Contrary, the OR for poor SRH in women with unknown hypothyroidism and unknown hypertension was 0.64 (0.38-1.06) and 0.89 (0.79-1.01), respectively. CONCLUSIONS: Awareness opposed to ignorance of hypothyroidism, DM and hypertension seemed to be associated with poor perceived health, suggesting that diagnostic labelling could have a negative effect on SRH. This relationship needs to be tested more thoroughly in future research but should be kept in mind regarding the benefits of early diagnosing of diseases.
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Diagnostic labelling influences individual patient's self-reported health results as illustrated in a recent report derived from the HUNT study.
“Diagnostic labelling influences individual patient's self-reported health results as illustrated in a recent report derived from the HUNT study”
From Pharmacodynamic and Therapeutic Actions of Levothyroxine (2021) · cites this paper as [141]
Increasing age, lower education, smoking, low self-esteem, underweight, overweight, or obese and long-term illness/injury-but not thyroid function-predicted lower self-reported health.
“Increasing age, lower education, smoking, low self-esteem, underweight, overweight, or obese and long-term illness/injury-but not thyroid function-predicted lower self-reported health”
From Pharmacodynamic and Therapeutic Actions of Levothyroxine (2021) · cites this paper as [141]
Most (at least 75%) of the general population and subjects unaware of their thyroid dysfunction reported their health as good; however, only half of those aware of a diagnosis of thyroid dysfunction reported good health.
“Most (at least 75%) of the general population and subjects unaware of their thyroid dysfunction reported their health as good; however, only half of those aware of a diagnosis of thyroid dysfunction reported good health”
From Pharmacodynamic and Therapeutic Actions of Levothyroxine (2021) · cites this paper as [141]
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- Authors
- Jørgensen, P., Langhammer, A., Krokstad, S., & Forsmo, S.
- Affiliations
- Norwegian University of Science and Technology (NO)
- Corresponding author
- Jørgensen, Pål
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-08-03
- Volume
- 32
- Issue
- 5
- Pages
- 492-499
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- PMC
- PMC4576760
- OpenAlex
- W2113852686
- Cited by
- 47
- References
- 39
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 7 · 2021: 7 · 2020: 2 · 2019: 1 · 2018: 6 · 2017: 7 · 2016: 5
- FWCI
- 4.70
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Family Practice (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- Norwegian Institute of Public Health
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Keywords
- self-rated health, diagnostic labeling, disease awareness, hypothyroidism, diabetes mellitus, hypertension, health perception, early diagnosis, HUNT study
- MeSH terms
- Adult, Aged, Diabetes Mellitus, Female, Follow-Up Studies, Health Status, Health Surveys, Humans, Hypertension, Hypothyroidism, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Norway, Prospective Studies, Young Adult, Diagnostic Self Evaluation
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