Search

• This study affirms self-rated health's value within in an aging population. • This study explores established and novel factors, including depressive symptoms and social interactions. • Despite lower ratings after 20 years, most participants still rated their health 'Quite good' or 'Very good'. • Higher self-rated health in early old age was associated with survival in advanced old age. Self-rated health (SRH) offers insights into the evolving health demographics of an ageing population. To assess change in SRH from old age to very old age and their associations with health and well-being factors, and to investigate the association between SRH and survival. All participants in the MONICA 1999 re-examination born before 1940 (n = 1595) were included in the Silver-MONICA baseline cohort. The Silver-MONICA follow-up started in 2016 included participants in the Silver-MONICA baseline cohort aged 80 years or older. Data on SRH was available for 1561 participants at baseline with 446 of them also participating in the follow-up. The follow-up examination included a wide variety of measurements and tests. Most participants rated their health as "Quite good" (54.5 %) at baseline. Over the study period, 42.6 % had stable SRH, 40.6 % had declined, and 16.8 % had improved. Changes in SRH were at follow-up significantly associated with age, pain, nutrition, cognition, walking aid use, self-paced gait speed, lower extremity strength, independence in activities of daily living, weekly physical exercise, outdoor activity, participation in organized activities, visiting others, morale, and depressive symptoms. SRH at baseline was significantly associated with survival (p < 0.05). This study demonstrates associations between changes in SRH and a multitude of health- and wellbeing-related factors, as well as a relation between survival and SRH, accentuating their relevance within the ageing population. [ABSTRACT FROM AUTHOR]