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Sense of coherence and health: evidence from two cross-lagged longitudinal samples

Kivimäki, Mika, Feldt, Taru, Vahtera, Jussi, Nurmi, Jari-Erik·2000·Social Science & Medicine

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Abstract

We explored the stability of sense of coherence (SOC) and the relationship between SOC and health in two cross-lagged longitudinal samples by using structural equation modeling. In Study 1, comprising 577 municipal male and female employees, SOC was found to be stable in both sexes. In women, SOC significantly predicted sickness absences in the 4-year follow-up period. A low SOC, but not a high SOC, was associated with health prospects. Surprisingly, SOC did not influence sickness absences among men. Study 2 further tested the relationship between SOC and health in 320 male technical designers. Although SOC was cross-sectionally associated with psychological and somatic health complaints, it did not predict later health complaints in a 5-year follow-up. Thus, the present study supports the dispositional character of SOC in both sexes and its predictive validity among women. No support was found to the salutogenic status of SOC and an unexpected gender difference was revealed.

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Authors: Kivimäki, M., Feldt, T., Vahtera, J., & Nurmi, J.-E.
Affiliations: University of Jyväskylä (FI)
Finnish Institute of Occupational Health (FI)
ORCID: Feldt, Taru
Vahtera, Jussi
Nurmi, Jari-Erik
Venue: Social Science & Medicine
Publisher: Elsevier BV
Published: 2000-02
Volume: 50
Issue: 4
Pages: 583-597
ISSN: 0277-9536 (ISSN-L)
DOI: 10.1016/s0277-9536(99)00326-3
OpenAlex: W1966055434
Cited by: 262
References: 91
Citations by year: 2026: 3 · 2025: 4 · 2024: 8 · 2023: 4 · 2022: 4 · 2021: 13 · 2020: 1 · 2019: 6 · 2018: 6 · 2017: 8 · 2016: 4 · 2015: 6 · 2014: 14 · 2013: 9 · 2012: 13
FWCI: 18.28
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Social Science & Medicine (publishedVersion)
PubMed (publishedVersion)
RePEc: Research Papers in Economics (submittedVersion)
UCL Discovery (University College London) (submittedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
Keywords: sense of coherence, salutogenesis, sick leave, health complaints, gender differences, occupational health, workers, predictive validity
MeSH terms: Absenteeism, Female, Humans, Longitudinal Studies, Male, Models, Theoretical, Stress, Psychological, Reproducibility of Results

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Sense of coherence and health: evidence from two cross-lagged longitudinal samples

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