The sense of coherence, occupation and all-cause mortality in the Helsinki Heart Study
Abstract
Background The aim of this study was to test the hypothesis that people with a strong sense of coherence (SOC) have decreased all-cause mortality.Methods The effect of occupation and the SOC on all-cause mortality was studied among 4405 Finnish middle-aged employed men in a prospective 8-year follow-up study.Results Using Cox proportional hazards models the crude relative risk for all-cause mortality for the low SOC tertile when compared to the high SOC tertile was 1.23 (95% CI: 0.90-1.68). Adjusting for age, smoking, alcohol and occupation increased the risk slightly to 1.35. Occupation was an effect modifier, since among white-collar workers the corresponding relative risk of the low SOC tertile was 2.27 (95% CI: 1.12-4.59, p = 0.02) and among blue-collar workers the relative risk for all-cause mortality was stable (1.33-1.52) in each SOC tertile. The classic risk factors, smoking and alcohol, showed higher relative risks than the SOC.Conclusions The effect of the health-promoting qualities of the SOC upon all-cause mortality was significant among white-collar workers, but not among blue-collar workers.
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One study did find that mortality risk was reduced by sense of coherence only at higher levels of SES.
“One study did find that mortality risk was reduced by sense of coherence only at higher levels of SES [205]”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [205]
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BackgroundHelsinki Heart Study: Primary-Prevention Trial with Gemfibrozil in Middle-Aged Men with Dyslipidemia
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- Authors
- Poppius, E., Tenkanen, L., Hakama, M., Kalimo, R., & Pitkänen, T.
- Affiliations
- Tampere University (FI)
- Finnish Institute of Occupational Health (FI)
- Venue
- European Journal of Epidemiology
- Published
- 2003-05
- Volume
- 18
- Issue
- 5
- Pages
- 389-393
- ISSN
- 0393-2990 (ISSN-L)
- 1573-7284
- OpenAlex
- W2030679138
- Cited by
- 54
- References
- 17
- Citations by year
- 2022: 1 · 2020: 4 · 2019: 1 · 2018: 2 · 2017: 4 · 2016: 1 · 2014: 5 · 2013: 2 · 2012: 4
- FWCI
- 5.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- European Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Työsuojelurahasto
- Topics
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- sense of coherence, all-cause mortality, occupation, white-collar workers, blue-collar workers, effect modification, middle-aged men, smoking, alcohol consumption, cardiovascular risk factors, Helsinki Heart Study
- MeSH terms
- Adaptation, Psychological, Adult, Alcohol Drinking, Hypolipidemic Agents, Coronary Disease, Finland, Holistic Health, Humans, Male, Middle Aged, Mortality, Occupations, Primary Prevention, Surveys and Questionnaires, Risk Factors, Smoking, Gemfibrozil, Proportional Hazards Models, Occupational Health
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