Cited by 54Health, psychology, and well-beingCardiac Health and Mental HealthWorkplace Health and Well-being

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The sense of coherence, occupation and all-cause mortality in the Helsinki Heart Study

Poppius, E., Tenkanen, L., Hakama, M., Kalimo, R., Pitkänen, T.·2003·European Journal of Epidemiology

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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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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
Publisher: Springer Science and Business Media LLC
Published: 2003-05
Volume: 18
Issue: 5
Pages: 389-393
ISSN: 0393-2990 (ISSN-L)
1573-7284
DOI: 10.1023/a:1024213427147
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: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
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 › Medicine › Public Health, Environmental and Occupational Health › 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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The sense of coherence, occupation and all-cause mortality in the Helsinki Heart Study

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