The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
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 [205]”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [205]
Citations
Cites
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BackgroundHelsinki Heart Study: Primary-Prevention Trial with Gemfibrozil in Middle-Aged Men with Dyslipidemia
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“The participants were men aged 40–55 at recruitment in 1981–1982 for the Helsinki Heart Study (HHS), a 5-year randomised, double blind, placebo-controlled primary prevention trial of gemfibrozil, a lipid-lowering drug [3, 4].”
MethodThe structure and properties of the sense of coherence scale
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Antonovsky, A. (1987) · Medical Entomology and Zoology · Cited by 1,967
Lipid Alterations and Decline in the Incidence of Coronary Heart Disease in the Helsinki Heart Study
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Some conceptual considerations on the sense of coherence
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Sense of coherence and sociology of emotions
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Changes in population distribution of sense of coherence do not explain changes in overall mortality
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Cited by
Sorted by citations
Antonovsky’s sense of coherence scale and the relation with health: a systematic review
Eriksson, M., & Lindström, B. (2006) · Journal of Epidemiology and Community Health · doi:10.1136/jech.2005.041616 · Cited by 1,477
Chapman, B. P., Roberts, B., & Duberstein, P. (2011) · Journal of Aging Research · doi:10.4061/2011/759170 · Cited by 283
“In these studies, both personality and SES still exert independent mortality risks when confounding is controlled.”
BackgroundInfluentialHealthy lifestyle choices: could sense of coherence aid health promotion?
Wainwright, N. W. J., Surtees, P. G., Welch, A., Luben, R., Khaw, K., & Bingham, S. A. (2007) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2006.056275 · Cited by 189
Surtees, P. G., Wainwright, N. W. J., & Khaw, K.-T. (2006) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2006.02.014 · Cited by 127
Hakanen, J., Feldt, T., & Leskinen, E. (2006) · Journal of Research in Personality · doi:10.1016/j.jrp.2006.07.001 · Cited by 121
Metadata
- 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 › 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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