Psychosocial risk factors and mortality: A prospective study with special focus on social support, social participation, and locus of control in Norway
Psychosocial risk factors and mortality: A prospective study with special focus on social support, social participation, and locus of control in Norway
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DOI：
10.1136/jech.52.8.476
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发表时间：
1998-08-01
影响因子：
6.3
通讯作者：
Haheim, LL
中科院分区：
文献类型：
--
作者：
Dalgard, OS;Haheim, LL
研究目标-目的是调查心理社会变量对死亡率的影响，特别关注社会支持、社会参与和控制点。设计-这项研究是一项前瞻性研究，跟踪时间为17年，使用单变量和多变量比例风险回归分析来评估心理社会变量在控制社会人口和生物因素时的预测能力。背景-研究基于1975/76年从奥斯陆不同社区随机抽取的人口样本，目的是调查健康，特别是心理健康，与各种社会和心理社会变量的关系。最初的数据是通过结构化访谈收集的，而关于死亡率和死因的数据来自中央统计局。参与者--最初的样本包括1010名18岁以上的人，没有年龄上限。关于死亡率的随访覆盖了整个样本，除了极少数离开这个国家的人。主要结果--在控制社会人口和生物因素时，社会参与度低，较少的亲密关系和外部控制点，在较小程度上与死亡率的增加有关。结论--社会参与和控制点的影响可能表明，生活方式和个人心理资源对生存的重要性至少与来自其他人的支持在紧张的生活情境中一样重要。
Study objective-The objective is to investigate the effect on mortality of psychosocial variables, with special focus on social support, social participation, and locus of control.Design-The study is designed as a prospective study with a 17 year follow up period, using univariate and multivariate proportional hazards regression analysis to estimate the predictive power of psychosocial variables, when controlling for sociodemographic and biological factors.Setting-The study is based on a population sample randomly drawn from different neighbourhoods of Oslo in 1975/76, for the purpose of surveying health, in particular mental health, in relation to various social and psychosocial variables. The initial data were gathered by structured interviewing, whereas the data about mortality and cause of death, was gathered from the Central Bureau of Statistics.Participants-The initial sample included 1010 persons above the age of 18 years, with no upper age limit. The follow up with respect to mortality covered the whole sample, with the exception of a very few who had left the country.Main results-When controlling for sociodemographic and biological factors, low social participation, and to a lesser extent, few close relationships and external locus of control, were associated with increased mortality.Conclusion-The effect of social participation and locus of control may indicate that life style, and individual psychological resources, are at least as important for survival as support from others in stressful-life situations.