Prospective association between self-reported life satisfaction and mortality: results from the MONICA/KORA Augsburg S3 survey cohort study.
Prospective association between self-reported life satisfaction and mortality: results from the MONICA/KORA Augsburg S3 survey cohort study.
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DOI：
10.1186/1471-2458-11-579
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发表时间：
2011-07-20
影响因子：
4.5
通讯作者：
Ladwig KH
中科院分区：
文献类型：
--
作者：
Lacruz ME;Emeny RT;Baumert J;Ladwig KH
确定决定高生活满意度的因素，并分析高生活满意度对死亡率的预后影响。作为1994-1995年莫妮卡·奥格斯堡项目的一部分，对2675名25-74岁的参与者进行了数据收集。多因素Logistic回归分析被用来确定与高LS相关的因素(用一个条目，6级Likert量表测量，“高”=非常满意/大多数情况下对个人生活非常满意)。平均随访12年，共发生245例死亡。我们计算了每10,000人中经年龄和性别调整的事故死亡率。风险比(HR)由COX比例风险模型估计。LS的独立决定因素是收入、健康认知和社会支持，以及躯体化、愤怒或抑郁症状(均P<；0.05)。LS较高的参与者(n=721，27%)在绝对死亡风险降低方面受益最大(较高LS=67；中等LS=98；低LS=140/10,000)。性别分层分析表明，男性较高的LS与生存率独立相关(HR为0.55；95%CI为0.37-0.81)，但与女性无关。基线评估表明，心理、社会和生活方式因素是LS的相关决定因素，而不是躯体合并症。此外，分析表明，LS较高的男性有实质性的长期生存益处。观察到的LS和死亡率之间的关联可能归因于共同的潜在原因，如社会网络整合和/或自我评估健康。
To identify factors which determine high life satisfaction (LS) and to analyse the prognostic influence of LS on mortality. Data collection was conducted on 2,675 participants, age 25-74 years, as part of the MONICA Augsburg Project 1994-95. Multivariate logistic regression analyses were used to determine factors associated with high LS (measured with one item, 6-level Likert scale, where "high" = very satisfied/most of the time very satisfied with ones personal life). After 12 years mean follow-up, a total of 245 deaths occurred. We calculated age- and sex-adjusted incident mortality rates per 10,000. Hazard ratios (HRs) were estimated from Cox proportional hazards models. Independent determinants of LS were income, health-perception, and social support, as well as somatisation, anger or depressive symptoms (all p < 0.05). Participants with higher LS (n = 721, 27%) benefited the most with respect to absolute mortality risk reduction (higher LS = 67; mid = 98; low = 140 per 10,000). The sex-stratified analyses indicated an independent association of higher LS and survival for men (HR 0.55; 95% CI 0.37 - 0.81) but not for women. Baseline assessment demonstrated that psychological, social and life-style factors, but not somatic co-morbidities, were relevant determinants of LS. Moreover, the analysis showed that men with higher LS have a substantial long-term survival benefit. The observed association between LS and mortality may be attributed to common underlying causes such as social network integration and/or self-rated health.
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影响因子：
13.6
作者：
Oksuzyan, Anna;Crimmins, Eileen;Saito, Yasuhiko;O'Rand, Angela;Vaupel, James W.;Christensen, Kaare
通讯作者：
Christensen, Kaare
影响因子：
2.6
作者：
Beutel, Manfred E.;Glaesmer, Heide;Braehler, Elmar
通讯作者：
Braehler, Elmar
DOI：
10.1111/j.1532-5415.2000.tb04991.x
发表时间：
2000-05-01
影响因子：
6.3
作者：
Ostir, GV;Markides, KS;Goodwin, JS
通讯作者：
Goodwin, JS
影响因子：
5
作者：
Idler, EL;Benyamini, Y
通讯作者：
Benyamini, Y
影响因子：
5
作者：
BERKMAN, LF;SYME, SL
通讯作者：
SYME, SL