Social Dominance and 22-Year All-Cause Mortality in Men
Social Dominance and 22-Year All-Cause Mortality in Men
复制标题
社会主导地位与男性 22 年全因死亡率
作者：
B. Houston;M. Babyak;M. Chesney;G. Black;D. Ragland
目的研究结果表明，除敌意外，与社会支配地位相关的变量可能与发病率和死亡率有关。本研究的目的是评估a)压力下的社会支配(定义为言语竞争、反应的即时性和快速性的结构化访谈特征的模式)是否与长期健康结果相关，即全因死亡率，以及b)具有其他结构化访谈衍生特征的个体在死亡率方面是否也不同。方法本研究对来自西方合作组织研究的750名男性的22年死亡率随访数据进行分析。在结构化访谈中，使用聚类分析技术根据个人的言语和行为特征对个人进行分类。用COX比例风险模型检验行为特征与全因死亡风险之间的关系。结果反映压力社会优势的特征模式与死亡率呈正相关(RR=1.6，95%CI=1.1-2.4，p<；02)；在控制了研究开始时的舒张压、总胆固醇和吸烟状况，以及在控制敌意之后，这种关系仍然存在。此外，敌意突出的特征模式与死亡率呈正相关(RR=1.5，95%CI=1.1-2.2，p<；02)。最后，研究发现，既不具敌意也不具有社会支配性的性格特征与死亡率呈显著负相关(RR=.638，95%CI=.419-.974，p<；0.04)。结论这些结果表明，在未来关于心理社会因素与长期生存的研究中，在关注社会优势的同时，也应关注敌意。
Objective Research findings suggest that, in addition to hostility, social dominance-related variables may be related to morbidity and mortality. The purposes of the present study were to evaluate a) whether pressured social dominance (defined as a pattern of structured-interview-defined characteristics of verbal competition, immediateness of response, and fast speaking rate) was related to long-term health outcomes, namely, all-cause mortality, and b) whether individuals characterized by other patterns of structured-interview-derived characteristics also varied in terms of mortality. Method The present study represents an analysis of the data from the 22-year mortality follow-up of 750 men from the Western Collaborative Group Study. Cluster analytic techniques were used to classify individuals according to their speech and behavioral characteristics during a structured interview. Cox proportional hazards models were used to test the association between the behavioral characteristics and the risk of all-cause mortality. Results The pattern of characteristics reflecting pressured social dominance was found to be positively related to mortality (RR = 1.6, 95% CI = 1.1 - 2.4, p <.02); this relation held after controlling for diastolic blood pressure, total cholesterol, and smoking status at study entry, and also after controlling for hostility. In addition, the pattern of characteristics in which hostility was salient was found to be positively related to mortality (RR = 1.5, 95% CI = 1.1 - 2.2, p <.02). Finally, a pattern of characteristics that suggests placid individuals who are neither hostile nor socially dominant was found to be significantly negatively related to mortality (RR =.638, 95% CI =.419 -.974, p <.04). Conclusions These results suggest that, in future research concerning psychosocial factors and long-term survival, attention should be given to social dominance as well as to hostility.
西方协作组研究中的 27 年死亡率：通过递归划分构建风险组。
影响因子：
7.2
作者：
Carmelli,D;Halpern,J;Swan,GE;Dame,A;McElroy,M;Gelb,AB;Rosenman,RH
通讯作者：
Rosenman,RH