The sense of coherence, occupation and all-cause mortality in the Helsinki Heart Study
The sense of coherence, occupation and all-cause mortality in the Helsinki Heart Study
复制标题
赫尔辛基心脏研究中的一致性、职业感和全因死亡率
DOI：
10.1023/a:1024213427147
复制
发表时间：
2002
影响因子：
13.6
通讯作者：
T. Pitkänen
中科院分区：
文献类型：
--
作者：
E. Poppius;L. Tenkanen;M. Hakama;R. Kalimo;T. Pitkänen
背景：本研究的目的是检验以下假设：具有强烈一致性感 (SOC) 的人可以降低全因死亡率。方法：在一项为期 8 年的前瞻性随访研究中，对 4405 名芬兰中年就业男性进行了职业和 SOC 对全因死亡率的影响研究。结果：使用 Cox 比例风险模型，与高 SOC 三分位数相比，低 SOC 三分位数全因死亡率的粗相对风险为 1.23（95% CI：0.90-1.68）。调整年龄、吸烟、饮酒和职业后，风险略有增加至 1.35。职业是一个效应调节因子，因为在白领工人中，低 SOC 三分位数的相应相对风险为 2.27（95% CI：1.12-4.59，p = 0.02），而在蓝领工人中，每个 SOC 三分位数的全因死亡率相对风险稳定（1.33-1.52）。经典危险因素吸烟和饮酒的相对风险高于 SOC。结论：SOC 的健康促进品质对白领工人的全因死亡率有显着影响，但对蓝领工人则不显着。
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.