| Titre : | Sense of coherence and mortality in men and women in the EPIC-Norfolk United Kingdom Prospective cohort study. (2003) |
| Auteurs : | Paul SURTEES ; Nicholas DAY ; KHAW (Kay-Tee) : GBR. Clinical Gerontology Unit. University of Cambridge School of Clinical Medicine. Addenbrooke's Hospital. Cambridge. ; Robert LUBEN ; Nicholas WAINWRIGHT ; University of Cambridge. Institute of Public Health. Strangeways Research Laboratory. Cambridge. GBR |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 158, n° 12, 2003) |
| Pagination : | 1202-1209 |
| Langues: | Anglais |
| Mots-clés : | Homme ; Femme ; Mortalité ; Epidémiologie ; Personnalité |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xYwj6o. Diffusion soumise à autorisation]. This study tested the hypothesis that a personality disposition defined by a strong sense of coherence is associated with a reduced risk of mortality. The authors prospectively examined, for<=6 years, the relation between a strong sense of coherence and mortality due to all causes, cardiovascular disease, and cancer among 20,579 participants aged 41-80 years from the European Prospective Investigation into Cancer (EPIC) - Norfolk Study in the United Kingdom. Data were collected in 1996-2002. Participants were recruited by post from general practice age-sex registers and subsequently completed a postal assessment of their sense of coherence. During follow-up, 1,024 deaths were recorded. A strong sense of coherence was associated with a 30% reduction in mortality from all causes (rate ratio=0.69, p<0.0001), cardiovascular disease (rate ratio=0.70, p=0.001), and cancer (rate ratio=0.74, p=0.003), independent of age, sex, and prevalent chronic disease. These associations were consistent by sex, except that no association was observed for cancer mortality in women. The association for all-cause mortality remained after adjustment for cigarette smoking history, social class, body mass index, systolic blood pressure, cholesterol, hostility, and neuroticism (rate ratio=0.76, p=0.002). Results suggest that a strong sense of coherence may confer some resilience to the risk of chronic disease. |
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