| Titre : | Sense of coherence, lifestyle choices and mortality. (2008) |
| Auteurs : | N.W.J. WAINWRIGHT ; BINGHAM (S.A.) : GBR. Medical Research Council Dunn Human Nutrition Unit. Cambridge. ; KHAW (K.T.) : GBR. Clinical Gerontology Unit. University of Cambridge School of Clinical Medicine. Addenbrooke's Hospital. Cambridge. ; R.N. LUBEN ; P.G. SURTEES ; A.A. WELCH ; Strangeways Research Laboratory. University of Cambridge. Department of Public Health and Primary Care. Cambridge. GBR |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 62, n° 9, 2008) |
| Pagination : | 829-831 |
| Langues: | Anglais |
| Mots-clés : | Condition vie ; Mortalité ; Epidémiologie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS Bm8R0xDo. Diffusion soumise à autorisation]. Background : Based on data from the European Prospective Investigation into Cancer, Norfolk (EPIC-Norfolk) study, we have previously shown a strong sense of coherence (SOC) to be associated with a reduced rate of all-cause mortality. Objectives : To investigate the extent to which the SOC mortality association can be explained by socioeconomic status and lifestyle choices. Design and setting : Prospective population-based cohort study. Participants : 18 287 study participants aged 41-80 years who reported no pre-existing chronic disease at baseline and who completed an assessment of SOC. Results : Based on 1599 deaths during a mean follow-up of 8.3 years, a strong SOC was associated with a 20% reduced risk of all-cause mortality. Measures of lifestyle choice (cigarette smoking, physical activity, dietary intakes of fruit, vegetables and fibre) and socioeconomic status (social class and education) explained 23% of this association. Conclusions : The SOC concept embraces multiple sets of chronic disease risk factors that include lifestyle choices and those associated with socioeconomic status, and is a potential aid in understanding differences in health outcomes in similar individuals. |
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