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.
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.
Authors: Pauline Boeckxstaens; Bert Vaes; An De Sutter; Isabelle Aujoulat; Gijs van Pottelbergh; Catharina Matheï; Jean-Marie Degryse Journal: Ann Fam Med Date: 2016-07 Impact factor: 5.166
Authors: C Nuccitelli; A Valentini; M T Caletti; C Caselli; N Mazzella; G Forlani; G Marchesini Journal: J Endocrinol Invest Date: 2017-08-12 Impact factor: 4.256
Authors: Roberta Adorni; Andrea Greco; Marco D'Addario; Francesco Zanatta; Francesco Fattirolli; Cristina Franzelli; Alessandro Maloberti; Cristina Giannattasio; Patrizia Steca Journal: Int J Environ Res Public Health Date: 2022-04-13 Impact factor: 4.614
Authors: Matthias Kröz; Marcus Reif; Arndt Büssing; Roland Zerm; Gene Feder; Angelina Bockelbrink; Hans Broder von Laue; Harald Matthes H; Stefan N Willich; Matthias Girke Journal: Health Qual Life Outcomes Date: 2011-09-30 Impact factor: 3.186