Sense of coherence, lifestyle choices and mortality.

TitleSense of coherence, lifestyle choices and mortality.
Publication TypeJournal Article
Year of Publication2008
AuthorsWainwright, NWJ, Surtees, PG, Welch, AA, Luben, RN, Khaw, K-T, Bingham, SA
JournalJ Epidemiol Community Health
Date Published2008 Sep
KeywordsAdaptation, Psychological, Adult, Aged, Aged, 80 and over, Choice Behavior, Chronic Disease, Cohort Studies, Diet, England, Health Behavior, Humans, Internal-External Control, Life Style, Middle Aged, Self Concept, Smoking, Social Class

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.

Alternate JournalJ Epidemiol Community Health
Citation Key10.1136/jech.2007.066464
PubMed ID18701735
Grant List / / British Heart Foundation / United Kingdom
/ / Department of Health / United Kingdom
MC_U105630924 / / Medical Research Council / United Kingdom
G9502233 / / Medical Research Council / United Kingdom
G0401527 / / Medical Research Council / United Kingdom
C865/A2883 / / Cancer Research UK / United Kingdom
G0300128 / / Medical Research Council / United Kingdom
/ / Wellcome Trust / United Kingdom