European Journal of Epidemiology

, Volume 18, Issue 5, pp 389–393

The sense of coherence, occupation and all-cause mortality in the Helsinki Heart Study

  • E. Poppius
  • L. Tenkanen
  • M. Hakama
  • R. Kalimo
  • T. Pitkänen
Article

DOI: 10.1023/A:1024213427147

Cite this article as:
Poppius, E., Tenkanen, L., Hakama, M. et al. Eur J Epidemiol (2003) 18: 389. doi:10.1023/A:1024213427147

Abstract

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.

All-cause mortalityBlue-collar workersOccupationSense of coherenceWhite-collar workers

Copyright information

© Kluwer Academic Publishers 2003

Authors and Affiliations

  • E. Poppius
    • 1
    • 2
  • L. Tenkanen
    • 1
    • 2
  • M. Hakama
    • 2
  • R. Kalimo
    • 3
  • T. Pitkänen
    • 1
  1. 1.Helsinki Heart StudyHelsinkiFinland
  2. 2.Tampere School of Public HealthUniversity of TampereHelsinkiFinland
  3. 3.Finnish Institute of Occupational HealthHelsinkiFinland