Change in sense of coherence mediates the association between economic recession and mortality among middle-aged men
A population-based cohort study from Eastern Finland
Dados Bibliográficos
| ID | 4591514 |
|---|---|
| Autores | Ilkka Piiroinen (0000-0002-9470-3385, Tampere University of Applied Sciences, autor correspondente), Tomi-Pekka Tuomainen (0000-0002-1949-3787, University of Eastern Finland), Tommi Tolmunen (0000-0001-5359-4680, Kuopio University Hospital), Siiri-Liisi Kraav (0000-0001-5029-2783, Finland University), Rand Jarroch (0000-0003-4145-0078, University of Eastern Finland), Atro Voutilainen (0000-0002-0664-2675, University of Eastern Finland) |
| Ano | 2023 |
| Volume | 332 |
| Páginas | 116127 |
| Data de publicação | 2023-09-01 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Social Science & Medicine (JOURNAL) |
| Identificadores do periódico | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Editora | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2023.116127 |
| PMID | 37531907 |
| OpenAlex | W4385389201 |
| Idioma | EN |
| Referências citadas | 48 |
A financial recession has been associated with a decrease in all-cause mortality, but little is known about how psychosocial fluctuations in stress tolerance or orientation to life affect this association. Sense of Coherence (SOC) is a core construct in the Salutogenic Model of Health and is determined by generalized resistance resources and measures one's orientation to life by comprehensibility, manageability, and meaningfulness. We followed the mortality of a cohort of middle-aged Finnish men (n = 854) from the 1980s to the end of 2019. The cohort baseline was stratified into four age groups at baseline: 42, 48, 54, and 60. SOC was measured twice, at the baseline and at the 11-year follow-up visit. Between these SOC measurements, Finland confronted a deep financial recession, the effects of which were examined at the follow-up visit by questionnaires related to economic hardship (sum of nine items) and experience of the recession (one item). Using age group, marital status, employment status, and education as covariates, the change in SOC mediated both the economic hardship and the experience of recession relations to mortality: the indirect effects -19.57 (95% CI -43.23 to -0.92), and -26.82 (95% CI -59.52 to -0.61), respectively. Every one-point increase in economic hardship predicted about 2 and a half weeks shorter life expectancy, and those who experienced very strong disadvantages of economic recession had about 3 and a half months lower life expectancy by the end of 2019 than those who fully avoided the disadvantages. Furthermore, the younger age groups, 42 and 48, experienced the recession more severely than the older groups, 54 and 60. We conclude that following how orientation to life changes among middle-aged might be an informative approach after a recession
Cohort · Cohort study · Economics · Life expectancy · Population · Psychiatry · Psychosocial · Recession · Sociology · Demography · Employment and Welfare Studies · Health disparities and outcomes · Health, psychology, and well-being · Medicine · Psychology · Gerontology · Internal Medicine
The Handbook of Salutogenesis
Regression to the mean
Health Impacts of the Great Recession
Why Most Discovered True Associations Are Inflated
Are psychosocial factors mediators of socioeconomic status and health connections?
Financial crisis, austerity, and health in Europe
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Is Change Bad? Personality Change Is Associated with Poorer Psychological Health and Greater Metabolic Syndrome in Midlife
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Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse
The moderator–mediator variable distinction in social psychological research
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Did the Great Recession affect mortality rates in the metropolitan United States? Effects on mortality by age, gender and cause of death
| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |