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Sense of coherence and diabetes: a prospective occupational cohort study.

Kouvonen AM, Väänänen A, Woods SA, Heponiemi T, Koskinen A, Toppinen-Tanner S - BMC Public Health (2008)

Bottom Line: Sense of coherence (SOC) is an individual characteristic related to a positive life orientation leading to effective coping.A weak SOC has been associated with indicators of general morbidity and mortality.No similar association was observed in older employees.

View Article: PubMed Central - HTML - PubMed

Affiliation: Institute of Work, Health & Organisations, University of Nottingham, 8 William Lee Buildings, Nottingham Science and Technology Park, University Boulevard, Nottingham NG7 2RQ, UK. anne.kouvonen@nottingham.ac.uk

ABSTRACT

Background: Sense of coherence (SOC) is an individual characteristic related to a positive life orientation leading to effective coping. A weak SOC has been associated with indicators of general morbidity and mortality. However, the relationship between SOC and diabetes has not been studied in prospective design. The present study prospectively examined the relationship between a weak SOC and the incidence of diabetes.

Methods: The relationship between a weak SOC and the incidence of diabetes was investigated among 5827 Finnish male employees aged 18-65 at baseline (1986). SOC was measured by questionnaire survey at baseline. Data on prescription diabetes drugs from 1987 to 2004 were obtained from the Drug Imbursement Register held by the Social Insurance Institution.

Results: During the follow-up, 313 cases of diabetes were recorded. A weak SOC was associated with a 46% higher risk of diabetes in participants who had been = <50 years of age on entry into the study. This association was independent of age, education, marital status, psychological distress, self-rated health, smoking status, binge drinking and physical activity. No similar association was observed in older employees.

Conclusion: The results suggest that besides focusing on well-known risk factors for diabetes, strengthening SOC in employees of = <50 years of age can also play a role in attempts to tackle increasing rates of diabetes.

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Study design, sample selection, and description of the final study population.
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Figure 1: Study design, sample selection, and description of the final study population.

Mentions: Study design, sample selection, and description of the final study population are presented in Figure 1. In 1986, a questionnaire survey on demographics, psychosocial characteristics and health-risk behaviours was sent to all 12,173 (69% blue-collar workers, 77% male) employees of this company in Finland. Altogether 76% of the personnel responded to the questionnaire, the lowest response rate being among the hourly-paid blue-collar workers (69%).


Sense of coherence and diabetes: a prospective occupational cohort study.

Kouvonen AM, Väänänen A, Woods SA, Heponiemi T, Koskinen A, Toppinen-Tanner S - BMC Public Health (2008)

Study design, sample selection, and description of the final study population.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2268681&req=5

Figure 1: Study design, sample selection, and description of the final study population.
Mentions: Study design, sample selection, and description of the final study population are presented in Figure 1. In 1986, a questionnaire survey on demographics, psychosocial characteristics and health-risk behaviours was sent to all 12,173 (69% blue-collar workers, 77% male) employees of this company in Finland. Altogether 76% of the personnel responded to the questionnaire, the lowest response rate being among the hourly-paid blue-collar workers (69%).

Bottom Line: Sense of coherence (SOC) is an individual characteristic related to a positive life orientation leading to effective coping.A weak SOC has been associated with indicators of general morbidity and mortality.No similar association was observed in older employees.

View Article: PubMed Central - HTML - PubMed

Affiliation: Institute of Work, Health & Organisations, University of Nottingham, 8 William Lee Buildings, Nottingham Science and Technology Park, University Boulevard, Nottingham NG7 2RQ, UK. anne.kouvonen@nottingham.ac.uk

ABSTRACT

Background: Sense of coherence (SOC) is an individual characteristic related to a positive life orientation leading to effective coping. A weak SOC has been associated with indicators of general morbidity and mortality. However, the relationship between SOC and diabetes has not been studied in prospective design. The present study prospectively examined the relationship between a weak SOC and the incidence of diabetes.

Methods: The relationship between a weak SOC and the incidence of diabetes was investigated among 5827 Finnish male employees aged 18-65 at baseline (1986). SOC was measured by questionnaire survey at baseline. Data on prescription diabetes drugs from 1987 to 2004 were obtained from the Drug Imbursement Register held by the Social Insurance Institution.

Results: During the follow-up, 313 cases of diabetes were recorded. A weak SOC was associated with a 46% higher risk of diabetes in participants who had been = <50 years of age on entry into the study. This association was independent of age, education, marital status, psychological distress, self-rated health, smoking status, binge drinking and physical activity. No similar association was observed in older employees.

Conclusion: The results suggest that besides focusing on well-known risk factors for diabetes, strengthening SOC in employees of = <50 years of age can also play a role in attempts to tackle increasing rates of diabetes.

Show MeSH
Related in: MedlinePlus