The sense of coherence and risk of injuries: role of alcohol consumption and occupation
ABSTRACT To test the hypothesis that individuals with a strong sense of coherence (SOC) have a decreased incidence of external cause injuries and to study the role of alcohol consumption and occupational category in that association.
Participants of the Helsinki Heart Study were followed up for injuries for eight years through the national hospital discharge register and cause of death statistics. Cox proportional hazards models were used to calculate the relative risks.
The Helsinki Heart Study, a clinical trial to prevent coronary heart disease.
4405 Finnish middle-aged employed men.
The SOC was inversely associated with the risk of injuries, with a significant 25% lower incidence in the highest tertile of SOC (7.6 per 1000 person-years) compared with the lowest (10.2 per 1000 person-years). The association remained significant if adjusted for age, but not if adjusted additionally for alcohol consumption or occupation. When considered jointly with occupational category, the injury risk showed a decreasing trend (p = 0.02) with increasing SOC among blue collar but not among white collar workers. The use of alcohol had a great impact on injury risk among those with weak SOC, with incidences of 7.7, 10.2, and 14.9 per 1000 person-years in the non/light, medium, and heavy categories of consumption (p for trend 0.01). No such trend was seen in other SOC tertiles.
There was an effect of SOC on the incidence of injury especially among blue collar workers. A substantial part of the effect was mediated by alcohol consumption.
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ABSTRACT: To examine if sense of coherence (SOC) can reduce the adverse effects of job stress on mental health status, self-administered questionnaires were distributed among 740 workers in a manufacturing industry. The questionnaire contained SOC, Job Content Questionnaire (JCQ), and General Health Questionnaire (GHQ-12). Complete answers were recovered from 466 workers (62.8%), consisting of 387 males and 79 females, with ages of 45.1 + or - 12.0 yr, and used for the analysis. The logistic regression analysis revealed the followings: Both for males and females, high GHQ was significantly associated with scores on SOC and JCQ job demand subscale, i.e. the mental health status was adversely related to job demand whereas it was positively associated with SOC. Similarly, the mental health status was affected adversely by managerial work in males, whereas was positively by co-workers support in females. Thus, high SOC enables workers to cope with their job demand, which is a potent job stressor, indicating that SOC is an important factor determining their coping ability to job stress for both genders. Male managerial employees may cope with their strong job stress because of high SOC, protecting their mental health status. Social support seems also significant for prevention of mental well-being of female workers from work-related stressors.Industrial Health 10/2009; 47(5):503-8. DOI:10.2486/indhealth.47.503 · 1.05 Impact Factor
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ABSTRACT: Sense of coherence (SOC) is an individual-based coping characteristic and believed to influence a person's ability to adapt to life stressors, such as edentulism and using complete denture. Thus, SOC may mediate the effect of prosthetic treatment on quality of life. 1. To simultaneously test the effect of type of treatment and sense of coherence on oral health related quality of life (OHRQoL) in edentate elders and to identify any interaction. 2. To report the level of sense of coherence among a sample of edentate elders. Data were collected and analysed cross-sectionally at a 1-year follow-up from 173 edentulous elders who had randomly received mandibular-implant overdentures or conventional dentures, both opposed by new conventional maxillary dentures. The dependent outcome variable, oral health related quality of life, was measured using the Oral Health Impact Profile (OHIP-20). Independent variables included SOC and prosthesis type, as well as socio-demographic variables. SOC was evaluated using the 13-item likert scale of The Orientation to Life questionnaire. The group mean SOC score was 70.28 (SD=9.6). Married or coupled people had significantly higher SOC scores than those who were separated, single or divorced (p=0.04). General linear model analyses demonstrated that there was a statistically significant main effect for type of prosthesis, F(1.169)=0.71, p=0.008, with no interaction with SOC. The results of this study suggest that, in edentulous elders, SOC does not mediate the effect of the type of prosthetic treatment on oral health related quality of life.Journal of dentistry 11/2009; 38(3):232-6. DOI:10.1016/j.jdent.2009.11.002 · 2.84 Impact Factor
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ABSTRACT: Aspinwall and Tedeschi (Ann Behav Med, 2010) summarize evidence they view as supporting links between positive psychological states, including sense of coherence (SOC) and optimism and health outcomes, and they refer to persistent assumptions that interfere with understanding how positive states predict health. We critically evaluate Aspinwall and Tedeschi's assertions. We examine evidence related to SOC and optimism in relation to physical health, and revisit proposed processes linking positive psychological states to health outcomes, particularly via the immune system in cancer. Aspinwall and Tedeschi's assumptions regarding SOC and optimism are at odds with available evidence. Proposed pathways between positive psychological states and cancer outcomes are not supported by existing data. Aspinwall and Tedeschi's portrayal of persistent interfering assumptions echoes a disregard of precedent in the broader positive psychology literature. Positive psychology's interpretations of the literature regarding positive psychological states and cancer outcomes represent a self-perpetuating story line without empirical support.Annals of Behavioral Medicine 02/2010; 39(1):35-42. DOI:10.1007/s12160-010-9157-9 · 4.20 Impact Factor