Prospective association between self-reported life satisfaction and mortality: Results from the MONICA/KORA Augsburg S3 survey cohort study

Background To identify factors which determine high life satisfaction (LS) and to analyse the prognostic influence of LS on mortality. Methods Data collection was conducted on 2,675 participants, age 25-74 years, as part of the MONICA Augsburg Project 1994-95. Multivariate logistic regression analys...

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Vydáno v:BMC public health Ročník 11; číslo 1; s. 579
Hlavní autoři: Lacruz, Maria E, Emeny, Rebecca T, Baumert, Jens, Ladwig, Karl H
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 20.07.2011
BioMed Central Ltd
BMC
Témata:
Adult
Aged
Biostatistics
Cardiovascular diseases
Cohort Studies
Environmental Health
Epidemiology
Female
Germany
Germany - epidemiology
Health behavior
health promotion and society
Health Surveys
Humans
Logistic Models
Male
Medicine
Medicine & Public Health
Middle Aged
Mortality
Personal Satisfaction
Prospective Studies
Public Health
Research Article
Risk factors
Surveys
Vaccine
Germany
Relative Mortality Risk
Life Satisfaction
High Social Support
High Life Satisfaction
Anger Expression
ISSN:1471-2458, 1471-2458
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Shrnutí:Background To identify factors which determine high life satisfaction (LS) and to analyse the prognostic influence of LS on mortality. Methods Data collection was conducted on 2,675 participants, age 25-74 years, as part of the MONICA Augsburg Project 1994-95. Multivariate logistic regression analyses were used to determine factors associated with high LS (measured with one item, 6-level Likert scale, where "high" = very satisfied/most of the time very satisfied with ones personal life). After 12 years mean follow-up, a total of 245 deaths occurred. We calculated age- and sex-adjusted incident mortality rates per 10,000. Hazard ratios (HRs) were estimated from Cox proportional hazards models. Results Independent determinants of LS were income, health-perception, and social support, as well as somatisation, anger or depressive symptoms (all p < 0.05). Participants with higher LS (n = 721, 27%) benefited the most with respect to absolute mortality risk reduction (higher LS = 67; mid = 98; low = 140 per 10,000). The sex-stratified analyses indicated an independent association of higher LS and survival for men (HR 0.55; 95% CI 0.37 - 0.81) but not for women. Conclusions Baseline assessment demonstrated that psychological, social and life-style factors, but not somatic co-morbidities, were relevant determinants of LS. Moreover, the analysis showed that men with higher LS have a substantial long-term survival benefit. The observed association between LS and mortality may be attributed to common underlying causes such as social network integration and/or self-rated health.
Bibliografie:ObjectType-Article-1
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ISSN:1471-2458
1471-2458
DOI:10.1186/1471-2458-11-579