Relationship between mortality risk and health-related factors and sense of coherence in residents ofa rural area in Japan

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  • Yamauchi Kanako
    Department of Psychology, Faculty of Psychology, Hiroshima International University, Japan
  • Kato Tadahiro
    Center for Education and Educational Research, the Faculty of Education, Ehime University, Japan
  • Saito Isao
    Department of Public Health and Epidemiology, Faculty of Medicine, Oita University, Japan
  • Yamaizumi Masamitsu
    JA Ehime Kouseiren Medical Examination Center, Japan

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<p>Objective: This study aimed to examine the relationship between mortality risk and health-related factors and sense of coherence (SOC) in a cohort study of residents from a rural area of Japan.</p><p>Materials and Methods: We followed-up with 3,416 baseline respondents over 3.76 years. Residents were subdivided into three groups based on SOC score: low, middle, and high. We used the total SOC score of the low-level SOC group as the standard, and calculated the standardized mortality ratio (SMR) for the middle- and high-level SOC groups. For all three SOC groups, health-related factors were analyzed by one-way analysis of variance, and lifestyle and history were analyzed using the χ2 test. Results were also analyzed by gender and age.</p><p>Results: For men in the low-level SOC group, the SMR value was defined as 1, and for men in the high-level SOC group (0.44; 95% confidence interval: 0.11–0.77), the SMR value was significantly lower. There was a statistically significant reduction in the percentage of smokers in the men in the high-level SOC group.</p><p>Conclusion: In this study, high-level SOC was associated with low mortality risk. This finding was particularly pronounced in the men.</p>

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