TY - JOUR
T1 - Stressful social relations and mortality
T2 - a prospective cohort study
AU - Lund, Rikke
AU - Christensen, Ulla
AU - Nilsson, Charlotte Juul
AU - Kriegbaum, Margit
AU - Rod, Naja Hulvej
PY - 2014/8
Y1 - 2014/8
N2 - Background: Few studies have examined therelationship between stressful social relations in privatelife and all-cause mortality. Objective To evaluate the association between stressfulsocial relations (with partner, children, other family,friends and neighbours, respectively) and all-causemortality in a large population-based study of middleagedmen and women. Further, to investigate thepossible modification of this association by labour forceparticipation and gender. Methods: We used baseline data (2000) from The Danish Longitudinal Study on Work, Unemployment and Health, including 9875 men and women aged 36-52 years, linked to the Danish Cause of Death Registry forinformation on all-cause mortality until 31 December2011. Associations between stressful social relations withpartner, children, other family, friends and neighbours,respectively, and all-cause mortality were examined using Cox proportional hazards models adjusted for age, gender, cohabitation status, occupational social class, hospitalisation with chronic disorder 1980-baseline, depressive symptoms and perceived emotional support. Modification by gender and labour force participation wasinvestigated by an additive hazards model. Results: Frequent worries/demands from partner orchildren were associated with 50-100% increasedmortality risk. Frequent conflicts with any type of socialrelation were associated with 2-3 times increasedmortality risk. Interaction between labour force participation and worries/demands (462 additional casesper 100 000 person-years, p=0.05) and conflicts withpartner (830 additional cases per 100 000 person-years, p < 0.01) was suggested. Being male and experiencing frequent worries/demands from partner produced 135extra cases per 100 000 person-years, p=0.05 due tointeraction. Conclusions: Stressful social relations are associatedwith increased mortality risk among middle-aged menand women for a variety of different social roles. Those outside the labour force and men seem especiallyvulnerable to exposure.
AB - Background: Few studies have examined therelationship between stressful social relations in privatelife and all-cause mortality. Objective To evaluate the association between stressfulsocial relations (with partner, children, other family,friends and neighbours, respectively) and all-causemortality in a large population-based study of middleagedmen and women. Further, to investigate thepossible modification of this association by labour forceparticipation and gender. Methods: We used baseline data (2000) from The Danish Longitudinal Study on Work, Unemployment and Health, including 9875 men and women aged 36-52 years, linked to the Danish Cause of Death Registry forinformation on all-cause mortality until 31 December2011. Associations between stressful social relations withpartner, children, other family, friends and neighbours,respectively, and all-cause mortality were examined using Cox proportional hazards models adjusted for age, gender, cohabitation status, occupational social class, hospitalisation with chronic disorder 1980-baseline, depressive symptoms and perceived emotional support. Modification by gender and labour force participation wasinvestigated by an additive hazards model. Results: Frequent worries/demands from partner orchildren were associated with 50-100% increasedmortality risk. Frequent conflicts with any type of socialrelation were associated with 2-3 times increasedmortality risk. Interaction between labour force participation and worries/demands (462 additional casesper 100 000 person-years, p=0.05) and conflicts withpartner (830 additional cases per 100 000 person-years, p < 0.01) was suggested. Being male and experiencing frequent worries/demands from partner produced 135extra cases per 100 000 person-years, p=0.05 due tointeraction. Conclusions: Stressful social relations are associatedwith increased mortality risk among middle-aged menand women for a variety of different social roles. Those outside the labour force and men seem especiallyvulnerable to exposure.
U2 - 10.1136/jech-2013-203675
DO - 10.1136/jech-2013-203675
M3 - Journal article
C2 - 24811775
SN - 0143-005X
VL - 68
SP - 720
EP - 727
JO - Journal of Epidemiology & Community Health
JF - Journal of Epidemiology & Community Health
IS - 8
ER -