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Sex-specific Relationship Between Stress Coping Strategies and All-cause Mortality: Japan Multi-Institutional Collaborative Cohort Study.
Nagayoshi, Mako; Takeuchi, Kenji; Tamada, Yudai; Kato, Yasufumi; Kubo, Yoko; Okada, Rieko; Tamura, Takashi; Hishida, Asahi; Otonari, Jun; Ikezaki, Hiroaki; Nishida, Yuichiro; Shimanoe, Chisato; Koyanagi, Yuriko N; Matsuo, Keitaro; Mikami, Haruo; Kusakabe, Miho; Nishimoto, Daisaku; Shibuya, Keiichi; Suzuki, Sadao; Nishiyama, Takeshi; Ozaki, Etsuko; Watanabe, Isao; Kuriki, Kiyonori; Takashima, Naoyuki; Kadota, Aya; Arisawa, Kokichi; Katsuura-Kamano, Sakurako; Wakai, Kenji.
Afiliación
  • Nagayoshi M; Department of Preventive Medicine, Nagoya University Graduate School of Medicine.
  • Takeuchi K; Department of Preventive Medicine, Nagoya University Graduate School of Medicine.
  • Tamada Y; Department of Preventive Medicine, Nagoya University Graduate School of Medicine.
  • Kato Y; Department of Preventive Medicine, Nagoya University Graduate School of Medicine.
  • Kubo Y; Department of Preventive Medicine, Nagoya University Graduate School of Medicine.
  • Okada R; Department of Preventive Medicine, Nagoya University Graduate School of Medicine.
  • Tamura T; Department of Preventive Medicine, Nagoya University Graduate School of Medicine.
  • Hishida A; Department of Preventive Medicine, Nagoya University Graduate School of Medicine.
  • Otonari J; Department of Psychosomatic Medicine, Kyushu University Graduate School of Medical Sciences.
  • Ikezaki H; Department of Psychosomatic Medicine, International University of Health and Welfare Narita Hospital.
  • Nishida Y; Department of Comprehensive General Internal Medicine, Kyushu University Graduate School of Medicine, Faculty of Medical Sciences.
  • Shimanoe C; Department of Preventive Medicine, Faculty of Medicine, Saga University.
  • Koyanagi YN; Department of Pharmacy, Saga University Hospital.
  • Matsuo K; Division of Cancer Information and Control, Aichi Cancer Center Research Institute.
  • Mikami H; Division of Cancer Epidemiology and Prevention, Aichi Cancer Center Research Institute.
  • Kusakabe M; Cancer Prevention Center, Chiba Cancer Center Research Institute.
  • Nishimoto D; Cancer Prevention Center, Chiba Cancer Center Research Institute.
  • Shibuya K; Department of International Island and Community Medicine, Kagoshima University Graduate School of Medical and Dental Sciences.
  • Suzuki S; School of Health Sciences, Faculty of Medicine, Kagoshima University.
  • Nishiyama T; Department of International Island and Community Medicine, Kagoshima University Graduate School of Medical and Dental Sciences.
  • Ozaki E; Department of Emergency and Intensive Care Medicine, Kagoshima University Graduate School of Medical and Dental Sciences.
  • Watanabe I; Department of Public Health, Nagoya City University Graduate School of Medical Sciences.
  • Kuriki K; Department of Public Health, Nagoya City University Graduate School of Medical Sciences.
  • Takashima N; Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine.
  • Kadota A; Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine.
  • Arisawa K; Laboratory of Public Health, Division of Nutritional Sciences, School of Food and Nutritional Sciences, University of Shizuoka.
  • Katsuura-Kamano S; Department of Public Health, Kindai University Faculty of Medicine.
  • Wakai K; Department of Public Health, Shiga University of Medical Science.
J Epidemiol ; 33(5): 236-245, 2023 05 05.
Article en En | MEDLINE | ID: mdl-34565763
BACKGROUND: Stress coping strategies are related to health outcomes. However, there is no clear evidence for sex differences between stress-coping strategies and mortality. We investigated the relationship between all-cause mortality and stress-coping strategies, focusing on sex differences among Japanese adults. METHODS: A total of 79,580 individuals aged 35-69 years participated in the Japan Multi-Institutional Collaborative Cohort Study between 2004 and 2014 and were followed up for mortality. The frequency of use of the five coping strategies was assessed using a questionnaire. Sex-specific, multivariable-adjusted hazard ratios (HRs) for using each coping strategy ("sometimes," and "often/very often" use versus "very few" use) were computed for all-cause mortality. Furthermore, relationships were analyzed in specific follow-up periods when the proportion assumption was violated. RESULTS: During the follow-up (median: 8.5 years), 1,861 mortalities were recorded. In women, three coping strategies were related to lower total mortality. The HRs for "sometimes" were 0.81 (95% confidence interval [CI], 0.67-0.97) for emotional expression, 0.79 (95% CI, 0.66-0.95) for emotional support-seeking, and 0.80 (95% CI, 0.66-0.98) for disengagement. Men who "sometimes" used emotional expression and sometimes or often used problem-solving and positive reappraisal had a 15-41% lower HRs for all-cause mortality. However, those relationships were dependent on the follow-up period. There was evidence that sex modified the relationships between emotional support-seeking and all-cause mortality (P for interaction = 0.03). CONCLUSION: In a large Japanese sample, selected coping strategies were associated with all-cause mortality. The relationship of emotional support-seeking was different between men and women.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Adaptación Psicológica / Caracteres Sexuales Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: J Epidemiol Asunto de la revista: EPIDEMIOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Japón
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Adaptación Psicológica / Caracteres Sexuales Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: J Epidemiol Asunto de la revista: EPIDEMIOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Japón