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The association between psychosocial stress and mortality is mediated by lifestyle and chronic diseases: The Hoorn Study

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  • Rutters, Femke
  • Pilz, Stefan
  • Koopman, Anitra D.
  • Rauh, Simone P.
  • Te Velde, Saskia J.
  • Stehouwer, Coen D.
  • Elders, Petra J.
  • Nijpels, Giel
  • Dekker, Jacqueline M.

Abstract

Psychosocial stress is associated with chronic disease. We evaluated whether in the general population the number of stressful life events is associated with risk of mortality and whether this association is mediated by behavioral factors and morbidities. We conducted this study in the Hoorn cohort; a population-based cohort study among older men and women. Our main variable of interest was the number of stressful life events experienced during the previous 5 years, which were assessed by questionnaire. We calculated Cox proportional hazard ratios (HRs) for all-cause and cause-specific mortality during follow-up for those who experienced stressful life events compared to those who did not.

Suggested Citation

  • Rutters, Femke & Pilz, Stefan & Koopman, Anitra D. & Rauh, Simone P. & Te Velde, Saskia J. & Stehouwer, Coen D. & Elders, Petra J. & Nijpels, Giel & Dekker, Jacqueline M., 2014. "The association between psychosocial stress and mortality is mediated by lifestyle and chronic diseases: The Hoorn Study," Social Science & Medicine, Elsevier, vol. 118(C), pages 166-172.
    • Handle: RePEc:eee:socmed:v:118:y:2014:i:c:p:166-172
    DOI: 10.1016/j.socscimed.2014.08.009
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    References listed on IDEAS

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    1. Karb, Rebecca A. & Elliott, Michael R. & Dowd, Jennifer B. & Morenoff, Jeffrey D., 2012. "Neighborhood-level stressors, social support, and diurnal patterns of cortisol: The Chicago Community Adult Health Study," Social Science & Medicine, Elsevier, vol. 75(6), pages 1038-1047.
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    Cited by:

    1. Malmendier, Ulrike M. & Borgschulte, Mark & Guenzel, Marius & Liu, Canyao, 2020. "CEO Stress, Aging, and Death," CEPR Discussion Papers 14933, C.E.P.R. Discussion Papers.

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