Influence of Life-related Factors and Participation in Health Examination on Mortality in a 4.5-year Follow-up of a Rural Cohort
10.1265/ehpm.5.66
- Author:
Shankuan ZHU
;
Takaaki KONDO
;
Hisataka SAKAKIBARA
;
Koji TAMAKOSHI
;
Kunio MIYANISHI
;
Nao SEKI
;
Naohito TANABE
;
Hideaki TOYOSHIMA
- Publication Type:Journal Article
- Keywords:
life-related factors;
health examination;
all-cause mortality;
cohort study;
hazard ratio
- MeSH:
participation;
Health;
Illness, NOS;
livin;
g <3>
- From:Environmental Health and Preventive Medicine
2000;5(2):66-71
- CountryJapan
- Language:Japanese
-
Abstract:
To identify life−related factors causing increased mortality, 2, 769 rural residents aged 29−77 were investigated through a self−administered questionnaire in 1990. Death certificates and migration information were inspected during the 4.5−year follow−up period. Age, obesity, life attitude, job, marital status, drinking and smoking habits, previous or current illness, and frequency of participation in health examinations were checked during the baseline survey. The person−year mortality rate was higher among irregular participants in health examinations than among regular participants both among males and females. From Cox’s multiple regression analysis, factors with a significantly high hazard ratio (HR) for mortality were irregular participation (HR=2.05), increase of age (HR=1.54, for 10 years), previous or current illness (HR=2.44), unemployment (HR=1.95), and living without a spouse (HR=2.61) for males; and for females they were having previous or current illness (HR=15.21) and living without a spouse (HR=2.94). Thus, irregular participation in health examinations, unemployment and aging showed a relationship with a higher mortality only in males. A previous or current illness and living without a spouse were related in both sexes.
