- 著者
-
Mako Nagayoshi
Kenji Takeuchi
Yudai Tamada
Yasufumi Kato
Yoko Kubo
Rieko Okada
Takashi Tamura
Asahi Hishida
Jun Otonari
Hiroaki Ikezaki
Yuichiro Nishida
Chisato Shimanoe
Yuriko N. Koyanagi
Keitaro Matsuo
Haruo Mikami
Miho Kusakabe
Daisaku Nishimoto
Keiichi Shibuya
Sadao Suzuki
Takeshi Nishiyama
Etsuko Ozaki
Isao Watanabe
Kiyonori Kuriki
Naoyuki Takashima
Aya Kadota
Kokichi Arisawa
Sakurako Katsuura-Kamano
Kenji Wakai
- 出版者
- Japan Epidemiological Association
- 雑誌
- Journal of Epidemiology (ISSN:09175040)
- 巻号頁・発行日
- vol.33, no.5, pp.236-245, 2023-05-05 (Released:2023-05-05)
- 参考文献数
- 50
- 被引用文献数
-
2
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.