Socioeconomic status, structural and functional measures of social support, and mortality: The British Whitehall II Cohort Study, 1985-2009.

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State: Public
Version: author
Serval ID
serval:BIB_20EA523170EC
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Socioeconomic status, structural and functional measures of social support, and mortality: The British Whitehall II Cohort Study, 1985-2009.
Journal
American Journal of Epidemiology
Author(s)
Stringhini S., Berkman L., Dugravot A., Ferrie J.E., Marmot M., Kivimaki M., Singh-Manoux A.
ISSN
1476-6256 (Electronic)
ISSN-L
0002-9262
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
175
Number
12
Pages
1275-1283
Language
english
Notes
Publication types: Journal Article
Abstract
The authors examined the associations of social support with socioeconomic status (SES) and with mortality, as well as how SES differences in social support might account for SES differences in mortality. Analyses were based on 9,333 participants from the British Whitehall II Study cohort, a longitudinal cohort established in 1985 among London-based civil servants who were 35-55 years of age at baseline. SES was assessed using participant's employment grades at baseline. Social support was assessed 3 times in the 24.4-year period during which participants were monitored for death. In men, marital status, and to a lesser extent network score (but not low perceived support or high negative aspects of close relationships), predicted both all-cause and cardiovascular mortality. Measures of social support were not associated with cancer mortality. Men in the lowest SES category had an increased risk of death compared with those in the highest category (for all-cause mortality, hazard ratio = 1.59, 95% confidence interval: 1.21, 2.08; for cardiovascular mortality, hazard ratio = 2.48, 95% confidence interval: 1.55, 3.92). Network score and marital status combined explained 27% (95% confidence interval: 14, 43) and 29% (95% confidence interval: 17, 52) of the associations between SES and all-cause and cardiovascular mortality, respectively. In women, there was no consistent association between social support indicators and mortality. The present study suggests that in men, social isolation is not only an important risk factor for mortality but is also likely to contribute to differences in mortality by SES.
Keywords
Adult, Cohort Studies, Female, Health Surveys, Humans, Logistic Models, London/epidemiology, Longitudinal Studies, Male, Marital Status, Middle Aged, Mortality, Proportional Hazards Models, Self Report, Sex Factors, Social Class, Social Support
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Web of science
Create date
23/01/2013 14:40
Last modification date
14/08/2020 7:08
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