scholarly journals Socioeconomic status and colon cancer incidence: a prospective cohort study

1995 ◽  
Vol 71 (4) ◽  
pp. 882-887 ◽  
Author(s):  
AJM van Loon ◽  
PA van den Brandt ◽  
RA Golbohm
Keyword(s):  
Colon Cancer ◽  
Socioeconomic Status ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Cancer Incidence ◽  
Prospective Cohort

scholarly journals Is subjective well-being independently associated with mortality? A 14-year prospective cohort study in a representative sample of 25 139 US men and women

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e031776
Author(s):  
Steven D Barger ◽  
Timothy W Broom ◽  
Michael V Esposito ◽  
Taylor S Lane
Keyword(s):  
Socioeconomic Status ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Representative Sample ◽  
Cox Regression ◽  
Well Being ◽  
Inverse Association ◽  
Subjective Well Being ◽  
Self Rated Health

ObjectivesTo examine whether the inverse association of subjective well-being with mortality is independent of self-rated health and socioeconomic status in healthy adults.DesignA population-based prospective cohort study based on an in-person interview. Cox regression was used to examine mortality hazards for happiness alone and for a standardised summary well-being measure that included happiness, life satisfaction and negative emotions. Using prespecified analyses, we first adjusted for age and then additionally adjusted for self-rated health and then race/ethnicity, marital status, smoking and socioeconomic status.SettingProbability sample of adult US residents interviewed in their homes in 2001.Participants25 139 adults free of cardiovascular disease and cancer at baseline.Primary outcome measureAll-cause mortality 14 years after the baseline interview as assessed by probabilistic matching using the National Death Index.ResultsAge-adjusted unhappiness was associated with mortality (HR 1.27; 95% CI 1.11 to 1.45, p=0.001) but the association attenuated after adjusting for self-rated health (HR 1.01; 95% CI 0.88 to 1.16, p=0.85). A similar pattern was seen for the summary well-being measure in fully adjusted models (HR 1.00; 95% CI 0.99 to 1.00, p=0.30). In contrast, self-rated health was strongly associated with mortality. In the fully adjusted model with the summary well-being measure the hazards for good, very good and excellent self-rated health were 0.71 (95% CI 0.62 to 0.80, p<0.001), 0.63 (95% CI 0.55 to 0.71, p<0.001) and 0.45 (95% CI 0.39 to 0.51, p<0.001), respectively.ConclusionsIn this representative sample of US adults, the association between well-being and mortality was strongly attenuated by self-rated health and to a lesser extent socioeconomic status.

scholarly journals Does religious involvement affect mortality in low-income Americans? A prospective cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e028200 ◽  
Author(s):  
Wanqing Wen ◽  
David Schlundt ◽  
Shaneda Warren Andersen ◽  
William J Blot ◽  
Wei Zheng
Keyword(s):  
Social Support ◽  
Socioeconomic Status ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Low Income ◽  
Prospective Cohort ◽  
Underserved Populations ◽  
Religious Involvement ◽  
Lifestyle Factors ◽  
Southeastern Usa

ObjectiveThis study aimed to evaluate the impacts of various forms of religious involvement, beyond individual socioeconomic status, lifestyle factors, emotional well-being and social support, on all-cause and cause-specific mortality in socioeconomic disadvantaged neighbourhoods.DesignThis is a prospective cohort study conducted from 2002 through 2015.SettingsThis study included underserved populations in the Southeastern USA.ParticipantsA total of nearly 85 000 participants, primarily low-income American adults, were enrolled. Eligible participants were aged 40–79 years at enrolment, spoke English and were not under treatment for cancer within the prior year.ResultsWe found that those who attended religious service attendance >1/week had 8% reduction in all-cause death and 15% reduction in cancer death relative to those who never attended. This association was substantially attenuated by depression score, social support, and socioeconomic and lifestyle covariates, and further attenuated by other forms of religious involvement. This association with all-cause mortality was found being stronger among those with higher socioeconomic status or healthier lifestyle behaviours.ConclusionOur results indicate that the association between religious services attendance >1/week and lower mortality was moderate but robust, and could be attenuated and modified by socioeconomic or lifestyle factors in this large prospective cohort study of underserved populations in the Southeastern USA.

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