Health locus of control and all-cause, cardiovascular, cancer and other cause mortality : A population-based prospective cohort study in southern Sweden
(2022) In Preventive Medicine 161.- Abstract
The aim was to investigate associations between health locus of control (HLC) and all-cause, cardiovascular (CVD), cancer and other cause mortality. A public health postal questionnaire was distributed in the autumn of 2008 to a stratified random sample of the 18–80 year old adult population in Scania in southernmost Sweden. The participation rate was 54.1%, and 25,517 participants were included in the present study. Baseline 2008 survey data was linked to cause of death register data to create a prospective cohort with 8.3-year follow-up. Associations between health locus of control and mortality were investigated in survival (Cox) regression models. Prevalence of internal HLC was 69.0% and external HLC 31.0% among women. Internal HLC... (More)
The aim was to investigate associations between health locus of control (HLC) and all-cause, cardiovascular (CVD), cancer and other cause mortality. A public health postal questionnaire was distributed in the autumn of 2008 to a stratified random sample of the 18–80 year old adult population in Scania in southernmost Sweden. The participation rate was 54.1%, and 25,517 participants were included in the present study. Baseline 2008 survey data was linked to cause of death register data to create a prospective cohort with 8.3-year follow-up. Associations between health locus of control and mortality were investigated in survival (Cox) regression models. Prevalence of internal HLC was 69.0% and external HLC 31.0% among women. Internal HLC was 67.6% and external HLC 32.4% among men. In the models with women and men combined, external HLC had significantly higher all-cause, CVD, cancer and other cause mortality even after adjustments for sociodemographic factors and chronic disease at baseline, but after the introduction of health-related behaviors, external HLC only displayed higher cancer mortality compared to internal HLC. External HLC displayed higher all-cause, cancer and other cause mortality for men in the final model adjusted for health-related behaviors, but not for women. Other pathways than health-related behaviors may exist for the association between external HLC and cancer mortality, particularly among men.
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- author
- Lindström, Martin LU ; Pirouzifard, Mirnabi LU ; Rosvall, Maria LU and Fridh, Maria LU
- organization
- publishing date
- 2022-08
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- cancer mortality, Cardiovascular mortality, External health locus of control, Health-related behaviors, Internal health locus of control, Mortality, Sweden
- in
- Preventive Medicine
- volume
- 161
- article number
- 107114
- publisher
- Elsevier
- external identifiers
-
- pmid:35718118
- scopus:85132534511
- ISSN
- 0091-7435
- DOI
- 10.1016/j.ypmed.2022.107114
- language
- English
- LU publication?
- yes
- id
- fe0d3c78-fd39-49fe-8bba-88c96c55ed18
- date added to LUP
- 2022-09-05 14:56:55
- date last changed
- 2025-03-07 21:07:25
@article{fe0d3c78-fd39-49fe-8bba-88c96c55ed18,
abstract = {{<p>The aim was to investigate associations between health locus of control (HLC) and all-cause, cardiovascular (CVD), cancer and other cause mortality. A public health postal questionnaire was distributed in the autumn of 2008 to a stratified random sample of the 18–80 year old adult population in Scania in southernmost Sweden. The participation rate was 54.1%, and 25,517 participants were included in the present study. Baseline 2008 survey data was linked to cause of death register data to create a prospective cohort with 8.3-year follow-up. Associations between health locus of control and mortality were investigated in survival (Cox) regression models. Prevalence of internal HLC was 69.0% and external HLC 31.0% among women. Internal HLC was 67.6% and external HLC 32.4% among men. In the models with women and men combined, external HLC had significantly higher all-cause, CVD, cancer and other cause mortality even after adjustments for sociodemographic factors and chronic disease at baseline, but after the introduction of health-related behaviors, external HLC only displayed higher cancer mortality compared to internal HLC. External HLC displayed higher all-cause, cancer and other cause mortality for men in the final model adjusted for health-related behaviors, but not for women. Other pathways than health-related behaviors may exist for the association between external HLC and cancer mortality, particularly among men.</p>}},
author = {{Lindström, Martin and Pirouzifard, Mirnabi and Rosvall, Maria and Fridh, Maria}},
issn = {{0091-7435}},
keywords = {{cancer mortality; Cardiovascular mortality; External health locus of control; Health-related behaviors; Internal health locus of control; Mortality; Sweden}},
language = {{eng}},
publisher = {{Elsevier}},
series = {{Preventive Medicine}},
title = {{Health locus of control and all-cause, cardiovascular, cancer and other cause mortality : A population-based prospective cohort study in southern Sweden}},
url = {{http://dx.doi.org/10.1016/j.ypmed.2022.107114}},
doi = {{10.1016/j.ypmed.2022.107114}},
volume = {{161}},
year = {{2022}},
}