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Influence of life-related factors and participation in health examination on mortality in a 4.5-year follow-up of a rural cohort

Environmental Health and Preventive Medicine volume 5, pages 66–71 (2000)Cite this article

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.

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Authors and Affiliations

  1. Department of Public Health, Nagoya University School of Medicine, 65 Tsurumai-cho, 466-8550, Showa-ku, Nagoya, Japan

    Shankuan Zhu, Takaaki Kondo, Koji Tamakoshi & Hideaki Toyoshima

  2. Division of Public Health and Home Nursing, Department of Nursing, Nagoya University School of Health Science, Nagoya

    Hisataka Sakakibara

  3. Department of Public Health, Niigata University School of Medicine, Niigata

    Kunio Miyanishi, Nao Seki & Naohito Tanabe

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  1. Shankuan Zhu
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  2. Takaaki Kondo
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  3. Hisataka Sakakibara
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  4. Koji Tamakoshi
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  5. Kunio Miyanishi
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  6. Nao Seki
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  7. Naohito Tanabe
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  8. Hideaki Toyoshima
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Correspondence to Hideaki Toyoshima.

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Zhu, S., Kondo, T., Sakakibara, H. et al. Influence of life-related factors and participation in health examination on mortality in a 4.5-year follow-up of a rural cohort. Environ Health Prev Med 5, 66–71 (2000). https://doi.org/10.1007/BF02932006

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  • DOI: https://doi.org/10.1007/BF02932006

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Environmental Health and Preventive Medicine

ISSN: 1347-4715

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