title: Influence of life-related factors and participation in health examination on mortality in a 4.5-year follow-up of a rural cohort.
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.
authors: Department of Public Health, Nagoya University School of Medicine, 65 Tsurumai-cho, 466-8550, Showa-ku, Nagoya, Japan.
authors: S
authors: S
authors: Zhu
authors: T
authors: T
authors: Kondo
authors: H
authors: H
authors: Sakakibara
authors: K
authors: K
authors: Tamakoshi
authors: K
authors: K
authors: Miyanishi
authors: N
authors: N
authors: Seki
authors: N
authors: N
authors: Tanabe
authors: H
authors: H
authors: Toyoshima