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ID 119389
Title Alternative
Sex Differences in Stress-coping Strategies
Author
Nagayoshi, Mako Nagoya University
Takeuchi, Kenji Nagoya University
Tamada, Yudai Nagoya University
Kato, Yasufumi Nagoya University
Kubo, Yoko Nagoya University
Okada, Rieko Nagoya University
Tamura, Takashi Nagoya University
Hishida, Asahi Nagoya University
Otonari, Jun Kyushu University|International University of Health and Welfare
Ikezaki, Hiroaki Kyushu University
Nishida, Yuichiro Saga University
Shimanoe, Chisato Saga University
Koyanagi, Yuriko N. Aichi Cancer Center Research Institute
Matsuo, Keitaro Aichi Cancer Center Research Institute
Mikami, Haruo Chiba Cancer Center Research Institute
Kusakabe, Miho Chiba Cancer Center Research Institute
Nishimoto, Daisaku Kagoshima University
Shibuya, Keiichi Kagoshima University
Suzuki, Sadao Nagoya City University
Nishiyama, Takeshi Nagoya City University
Ozaki, Etsuko Kyoto Prefectural University of Medicine
Watanabe, Isao Kyoto Prefectural University of Medicine
Kuriki, Kiyonori University of Shizuoka
Takashima, Naoyuki Kindai University|Shiga University of Medical Science
Kadota, Aya Shiga University of Medical Science
Wakai, Kenji Nagoya University
Keywords
sex differences
stress coping strategies
perceived stress
all-cause mortality
Japan
Content Type
Journal Article
Description
Background: Stress coping strategies are related to health outcomes. However, there is no clear evidence for sex differences between stress-coping strategies and mortality. We investigated the relationship between all-cause mortality and stress-coping strategies, focusing on sex differences among Japanese adults.
Methods: A total of 79,580 individuals aged 35–69 years participated in the Japan Multi-Institutional Collaborative Cohort Study between 2004 and 2014 and were followed up for mortality. The frequency of use of the five coping strategies was assessed using a questionnaire. Sex-specific, multivariable-adjusted hazard ratios (HRs) for using each coping strategy (“sometimes,” and “often/very often” use versus “very few” use) were computed for all-cause mortality. Furthermore, relationships were analyzed in specific follow-up periods when the proportion assumption was violated.
Results: During the follow-up (median: 8.5 years), 1,861 mortalities were recorded. In women, three coping strategies were related to lower total mortality. The HRs for “sometimes” were 0.81 (95% confidence interval [CI], 0.67–0.97) for emotional expression, 0.79 (95% CI, 0.66–0.95) for emotional support-seeking, and 0.80 (95% CI, 0.66–0.98) for disengagement. Men who “sometimes” used emotional expression and sometimes or often used problem-solving and positive reappraisal had a 15–41% lower HRs for all-cause mortality. However, those relationships were dependent on the follow-up period. There was evidence that sex modified the relationships between emotional support-seeking and all-cause mortality (P for interaction = 0.03).
Conclusion: In a large Japanese sample, selected coping strategies were associated with all-cause mortality. The relationship of emotional support-seeking was different between men and women.
Journal Title
Journal of Epidemiology
ISSN
13499092
09175040
NCID
AA10952696
Publisher
Japan Epidemiological Association
Volume
33
Issue
5
Start Page
236
End Page
245
Published Date
2023-05-05
Rights
This is an open access article distributed under the terms of Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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DOI (Published Version)
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language
eng
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departments
Medical Sciences