Gender differences in the association between morbidity and mortality among middle-aged men and women
| Autor: | Jane E. Ferrie, Michael Marmot, Archana Singh-Manoux, Pekka Martikainen, Marcel Goldberg, Alice Guéguen, Martin J. Shipley, Sébastien Bonenfant |
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| Přispěvatelé: | Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé, Epidémiologie, sciences sociales, santé publique (IFR 69), Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Department of Epidemiology and Public Health, University College of London [London] (UCL), Equipe RPPC, CETAF, Kaniewski, Nadine, Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
Male
genetic structures Research and Practice Health Status 030204 cardiovascular system & hematology Cohort Studies MESH: Proportional Hazards Models 0302 clinical medicine MESH: Health Surveys Absenteeism London 030212 general & internal medicine MESH: Cohort Studies MESH: Health Status Self-rated health education.field_of_study Sex Characteristics MESH: Middle Aged Hazard ratio MESH: Sex Distribution Men Middle Aged Cohort Female France MESH: Life Expectancy Cohort study MESH: Sex Characteristics Adult medicine.medical_specialty Population MESH: Women 03 medical and health sciences Life Expectancy Sex Factors MESH: Sex Factors MESH: Analysis of Variance mental disorders medicine Whitehall Study Humans Women Mortality Sex Distribution education Proportional Hazards Models Analysis of Variance MESH: Humans MESH: Mortality business.industry Public health Public Health Environmental and Occupational Health MESH: Men MESH: Adult MESH: London Health Surveys MESH: Male MESH: Absenteeism MESH: France MESH: Morbidity [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie Life expectancy [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Morbidity business MESH: Female Demography |
| Zdroj: | American Journal of Public Health American Journal of Public Health, American Public Health Association, 2008, 98 (12), pp.2251-7. ⟨10.2105/AJPH.2006.107912⟩ American Journal of Public Health, 2008, 98 (12), pp.2251-7. ⟨10.2105/AJPH.2006.107912⟩ |
| ISSN: | 0090-0036 1541-0048 |
| DOI: | 10.2105/AJPH.2006.107912⟩ |
| Popis: | Objectives. We examined gender differences in mortality, morbidity, and the association between the 2. Methods. We used health data from 2 studies of middle-aged men and women: the British Whitehall II cohort of employees from 20 civil service departments in London and the 1989 French GAZEL (this acronym refers to the French gas and electric companies) of employees of France's national gas and electricity company. Participants were aged 35 to 55 years when assessed for morbidity and followed up for mortality over 17 years. Results. Male mortality was higher than female mortality in Whitehall II (hazard ratio [HR] = 1.56; 95% confidence interval [CI] = 1.28, 1.91) and the GAZEL cohort (HR = 1.99; CI = 1.66, 2.40). Female excess morbidity was observed for some measures in the Whitehall II data and for 1 measure in the GAZEL data. Only self-reported sickness absence in the Whitehall II data was more strongly associated with mortality among men (P = .01). Conclusions. Mortality was lower among women than among men, but morbidity was not consistently higher. The lack of gender differences in the association between morbidity and mortality suggests that this is not a likely explanation for the gender paradox, which refers to higher morbidity but lower mortality among women than among men. |
| Databáze: | OpenAIRE |
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