Sense of coherence and diabetes:a prospective occupational cohort


Background: Sense of coherence (SOC) is an individual characteristic related to a positive life orientation leading to effective coping. A weak SOC has been associated with indicators of general morbidity and mortality. However, the relationship between SOC and diabetes has not been studied in prospective design. The present study prospectively examined the relationship between a weak SOC and the incidence of diabetes. Methods: The relationship between a weak SOC and the incidence of diabetes was investigated among 5827 Finnish male employees aged 18–65 at baseline (1986). SOC was measured by questionnaire survey at baseline. Data on prescription diabetes drugs from 1987 to 2004 were obtained from the Drug Imbursement Register held by the Social Insurance Institution. Results: During the follow-up, 313 cases of diabetes were recorded. A weak SOC was associated with a 46% higher risk of diabetes in participants who had been =<50 years of age on entry into the study. This association was independent of age, education, marital status, psychological distress, self-rated health, smoking status, binge drinking and physical activity. No similar association was observed in older employees. Conclusion: The results suggest that besides focusing on well-known risk factors for diabetes, strengthening SOC in employees of =<50 years of age can also play a role in attempts to tackle increasing rates of diabetes.

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Divisions: College of Business and Social Sciences > Aston Business School > Work & Organisational Psychology
College of Business and Social Sciences > Aston Business School
Additional Information: © 2008 Kouvonen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Uncontrolled Keywords: sense of coherence,SOC,positive life orientation,effective coping,morbidity,mortality,diabetes,weak,rates of diabetes,Public Health, Environmental and Occupational Health
Publication ISSN: 1471-2458
Last Modified: 27 Jun 2024 07:46
Date Deposited: 11 Mar 2019 17:47
Full Text Link: http://www.biom ... /1471-2458/8/46
Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2008-02-06
Authors: Kouvonen, Anne M.
Väänänen, Ari
Woods, Stephen A. (ORCID Profile 0000-0003-3331-2329)
Heponiemi, Tarja
Koskinen, Aki
Toppinen-Tann, Salla



Version: Published Version

License: Creative Commons Attribution

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