Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Geronimus on pushing past early dismissal of her weathering hypothesis

Thompson: Censoring reading materials in prisons could lead to more, not less rebellion

"Me Too" momentum in the field of economics?

More News

Highlights

Remembering Jim Morgan, founding member of ISR and creator of the PSID

1/17/18: ISR screening and discussion of documentary "Class Divide" at Michigan Theater

Bailey et al. find higher income among children whose parents had access to federal family planning programs in the 1960s and 70s

U-M's campus climate survey results discussed in CHE story

More Highlights

Next Brown Bag

Mon, Jan 22, 2018, noon: Narayan Sastry

Self-Esteem and Mortality: Prospective Evidence From a Population-Based Study

Publication Abstract

Stamatakis, K.A., John W. Lynch, S.A. Everson, Trivellore Raghunathan, James Sallee, and George A. Kaplan. 2004. "Self-Esteem and Mortality: Prospective Evidence From a Population-Based Study." Annals of Epidemiology, 14(1): 58-65.

OBJECTIVE: Self-esteem is considered to be importantly associated with both psychosocial states such as depression as well as physical health. There are no population-based studies that examine the association between self-esteem and mortality. The objective of this study was to assess whether low self-esteem was prospectively associated with increased risk of death in a population-based sample of Finnish men. METHODS: A sample of 2682 male residents of Kuopio, Finland were interviewed and followed prospectively as part of the Kuopio Ischemic Heart Disease Risk Factor Study (KIND). Characteristics of the KIHD sample at baseline included self-esteem, measured by the Rosenberg ten-item scale, socioeconomic factors, behavioral risk factors, other psychosocial characteristics, and prevalent diseases. Mortality was ascertained through linkage to the Finnish national death registry. We assessed the relationship between self-esteem and all-cause mortality using Cox proportional hazards models. RESULTS: Low self-esteem was associated with a two-fold [hazard ratio (HR) = 2.0, 95% confidence interval (CI) = 1.3-3.2] increase in age-adjusted mortality. This relationship was partially explained by behavioral and socioeconomic factors, and prevalent diseases, and fully explained by other psychosocial characteristics (hopelessness, depression, cynical hostility, and sullenness). When adjusted for hopelessness alone there was no increased risk associated with low self-esteem (HR = 1.3, 95% CI = 0.8-2.2). CONCLUSIONS: This study found no association between self-esteem and all-cause mortality after adjustment for other psychosocial characteristics, primarily hopelessness. Our understanding of the observed relationships between some psychosocial factors and mortality may be improved by simultaneous measurement of multiple psychosocial domains, thus diminishing the potential for residual confounding. (C) 2003 Elsevier Inc. All rights reserved.

DOI:10.1016/S1047-2797(03)00078-4 (Full Text)

Browse | Search : All Pubs | Next