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Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

The Association Between Perceived Stress and Mortality Among People With Multimorbidity: A Prospective Population-Based Cohort Study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

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  • Anders Prior
  • Morten Fenger-Grøn
  • Karen Kjær Larsen
  • Finn Breinholt Larsen
  • Kirstine Magtengaard Robinson
  • Marie Germund Nielsen
  • Kaj Sparle Christensen
  • Stewart W Mercer
  • Mogens Vestergaard
Vis graf over relationer

Multimorbidity is common and is associated with poor mental health and high mortality. Nevertheless, no studies have evaluated whether mental health may affect the survival of people with multimorbidity. We investigated the association between perceived stress and mortality in people with multimorbidity by following a population-based cohort of 118,410 participants from the Danish National Health Survey 2010 for up to 4 years. Information on perceived stress and lifestyle was obtained from the survey. We assessed multimorbidity using nationwide register data on 39 conditions and identified 4,229 deaths for the 453,648 person-years at risk. Mortality rates rose with increasing levels of stress in a dose-response relationship (P-trend < 0.0001), independently of multimorbidity status. Mortality hazard ratios (highest stress quintile vs. lowest) were 1.51 (95% confidence interval (CI): 1.25, 1.84) among persons without multimorbidity, 1.39 (95% CI: 1.18, 1.64) among those with 2 or 3 conditions, and 1.43 (95% CI: 1.18, 1.73) among those with 4 or more conditions, when adjusted for disease severities, lifestyle, and socioeconomic status. The numbers of excess deaths associated with high stress were 69 among persons without multimorbidity, 128 among those with 2 or 3 conditions, and 255 among those with 4 or more conditions. Our findings suggested that perceived stress contributes significantly to higher mortality rates in a dose-response pattern, and more stress-associated deaths occurred in people with multimorbidity.

OriginalsprogEngelsk
TidsskriftAmerican Journal of Epidemiology
Vol/bind184
Udgave nummer3
Sider (fra-til)199-210
Antal sider12
ISSN0002-9262
DOI
StatusUdgivet - 1 aug. 2016

ID: 49933426