Background
Methods
Study population
Outcome
Exposure variables
Items | Scale |
---|---|
Sense of coherence (Meaningfulness) | Total score sums between 4 and 20 |
1. What do you think of the things you do every day? | “Very boring” (1) – “Very exciting” (5) |
2. How often do you do things that you find meaningful? | “Never” (1) – “Very often” (5) |
3. How often do you feel, that you don’t care about what goes on around you? | “Very often” (1) – “Never” (5) |
4. How often do you have the feeling that there is little meaning in the things you do in your daily life? | “Very often” (1) – “Never” (5) |
Personal mastery | Total score sums between 7 and 28 |
1. I have little control of the things that happen to me. | “Strongly disagree” (1) – “Strongly agree” (4) |
2. There is really no way I can solve some of the problems I have | “Strongly disagree” (1) – “Strongly agree” (4) |
3. There is little I can do to change many of the important things in my life | “Strongly disagree” (1) – “Strongly agree” (4) |
4. I often feel helpless in dealing with problems of life | “Strongly disagree” (1) – “Strongly agree” (4) |
5. Sometimes I feel that I’m being pushed around in life | “Strongly disagree” (1) – “Strongly agree” (4) |
6. What happens in the future mostly depends on me | “Strongly disagree” (1) – “Strongly agree” (4) |
7. I can do just about anything I really set my mind to do | “Strongly disagree” (1) – “Strongly agree” (4) |
Self-esteem | Total score sums between 6 and 24 |
1. I feel that I have a number of good qualities | “Strongly disagree” (1) – “Strongly agree” (4) |
2. I feel that I’m a person of worth at least equal to others | “Strongly disagree” (1) – “Strongly agree” (4) |
3. I am able to do things as well as most other people | “Strongly disagree” (1) – “Strongly agree” (4) |
4. I take a positive attitude toward myself | “Strongly disagree” (1) – “Strongly agree” (4) |
5. On a whole, I am satisfied with myself | “Strongly disagree” (1) – “Strongly agree” (4) |
6. All in all, I’m inclined to feel that I’m a failure | “Strongly agree” (1) – “Strongly disagree” (4) |
2004 | 2007 | |||||
---|---|---|---|---|---|---|
Low | Medium | High | Low | Medium | High | |
Sense of coherence (4–20) | < 14 | ≥14 - ≤16 | > 16 | < 14 | ≥14 - < 16 | ≥16 |
Self-esteem (7–28) | < 18 | ≥18 - < 20 | ≥20 | < 19 | ≥19 - < 21 | ≥21 |
Mastery (6–24) | < 20 | ≥20 - < 23 | ≥23 | < 21 | ≥21 - < 24 | ≥24 |
Covariates
Statistical analysis
Ethics
Results
Agea | Total | Males | Females | ||||
---|---|---|---|---|---|---|---|
n (%) or mean (SD) | n (%) or mean (SD) | n (%) or mean (SD) | |||||
LMP 12 months | 25–29 | 2982 | 1485 | 1497 | |||
High | 2591 | (87) | 1325 | (89) | 1266 | (85) | |
Low | 391 | (13) | 160 | (11) | 231 | (15) | |
SOC | 15 | 2967 | 1477 | 1490 | |||
High | 851 | (29) | 386 | (26) | 465 | (31) | |
Medium | 1138 | (38) | 581 | (39) | 557 | (37) | |
Low | 978 | (33) | 510 | (35) | 468 | (31) | |
SOC | 18 | 2149 | 986 | 1163 | |||
High | 686 | (34) | 313 | (34) | 402 | (32) | |
Medium | 725 | (34) | 340 | (34) | 388 | (33) | |
Low | 735 | (32) | 333 | (32) | 373 | (35) | |
Mastery | 15 | 2930 | 1468 | 1462 | |||
High | 936 | (32) | 513 | (35) | 423 | (29) | |
Medium | 1193 | (40) | 615 | (42) | 578 | (40) | |
Low | 801 | (27) | 340 | (23) | 461 | (32) | |
Mastery | 18 | 2088 | 953 | 1135 | |||
High | 658 | (32) | 318 | (33) | 340 | (30) | |
Medium | 734 | (35) | 349 | (37) | 385 | (33) | |
Low | 696 | (33) | 286 | (30) | 410 | (36) | |
Self-esteem | 15 | 2932 | 1466 | ||||
High | 1234 | (42) | 736 | (50) | 498 | (34) | |
Medium | 975 | (33) | 502 | (34) | 473 | (32) | |
Low | 723 | (25) | 228 | (16) | 495 | (34) | |
Self-esteem | 18 | 2154 | 991 | 1163 | |||
High | 839 | (39) | 491 | (50) | 348 | (43) | |
Medium | 573 | (27) | 255 | (26) | 318 | (27) | |
Low | 742 | (34) | 245 | (25) | 497 | (30) | |
Household income | 7–10 | 2982 | 1485 | 1497 | |||
High (< 13,489 €) | 1082 | (36) | 548 | (37) | 534 | (36) | |
Middle (11072–13,489 €) | 999 | (34) | 498 | (34) | 501 | (33) | |
Low (< 11,072 €) | 901 | (36) | 439 | (30) | 462 | (31) | |
Parents’ highest education | 2875 | 1434 | 1441 | ||||
Primary (> 10 years) | 358 | (12) | 177 | (12) | 181 | (13) | |
Secondary (10–12 years) | 1366 | (48) | 659 | (46) | 707 | (49) | |
Tertiary (> 12 years) | 1151 | (40) | 598 | (42) | 553 | (38) | |
Depressive symptoms, mean (SD) | 15 | 2.2 | (2.2) | 1.9 | (1.9) | 2.5 | (2.4) |
Depressive symptoms, mean (SD) | 18 | 2.9 | (2.3) | 2.4 | (2.1) | 3.2 | (2.4) |
Self-rated health (SRH) | 15 | 2963 | 1472 | 1491 | |||
Good | 2213 | (75) | 1178 | (80) | 1035 | (69) | |
Poor | 750 | (25) | 294 | (20) | 456 | (31) | |
Self-rated health (SRH) | 18 | 2147 | 984 | 1163 | |||
Good | 1383 | (64) | 714 | (73) | 669 | (58) | |
Poor | 764 | (36) | 270 | (27) | 494 | (42) | |
Negative life events | 15 | 2928 | 1468 | 1460 | |||
No events | 1772 | (61) | 918 | (63) | 854 | (58) | |
1–2 events | 1026 | (35) | 499 | (34) | 527 | (36) | |
3–6 events | 130 | (4) | 51 | (3) | 79 | (5) |
Total (n = 2982) | Male (n = 1485) | Females (n = 1497) | |||||||
---|---|---|---|---|---|---|---|---|---|
Crude1 | Model 1a | Model 2b | Crude1 | Model 1a | Model 2b | Crude1 | Model 1a | Model 2b | |
Total | |||||||||
Sense of coherence | |||||||||
Low | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) |
Medium | 1.4 (1.1–1.8) | 1.3 (1.0–1.7) | 1.2 (0.9–1.5) | 1.4 (0.9–2.0) | 1.2 (0.8–1.8) | 1.1 (0.7–1.7) | 1.5 (1.1–2.0) | 1.4 (1.0–2.0) | 1.3 (0.9–1.9) |
High | 1.7 (1.3–2.2) | 1.5 (1.1–2.0) | 1.2 (0.9–1.7) | 1.5 (0.9–2.2) | 1.3 (0.9–2.1) | 1.1 (0.6–1.7) | 2.0 (1.4–2.8) | 1.8 (1.2–2.6) | 1.6 (1.0–2.4) |
Mastery | |||||||||
Low | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) |
Medium | 1.8 (1.4–2.3) | 1.9 (1.4–2.4) | 1.6 (1.2–2.1) | 1.3 (0.9–2.0) | 1.4 (0.9–2.1) | 1.6 (0.7–1.8) | 2.1 (1.5–2.9) | 2.2 (1.5–3.1) | 1.9 (1.3–2.8) |
High | 2.1 (1.6–2.7) | 1.9 (1.4–2.5) | 1.4 (1.0–2.0) | 1.7 (1.1–2.6) | 1.6 (1.0–2.5) | 1.2 (0.7–2.0) | 2.1 (1.5–3.0) | 1.9 (1.3–2.7) | 1.6 (1.0–2.4) |
Self-esteem | |||||||||
Low | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) |
Medium | 1.3 (1.0–1.7) | 1.3 (1.0–1.7) | 1.0 (0.8–1.4) | 1.2 (0.8–1.9) | 1.3 (0.8–2.0) | 1.0 (0.6–1.6) | 1.3 (0.9–1.8) | 1.2 (0.9–1.7) | 1.0 (0.7–1.5) |
High | 1.7 (1.3–2.2) | 1.6 (1.2–2.1) | 1.2 (0.9–1.7) | 1.6 (1.0–2.6) | 1.7 (1.0–2.7) | 1.2 (0.7–2.1) | 1.5 (1.1–2.1) | 1.3 (0.9–1.9) | 1.0 (0.7–1.6) |
Equivalized household income | |||||||||
Low (< 11,072 €) | (ref.) | (ref.) | (ref.) | ||||||
Medium (11,072–13,489 €) | 1.1 (0.9–1.5) | 1.3 (0.8–1.9) | 1.0 (0.7–1.5) | ||||||
High (> 13,489 €) | 1.6 (1.2–2.0) | 1.7 (1.1–2.5) | 1.5 (1.0–2.1) | ||||||
Parents highest education | |||||||||
Primary (< 10 years) | (ref.) | (ref.) | (ref.) | ||||||
Secondary (10–12 years) | 2.1 (1.6–2.9) | 3.0 (1.9–4.7) | 1.7 (1.1–2.5) | ||||||
Tertiary (> 12 years) | 2.4 (1.8–3.3) | 3.0 (1.9–4.7) | 2.0 (1.3–3.1) | ||||||
Depressive symptoms, age 15 | 0.9 (0.9–0.9) | 0.9 (0.8–0.9) | 0.9 (0.9–1.0) | ||||||
Self-rated health, age 15 | |||||||||
Poor | (ref.) | (ref.) | (ref.) | ||||||
Good | 1.7 (1.4–2.1) | 1.7 (1.2–2.4) | 1.6 (1.2–2.1) | ||||||
Negative life-events, age 15 | |||||||||
0 events | (ref.) | ||||||||
1–2 events | 0.6 (0.5–0.7) | 0.5 (0.4–0.7) | 0.6 (0.5–0.9) | ||||||
3–6 events | 0.4 (0.2–0.6) | 0.3 (0.1–0.5) | 0.5 (0.3–0.9) |
Total (n = 2173) | Males (n = 1000) | Females (n = 1173) | |||||||
---|---|---|---|---|---|---|---|---|---|
Crude1 | Model 1a | Model 2b | Crude1 | Model 1a | Model 2b | Crude1 | Model 1a | Model 2b | |
Total | |||||||||
Sense of coherence | |||||||||
Low | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) |
Medium | 1.5 (1.1–2.0) | 1.4 (1.0–1.8) | 1.2 (0.8–1.6) | 1.8 (1.1–2.8) | 1.4 (0.9–2.3) | 1.2 (0.7–1.9) | 1.3 (0.9–1.9) | 1.3 (0.9–1.9) | 1.2 (0.8–1.8) |
High | 2.0 (1.4–2.7) | 2.0 (1.4–2.8) | 1.5 (1.1–2.2) | 2.5 (1.5–4.2) | 2.4 (1.4–4.1) | 1.7 (0.9–3.1) | 1.7 (1.1–2.6) | 1.8 (1.1–2.7) | 1.4 (0.9–2.3) |
Mastery | |||||||||
Low | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) |
Medium | 2.4 (1.7–3.3) | 2.3 (1.6–3.1) | 1.9 (1.3–2.7) | 3.2 (1.9–5.4) | 3.1 (1.8–5.2) | 2.7 (1.5–3.8) | 1.9 (1.3–2.9) | 1.8 (1.2–2.8) | 1.5 (1.0–2.3) |
High | 2.4 (1.7–3.3) | 2.2 (1.6–3.1) | 1.7 (1.1–2.5) | 2.9 (1.8–4.9) | 2.5 (1.5–4.2) | 1.9 (1.1–3.5) | 2.0 (1.3–3.1) | 2.0 (1.3–3.2) | 1.5 (0.9–2.5) |
Self-esteem | |||||||||
Low | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) | (ref.) |
Medium | 1.2 (0.9–1.6) | 1.2 (0.9–1.6) | 0.9 (0.6–1.3) | 1.3 (0.8–2.1) | 1.2 (0.7–2.1) | 1.0 (0.6–1.8) | 1.1 (0.8–1.7) | 1.1 (0.7–1.7) | 0.9 (0.6–1.4) |
High | 1.8 (1.3–2.4) | 1.7 (1.2–2.3) | 1.1 (0.8–1.6) | 2.0 (1.2–3.2) | 1.8 (1.1–2.9) | 1.2 (0.7–2.1) | 1.5 (1.0–2.3) | 1.5 (1.0–2.3) | 1.0 (0.7–1.7) |
Equivalized household income | |||||||||
Low (< 11,072 €) | (ref.) | (ref.) | (ref.) | ||||||
Medium (11,072–13,489 €) | 1.0 (0.7–1.4) | 1.3 (0.8–2.2) | 0.9 (0.6–1.3) | ||||||
High (> 13,489 €) | 1.4 (1.0–1.9) | 1.6 (1.0–2.6) | 1.3 (0.8–1.9) | ||||||
Parents highest education | |||||||||
Primary (< 10 years) | (ref.) | (ref.) | (ref.) | ||||||
Secondary (10–12 years) | 2.2 (1.5–3.2) | 3.3 (1.8–5.8) | 1.7 (1.0–2.7) | ||||||
Tertiary (> 12 years) | 2.3 (1.6–3.3) | 3.3 (1.8–5.8) | 1.7 (1.0–2.9) | ||||||
Depressive symptoms, age 18 | 0.9 (0.8–0.9) | 0.9 (0.8–1.0) | 0.9 (0.8–0.9) | ||||||
Self-rated health, age 18 | |||||||||
Poor | (ref.) | (ref.) | (ref.) | ||||||
Good | 1.9 (1.5–2.5) | 2.3 (1.5–3.5) | 1.7 (1.2–2.3) | ||||||
Negative life-events, age 15 | |||||||||
0 events | (ref.) | (ref.) | (ref.) | ||||||
1–2 events | 0.6 (0.4–0.8) | 0.4 (0.3–0.7) | 0.7 (0.5–1.1) | ||||||
3–6 events | 0.5 (0.3–0.9) | 0.4 (0.2–1.1) | 0.5 (0.3–1.1) |