HRs and their 95% CIs related to increased incidence of psychiatric disorders* for 8029 Finnish industrial employees with no history of hospital admissions for psychiatric disorders during the 19-year follow-up, by the level of sense of coherence at baseline (1986)
Model 1† | Model 2‡ | Model 3§ | |||||
Outcome level of sense of coherence | No of psychiatric disorder cases | Adjusted HR (95% CI)a | p for trend | Adjusted HR (95% CI)a | p for trend | Adjusted HR (95% CI)a | p for trend |
All psychiatric disorders* | <0.001 | 0.023 | 0.149 | ||||
1 (lowest quartile) | 1880 (137) | 1.00 | 1.00 | 1.00 | |||
2 | 2084 (109) | 0.72 (0.56 to 0.92) | 0.76 (0.59 to 0.98) | 0.84 (0.64 to 1.09) | |||
3 | 2038 (89) | 0.60 (0.46 to 0.79) | 0.67 (0.51 to 0.88) | 0.78 (0.58 to 1.06) | |||
4 (highest quartile) | 2027 (71) | 0.48 (0.36 to 0.64) | 0.54 (0.40 to 0.72) | 0.67 (0.48 to 0.95) | |||
Alcohol- and drug-related psychiatric disorders | <0.001 | 0.009 | 0.154 | ||||
1 (lowest quartile) | 1880 (84) | 1.00 | 1.00 | 1.00 | |||
2 | 2084 (67) | 0.74 (0.53 to 1.02) | 0.81 (0.58 to 1.12) | 0.86 (0.61 to 1.21) | |||
3 | 2038 (56) | 0.62 (0.44 to 0.87) | 0.72 (0.51 to 1.02) | 0.80 (0.55 to 1.17) | |||
4 (highest quartile) | 2027 (39) | 0.43 (0.29 to 0.64) | 0.51 (0.34 to 0.75) | 0.59 (0.38 to 0.93) | |||
Psychiatric disorders, excluding alcohol and drug-related | |||||||
1 (lowest quartile) | 1880 (103) | 1.00 | 0.003 | 1.00 | 0.007 | 1.00 | 0.759 |
2 | 2084 (84) | 0.75 (0.55 to 1.02) | 0.77 (0.56 to 1.04) | 0.92 (0.67 to 1.27) | |||
3 | 2038 (72) | 0.70 (0.51 to 0.96) | 0.73 (0.53 to 1.01) | 0.98 (0.69 to 1.40) | |||
4 (highest quartile) | 2027 (55) | 0.52 (0.36 to 0.74) | 0.54 (0.38 to 0.77) | 0.82 (0.55 to 1.24) | |||
Severe affective disorders | |||||||
1 (lowest quartile) | 1880 (59) | 1.00 | 0.077 | 1.00 | 0.097 | 1.00 | 0.248 |
2 | 2084 (46) | 0.73 (0.47 to 1.11) | 0.74 (0.48 to 1.13) | 0.91 (0.59 to 1.43) | |||
3 | 2038 (48) | 0.86 (0.57 to 1.30) | 0.89 (0.59 to 1.36) | 1.26 (0.79 to 2.01) |
↵* The outcome measure includes hospital admissions due to psychiatric disorder or substance abuse-related psychiatric disorder or suicide attempt and deaths due to suicide.
↵† Adjusted for age, sex, marital status, education, occupational status and physical work environment at baseline.
↵‡ Additionally adjusted for smoking, binge drinking and physical activity at baseline.
↵§ Additionally adjusted for self-rated psychological distress at baseline.