Positive Mental Attitude Associated with Lower 35-Year Mortality: The Leisure World Cohort Study
Table 4
Attitude and hazard ratio of death among men: the Leisure World Cohort Study, 1981–2016.
All subjects ()
Excluding first five years of follow-up ()
No. subjects†
No. deaths
Model 1a
Model 2b
No. subjects†
No. deaths
Model 1a
Model 2b
HR
95% CI
HR
95% CI
HR
95% CI
HR
95% CI
My mind is as clear as it used to be
None or little of the time
109
109
1.55
1.27, 1.88
1.41
1.16, 1.71
55
55
1.38
1.06, 1.80
1.34
1.02, 1.75
Some of the time
328
327
1.47
1.31, 1.65
1.31
1.17, 1.47
203
202
1.44
1.25, 1.66
1.30
1.13, 1.50
A good part of the time
1202
1194
1.10
1.03, 1.17
1.06
0.99, 1.13
957
949
1.16
1.08, 1.25
1.13
1.05, 1.21
Most or all of the time
3327
3292
1.00
1.00
2749
2713
1.00
1.00
I find it easy to do the things I used to do
None or little of the time
425
425
2.02
1.81, 2.25
1.64
1.46, 1.83
205
205
1.76
1.52, 2.05
1.49
1.28, 1.73
Some of the time
1160
1157
1.32
1.22, 1.42
1.19
1.10, 1.28
848
845
1.32
1.21, 1.44
1.20
1.10, 1.32
A good part of the time
1931
1914
1.10
1.03, 1.18
1.05
0.98, 1.13
1645
1628
1.13
1.05, 1.22
1.09
1.01, 1.17
Most or all of the time
1429
1405
1.00
1.00
1250
1225
1.00
1.00
I feel hopeful about the future
None or little of the time
199
199
1.79
1.55, 2.07
1.51
1.31, 1.75
104
104
1.62
1.33, 1.98
1.46
1.20, 1.79
Some of the time
514
512
1.31
1.19, 1.44
1.17
1.06, 1.29
353
351
1.23
1.10, 1.38
1.11
0.99, 1.24
A good part of the time
1197
1188
1.04
0.98, 1.12
0.99
0.92, 1.06
953
944
1.04
0.96, 1.12
0.99
0.92, 1.07
Most or all of the time
2998
2966
1.00
1.00
2520
2487
1.00
1.00
I find it easy to make decisions
None or little of the time
155
155
1.90
1.62, 2.24
1.53
1.30, 1.80
71
71
1.83
1.44, 2.31
1.48
1.17, 1.89
Some of the time
495
494
1.17
1.07, 1.29
1.10
1.00, 1.21
354
353
1.14
1.02, 1.27
1.07
0.96, 1.20
A good part of the time
1500
1489
1.07
1.01, 1.14
1.03
0.96, 1.09
1207
1196
1.09
1.01, 1.17
1.04
0.97, 1.12
Most or all of the time
2803
2771
1.00
1.00
2317
2284
1.00
1.00
I feel that I am useful and needed
None or little of the time
182
181
1.83
1.57, 2.12
1.64
1.40, 1.90
88
87
1.53
1.23, 1.89
1.44
1.16, 1.78
Some of the time
535
531
1.29
1.17, 1.41
1.14
1.04, 1.25
374
370
1.20
1.07, 1.33
1.06
0.95, 1.18
A good part of the time
1145
1136
1.10
1.02, 1.17
1.08
1.01, 1.16
907
898
1.06
0.98, 1.14
1.05
0.97, 1.13
Most or all of the time
3070
3041
1.00
1.00
2575
2546
1.00
1.00
My life is pretty full
None or little of the time
224
223
1.89
1.64, 2.16
1.56
1.36, 1.80
111
110
1.59
1.31, 1.92
1.38
1.14, 1.68
Some of the time
465
462
1.37
1.24, 1.51
1.20
1.09, 1.33
306
303
1.25
1.11, 1.41
1.10
0.97, 1.24
A good part of the time
1290
1279
1.14
1.07, 1.22
1.06
0.99, 1.14
1022
1011
1.14
1.06, 1.23
1.07
1.00, 1.15
Most or all of the time
2958
2929
1.00
1.00
2509
2480
1.00
1.00
I still enjoy the things I used to
None or little of the time
225
225
2.23
1.95, 2.56
1.76
1.53, 2.03
86
86
1.86
1.50, 2.31
1.45
1.16, 1.81
Some of the time
672
668
1.36
1.25, 1.48
1.20
1.10, 1.31
455
451
1.31
1.18, 1.45
1.18
1.06, 1.31
A good part of the time
1363
1354
1.11
1.04, 1.19
1.05
0.99, 1.13
1116
1107
1.14
1.06, 1.22
1.08
1.00, 1.16
Most or all of the time
2700
2669
1.00
1.00
2305
2274
1.00
1.00
Attitude score (persons with missing items excluded)
<21
995
993
1.54
1.42, 1.67
1.30
1.19, 1.41
631
629
1.43
1.30, 1.58
1.24
1.12, 1.37
21–24
1286
1273
1.16
1.08, 1.25
1.09
1.01, 1.18
1056
1043
1.19
1.10, 1.29
1.13
1.04, 1.23
25-26
1051
1041
1.13
1.04, 1.22
1.06
0.98 1.15
893
883
1.17
1.08, 1.28
1.12
1.02, 1.22
27-28
1453
1435
1.00
1.00
1270
1252
1.00
1.00
Attitude score (missing items given score of 1)
<21
1132
1130
1.55
1.43, 1.67
1.32
1.21, 1.43
706
704
1.43
1.31, 1.57
1.25
1.14, 1.38
21–24
1344
1330
1.15
1.07, 1.24
1.08
1.00, 1.16
1103
1089
1.18
1.09, 1.28
1.12
1.03, 1.22
25-26
1063
1053
1.13
1.04, 1.23
1.06
0.98, 1.15
901
891
1.18
1.08, 1.28
1.12
1.03, 1.22
27-28
1453
1435
1.00
1.00
1270
1252
1.00
1.00
Attitude score (missing items given score of 4)
<21
1048
1046
1.55
1.43, 1.67
1.31
1.21, 1.42
655
653
1.43
1.30, 1.57
1.24
1.13, 1.37
21–24
1345
1332
1.17
1.09, 1.26
1.10
1.02, 1.18
1092
1079
1.20
1.10, 1.30
1.13
1.04, 1.23
25-26
1094
1084
1.13
1.04, 1.22
1.06
0.98 1.14
924
914
1.17
1.08, 1.28
1.11
1.02, 1.21
27-28
1505
1486
1.00
1.00
1309
1290
1.00
1.00
Abbreviations: CI, confidence interval; HR, hazard ratio. †Subjects do not always total 4992 or 3980 due to those with missing values. aModel 1: adjusted for age (i.e., age as time scale). bModel 2: adjusted for age, smoking, body mass index, exercise, alcohol intake, caffeine consumption, and histories of hypertension, angina, heart attack, stroke, diabetes, rheumatoid arthritis, and cancer.