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Resilience to stress and risk of gastrointestinal infections
Örebro universitet, Institutionen för medicinska vetenskaper. (Clinical Epidemiology and Biostatistics)
Örebro universitet, Institutionen för medicinska vetenskaper. (Clinical Epidemiology and Biostatistics)ORCID-id: 0000-0002-2088-0530
(Clinical Epidemiology and Biostatistics)
Örebro universitet, Institutionen för medicinska vetenskaper. Department of Gastroenterology, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden.ORCID-id: 0000-0003-0122-7234
Vise andre og tillknytning
2018 (engelsk)Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, nr 2, s. 364-369Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Exposure to psychological stress can elicit a physiological response that may influence characteristics of the gastrointestinal mucosa, including increased intestinal permeability, in turn possibly increasing susceptibility to gastrointestinal infections. We investigated whether low stress resilience in adolescence is associated with an 'increased' risk of gastrointestinal infections in subsequent adulthood.

Methods: Data were provided by Swedish registers for a cohort of 237 577 men who underwent military conscription assessment in late adolescence (1969-76). As part of the assessment procedure, certified psychologists evaluated stress resilience through semi-structured interviews. The cohort was followed from conscription assessment until 31 December 2009 (up to age 57 years). Cox regression assessed the association of stress resilience with gastrointestinal infections (n = 5532), with adjustment for family background measures in childhood and characteristics in adolescence. Peptic ulcer disease (PUD) in adulthood was modelled as a time-dependent covariate.

Results: Compared with high stress resilience, lower stress resilience was associated with a 'reduced' risk of gastrointestinal infections after adjustment for family background in childhood, characteristics in adolescence and PUD in adulthood, with hazard ratios (and 95% confidence intervals) of 0.88 (0.81-0.97) and 0.83 (0.77-0.88) for low and moderate stress resilience, respectively.

Conclusion: Lower stress resilience in adolescence is associated with reduced risk of gastrointestinal infections in adulthood, rather than the hypothesized increased risk.

sted, utgiver, år, opplag, sider
Oxford, United Kingdom: Oxford University Press, 2018. Vol. 28, nr 2, s. 364-369
HSV kategori
Identifikatorer
URN: urn:nbn:se:oru:diva-62194DOI: 10.1093/eurpub/ckx179ISI: 000429036800032PubMedID: 29048469OAI: oai:DiVA.org:oru-62194DiVA, id: diva2:1155696
Merknad

Funding Agency:

Stiftelsen Olle Engkvist Byggmästare, UK Economic and Social Research Council (ESRC)  RES-596-28-0001  ES/JO19119/1

Tilgjengelig fra: 2017-11-09 Laget: 2017-11-09 Sist oppdatert: 2018-08-16bibliografisk kontrollert

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