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2015 ; 69
(5
): 423-31
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Political party affiliation, political ideology and mortality
#MMPMID25631861
Pabayo R
; Kawachi I
; Muennig P
J Epidemiol Community Health
2015[May]; 69
(5
): 423-31
PMID25631861
show ga
BACKGROUND: Ecological and cross-sectional studies have indicated that
conservative political ideology is associated with better health. Longitudinal
analyses of mortality are needed because subjective assessments of ideology may
confound subjective assessments of health, particularly in cross-sectional
analyses. METHODS: Data were derived from the 2008 General Social Survey-National
Death Index data set. Cox proportional analysis models were used to determine
whether political party affiliation or political ideology was associated with
time to death. Also, we attempted to identify whether self-reported happiness and
self-rated health acted as mediators between political beliefs and time to death.
RESULTS: In this analysis of 32,830 participants and a total follow-up time of
498,845 person-years, we find that political party affiliation and political
ideology are associated with mortality. However, with the exception of
independents (adjusted HR (AHR)=0.93, 95% CI 0.90 to 0.97), political party
differences are explained by the participants' underlying sociodemographic
characteristics. With respect to ideology, conservatives (AHR=1.06, 95% CI 1.01
to 1.12) and moderates (AHR=1.06, 95% CI 1.01 to 1.11) are at greater risk for
mortality during follow-up than liberals. CONCLUSIONS: Political party
affiliation and political ideology appear to be different predictors of
mortality.