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dc.contributor.authorBenebo, Faith Owunari
dc.contributor.authorLukic, Marko
dc.contributor.authorJakobsen, Monika Dybdahl
dc.contributor.authorBraaten, Tonje Bjørndal
dc.date.accessioned2024-09-11T07:45:56Z
dc.date.available2024-09-11T07:45:56Z
dc.date.issued2024-04-17
dc.description.abstractBackground Socioeconomic status as measured by education, income, or occupation, has been associated with fibromyalgia but the underlying mechanism and the role of lifestyle factors are unclear. Thus, we examine the role of modifiable lifestyle factors (body mass index, physical activity, alcohol consumption and smoking) in the association between education and self-reported fibromyalgia.<p> <p>Methods We used data from 74,157 participants in the population-based prospective Norwegian Women and Cancer (NOWAC) study. Socioeconomic position, operationalized as years of educational attainment, and lifestyle factors were assessed via self-reported questionnaires. Multiple mediation analysis was used to decompose total effects into direct and indirect effects. Estimates were reported as hazard ratios (HRs) with 95% confidence intervals (CIs). <p>Results The cumulative incidence of fibromyalgia was 3.2% after a median follow up time of 13 years. Fibromyalgia was inversely associated with years of educational attainment for ≤9 years (HR=2.56; 95% CI 2.32–2.91) and for 10–12 years (HR=1.84; 95% CI 1.72–2.02), compared with ≥13 years of education. Overall, all lifestyle factors together jointly mediated 17.3% (95% CI 14.3–21.6) and 14.1% (95% CI 11.3–18.9) of the total effect for ≤9 years and 10–12 years of education, respectively. Smoking and alcohol consumption contributed the most to the proportion mediated, for ≤9 years (5.0% and 7.0%) and 10–12 years (5.6% and 4.5%) of education. <p>Conclusion The association between education and self-reported fibromyalgia was partly explained through lifestyle factors, mainly smoking and alcohol consumption.en_US
dc.identifier.citationBenebo, Lukic, Jakobsen, Braaten. The role of lifestyle factors in the association between education and self-reported fibromyalgia: a mediation analysis. BMC Women's Health. 2024;24(1)en_US
dc.identifier.cristinIDFRIDAID 2267139
dc.identifier.doi10.1186/s12905-024-03060-9
dc.identifier.issn1472-6874
dc.identifier.urihttps://hdl.handle.net/10037/34677
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalBMC Women's Health
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2024 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleThe role of lifestyle factors in the association between education and self-reported fibromyalgia: a mediation analysisen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)