We explored the stability of sense of coherence (SOC) and the relationship
between SOC and health in two cross-lagged longitudinal samples by using st
ructural equation modeling. In Study 1, comprising 577 municipal male and f
emale employees, SOC was found to be stable, in both sexes. In women, SOC s
ignificantly predicted sickness absences in the 4-year follow-up period. A
low SOC, but not a high SOC, was associated with health prospects. Surprisi
ngly, SOC did not influence sickness absences among men. Study 2 further te
sted the relationship between SOC and health in 320 male technical designer
s. Although SOC was cross-sectionally associated with psychological and som
atic health complaints, it did not predict later health complaints in a 5-y
ear follow-up. Thus, the present study supports the dispositional character
of SOC in both sexes and its predictive validity among women. No support w
as found to the salutogenic status of SOC and an unexpected gender differen
ce was revealed. (C) 2000 Elsevier Science Ltd. All rights reserved.