Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/20015
Título
Impact of psychosocial factors on cardiovascular morbimortality: a prospective cohort study
Autor(es)
Mejia-Lancheros, Cilia | Estruch, Ramon | Martinez-Gonzalez, Miguel-Angel | Salas-Salvado, Jordi | Castaner, Olga | Corella, Dolores | Aros, Fernando | Gomez-Gracia, Enrique | Fiol Sala, MiquelAutor/a del sistema sanitario público de las Islas Baleares Orcid | Lapetra, Jose | Serra-Majem, Lluis | Pinto, Xavier | Ros, Emilio | Díez-Espino, Javier | Basora, Josep | Sorli, Jose-V | Lamuela-Raventos, Rosa-Maria | Ruiz-Gutierrez, Valentina | Munoz, Miguel-Angel | PREDIMED Study Investigators
Fecha de publicación
2014-10-03
Cita
Mejia-Lancheros C, Estruch R, Martinez-Gonzalez MA, Salas-Salvado J, Castaner O, Corella D, et al. Impact of psychosocial factors on cardiovascular morbimortality: a prospective cohort study. BMC Cardiovasc Disord. 2014 Oct 03;14:135.
Idioma
Inglés
Tipo de documento
research article
Resumen
Background: Whilst it is well known that psychosocial determinants may contribute to cardiovascular diseases (CVD), data from specific groups are scarce. The present study aims to determine the contribution of psychosocial determinants in increasing the risk of cardiovascular events (myocardial infarction and stroke), and death from CVD, in a high risk adult population. Methods: Longitudinal prospective study of 7263 patients (57.5% women), mean age 67.0 (SD 6.2) free from CVD but at high risk, with a median follow-up of 4.8 years (from October 2003 to December 2010). The Hazard Ratios (HRs) of cardiovascular events (myocardial infarction, stroke, and death from cardiovascular causes) related to educational attainment, diagnosed depression (based on medical records), and low social support (number of people living in the household) were estimated by multivariate Cox regression models. Results: Stroke incidence was associated with low educational level in the whole population (HR: 1.83, 95% CI: 1.09-3.09), and especially in men (HR: 2.11, 95% CI 1.09-4.06). Myocardial infarction and CVD mortality were not associated with any of the psychosocial factors considered. Conclusion: Adults with low educational level had a higher risk of stroke. Depression and low social support were not associated with CVD incidence.
Palabras clave
Stroke | Acute myocardial infarction | Cardiovascular death | Educational level | Socioeconomic position | Depression | Social support | Health inequalities
MESH
Aged, 80 and over | Aged | Spain | Risk Assessment | Educational Status | Humans | Depression | Housing | Cause of Death | Middle Aged | Stroke | Longitudinal Studies | Myocardial Infarction | Prognosis | Male | Multivariate Analysis | Prospective Studies | Time Factors | Female | Social Support | Risk Factors | Proportional Hazards Models | Health Status Disparities
DECS
Modelos de Riesgos Proporcionales | Accidente Cerebrovascular | Factores de Tiempo | Femenino | Análisis Multivariante | Infarto del Miocardio | Apoyo Social | Masculino | Vivienda | Factores de Riesgo | Estudios Longitudinales | Disparidades en el Estado de Salud | Humanos | Persona de Mediana Edad | Escolaridad | Estudios Prospectivos | Causas de Muerte | Depresión | Pronóstico | Anciano | Medición de Riesgo | Anciano de 80 o más Años | España
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