Identifier to cite or link to this item: http://hdl.handle.net/20.500.13003/11100
Impact of psychosocial factors on cardiovascular morbimortality: a prospective cohort study
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ISSN: 1471-2261
WOS ID: 000343258200001
Scopus EID: 2-s2.0-84908079835
PMID: 25280390
Embase PUI: L600191988
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Mejia-Lancheros, Cilia; Estruch, Ramon; Martinez-Gonzalez, Miguel-Angel; Salas-Salvado, Jordi; Castaner, Olga; Corella, Dolores; Aros, Fernando; Gomez-Gracia, Enrique; Fiol Sala, Miquel

Publication date
2014-10-03Document type
research articleCitation
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.Abstract
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.
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https://dx.doi.org/10.1186/1471-2261-14-135Keywords
StrokeAcute myocardial infarction
Cardiovascular death
Educational level
Socioeconomic position
Depression
Social support
Health inequalities
MeSH
AgedRisk Assessment
Humans
Depression
Cause of Death
Middle Aged
Stroke
Longitudinal Studies
Myocardial Infarction
Prognosis
Multivariate Analysis
Prospective Studies
Time Factors
Social Support
Risk Factors
Proportional Hazards Models
Health Status Disparities
DeCS
humanosfactores de tiempo
anciano
mediana edad
análisis multifactorial
factores de riesgo
infarto de miocardio
modelos de riesgos proporcionales
estudios prospectivos
causas de muerte
disparidades en el estado de salud
pronóstico
evaluación de riesgos
accidente cerebrovascular
estudios longitudinales
depresión
apoyo social
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Hospital Universitario Son Espases - HUSE > Comunicación científicaInstituto de Investigación Sanitaria Islas Baleares - IDISBA > Comunicación científica