Author, as appears in the article.: Muñoz, M.A. Ruiz-Gutiérrez, V. Lamuela-Raventos, R.-M. Sorlí, J.V. Basora, J. Díez-Espino, J. Ros, E. Pintó, X. Serra-Majem, L. Lapetra, J. Fiol, M. Gómez-Gracia, E. Arós, F. Corella, D. Castañer, O. Salas-Salvadó, J. Martínez-González, M.-A. Estruch, R. Mejía-Lancheros, C.
Department: Psicologia
URV's Author/s: Cília Mejía-Lancheros, Ramón Estruch, Miguel-Angel Martínez-González, Jordi Salas-Salvadó, Olga Castañer, Dolores Corella, Fernando Arós, Enrique Gómez-Gracia, Miquel Fiol, José Lapetra, Lluís Serra-Majem, Xavier Pintó, Emilio Ros, Javier Díez-Espino, Josep Basora, José-V Sorlí, Rosa-Maria Lamuela-Raventos, Valentina Ruiz-Gutiérrez, and Miguel-Ángel Muñoz
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. Trial registration Clinical trial registration information unique identifier: ISRCTN35739639.
licence for use: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 1471-2261
Last page: 9
Journal volume: 14
Papper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Entity: Universitat Rovira i Virgili.
Journal publication year: 2014
First page: 1
Repositori URV