MYOCARDIAL-INFARCTION AND CORONARY DEATH AMONG WOMEN - PSYCHOSOCIAL PREDICTORS FROM A 20-YEAR FOLLOW-UP OF WOMEN IN THE FRAMINGHAM-STUDY
MYOCARDIAL-INFARCTION AND CORONARY DEATH AMONG WOMEN - PSYCHOSOCIAL PREDICTORS FROM A 20-YEAR FOLLOW-UP OF WOMEN IN THE FRAMINGHAM-STUDY
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DOI：
10.1093/oxfordjournals.aje.a116381
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发表时间：
1992-04-15
影响因子：
5
通讯作者：
CASTELLI, WP
中科院分区：
文献类型：
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作者：
EAKER, ED;PINSKY, J;CASTELLI, WP
本研究调查了心理社会变量与20年来Fracket研究中女性心肌梗死或冠状动脉死亡发生率的关系。在1965-1967年，进行了沿着的心理社会访谈，同时收集了其他冠状动脉危险因素的数据。这项研究包括749名年龄在45-64岁之间的妇女，她们在基线检查时没有冠心病。人口统计学变量，社会心理量表（如紧张和愤怒的反应），和个人访谈项目（如对孩子的态度，金钱和宗教）进行了测量。当在多变量比例风险模型中控制年龄、收缩压、血清总胆固醇与高密度脂蛋白胆固醇的比值、糖尿病、吸烟和体重指数时，20年心肌梗死或冠状动脉死亡发生率的预测因子如下：在就业女性中，仅感知经济状况;在家庭主妇中，紧张和焦虑的症状，白天孤独，难以入睡，很少休假，家务影响健康，并认为自己容易患心脏病（所有变量p < 0.05）;在两组妇女中，教育水平低、紧张和缺乏假期。这些结果进行了讨论，与以前的研究结果从Fracket的研究。
This study investigates the relation of psychosocial variables to the 20-year incidence of myocardial infarction or coronary death among women in the Framingham Study. In 1965-1967, a psychosocial interview was given along with the collection of other coronary risk factor data. This study includes 749 women aged 45-64 years who were free of coronary disease at this baseline examination. Demographic variables, psychosocial scales (such as tension and reactions of anger), and individual interview items (such as attitudes toward children, money, and religion) were measured. When age, systolic blood pressure, the ratio of serum total cholesterol to high-density lipoprotein cholesterol, diabetes, cigarette smoking, and body mass index were controlled for in multivariate proportional hazards models, the predictors of the 20-year incidence of myocardial infarction or coronary death were as follows: among employed women, perceived financial status only; among homemakers, symptoms of tension and anxiety, being lonely during the day, difficulty falling asleep, infrequent vacations, housework affecting health, and believing one is prone to heart disease (p < 0.05 for all variables); and among both groups of women combined, low educational level, tension, and lack of vacations. These results are discussed in relation to previous findings from the Framingham Study.