Marital status and cardiovascular risk: the Minnesota Heart Survey and the Minnesota Heart Health Program.

Marital status and cardiovascular risk: the Minnesota Heart Survey and the Minnesota Heart Health Program.
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婚姻状况和心血管风险:明尼苏达州心脏调查和明尼苏达州心脏健康计划。

DOI:
10.1016/0091-7435(86)90064-2
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发表时间:
1986
影响因子:
5.1
通讯作者:
Gillum,RF
Gillum,RF
中科院分区:
医学2区
文献类型:
--
作者:
Venters,M;JacobsJr,DR;Pirie,P;Luepker,RV;Folsom,AR;Gillum,RF

文献摘要

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在一项基于社区的研究中,对7849名中西部男性和女性的婚姻状况和心血管风险之间的关系进行了调查。分居/离婚的人因心脏病发作/中风而住院率最高。已婚和丧偶的人报告的此类住院率分别较低和中等。未婚人士报告的住院率低于或低于已婚人士。对具体风险特征的分析表明,不同的婚姻群体将从不同的初级预防计划中受益。分居/离婚的人比已婚的人吸烟、饮酒和体力活动的水平更高。然而,已婚男性的总胆固醇水平较高,而血清高密度脂蛋白胆固醇水平较低。未婚者的特征往往与已婚者相似,特别是在年龄较大的时候;寡妇和鳏夫的风险特征往往介于已婚和分居/离婚者之间。研究结果表明,婚姻状况在识别、理解和改变已知会增加心血管疾病风险的行为方面非常重要。
The relationship between marital status and cardiovascular risk was examined among 7,849 midwestern men and women in a community-based study. Separated/divorced persons report the highest rates of hospitalization for heart attack/stroke. Married and widowed persons report lower and intermediate rates, respectively, of such hospitalization. Never-married persons report hospitalization as low or lower than those of married persons. Analysis of specific risk characteristics suggests that different marital groups would benefit from different primary prevention programs. Separated/divorced persons report higher levels of smoking, drinking, and physical activity than married persons. Married men, however, have higher levels of total cholesterol and lower levels of serum high-density lipoprotein cholesterol. Characteristics of never-married persons tend to resemble those of the married, particularly at older ages; widows and widowers tend to have risk characteristics intermediate between those who are married and those who are separated/divorced. Findings indicate that marital status is important in identifying, understanding, and altering behavior known to increase risk for cardiovascular disease.