Marital status and cardiac rehabilitation attendance: a meta-analysis
Marital status and cardiac rehabilitation attendance: a meta-analysis
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DOI：
10.1097/hjr.0b013e3283063929
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发表时间：
2008-10-01
影响因子：
--
通讯作者：
Chida, Yoichi
中科院分区：
文献类型：
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作者：
Molloy, Gerard J.;Hamer, Mark;Chida, Yoichi
研究背景在已确诊的冠心病(CHD)患者中，婚姻状况与随后的健康结局明显相关。设计：在已发表的研究中，我们使用Meta回归方法来检验婚姻状况与门诊心脏康复(CR)就诊率之间的关系。方法我们检索了电子数据库，例如Medline和科学引文索引，以寻找已发表的研究，这些研究报告了在确诊的冠心病患者中婚姻或伴侣状况与CR就诊率之间的相关性。已婚/有伴侣的人参加CR的几率明显更高。使用固定效应模型，已婚或有伴侣的患者CR的合并优势比为1.72[95%可信区间(CI)1.50-1.97]。未发现效应异质性(P=0.42)或发表偏倚(P=0.12)。结论已婚或有伴侣的冠心病患者接受CR治疗的可能性是后者的1.5-2倍。婚姻状况和CR就诊率之间的关系可能在一定程度上解释了CHD结果。欧洲心脏病学会15：557-561(C)2008
Background Marital status has been clearly linked to subsequent health outcomes in those with established coronary heart disease (CHD). This robust association may be because of both pathophysiological and behavioural mechanisms.Design We employed meta-regression to examine the association between marital status and attendance at outpatient cardiac rehabilitation (CR) in published studies.Methods We searched electronic databases, for example, Medline and Science Citation Index, for published studies that reported an association between a measure of marital or partnered status and CR attendance in patients with diagnosed CHD.Results Eleven studies were identified which incorporated 6984 CHD patients. Being married/partnered was associated with significantly higher odds of attending CR. Using a fixed effects model,the pooled odds ratio of CR attendance was 1.72 [95% confidence interval (CI) 1.50-1.97] for those who were married/partnered. There was no evidence of heterogeneity of effects (P= 0.42) or publication bias (P= 0.12).Conclusion CHD patients who are married or have a partner are between 1.5-2 times more likely to attend CR. Associations between marital status and CR attendance may partly explain CHD outcomes. Eur J Cardiovasc Prev Rehabil 15:557-561 (C) 2008 The European Society of Cardiology