Psychological Distress and Heart Disease Mortality in the United States: Results from the 1997-2014 NHIS-NDI Record Linkage Study.
Psychological Distress and Heart Disease Mortality in the United States: Results from the 1997-2014 NHIS-NDI Record Linkage Study.
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DOI：
10.21106/ijma.391
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发表时间：
2020-01-01
影响因子：
--
通讯作者：
Singh, Gopal K
中科院分区：
文献类型：
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作者：
Lee, Hyunjung;Singh, Gopal K
目的：尽管心脏病长期下降，但在过去八年中仍然是美国的首要死因，占2017年所有死亡的23%。尽管心理困扰与心血管疾病死亡率相关，但在美国，不同心理困扰水平与心脏病死亡率之间的关系尚未得到详细分析。使用国家纵向数据集，我们研究了心理困扰水平与美国心脏病死亡率之间的关联。方法：我们使用与国家死亡指数 (NDI) (N=513,081) 相关的国家健康访谈调查 (NHIS) 的 1997-2014 年汇总数据，分析了凯斯勒 6 项心理困扰量表作为心脏病死亡率的危险因素。使用 Cox 比例风险回归来模拟生存时间作为心理困扰、社会人口统计学和行为协变量的函数。 结果：在具有 18 年死亡率随访的 Cox 模型中，患有严重心理困扰 (SPD) 的成年人的心脏病死亡风险高出 121%（风险比 [HR]=2.21；95% CI=1.99,2.45）（p
OBJECTIVE: Despite the long-term decline, heart disease has remained the leading cause of death in the United States (US) over the past eight decades, accounting for 23% of all deaths in 2017. Although psychological distress has been associated with cardiovascular disease mortality, the relationship between different psychological distress levels and heart disease mortality in the US has not been analyzed in detail. Using a national longitudinal dataset, we examined the association between levels of psychological distress and US heart disease mortality.METHODS: We analyzed the Kessler 6-item psychological distress scale as a risk factor for heart disease mortality using the pooled 1997-2014 data from the National Health Interview Survey (NHIS) linked to National Death Index (NDI) (N=513,081). Cox proportional hazards regression was used to model survival time as a function of psychological distress and sociodemographic and behavioral covariates.RESULTS: In Cox models with 18 years of mortality follow-up, the heart disease mortality risk was 121% higher (hazard ratio [HR]=2.21; 95% CI=1.99,2.45) in adults with serious psychological distress (SPD) (p