Is an educated wife hazardous to your health?
Is an educated wife hazardous to your health?
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受过教育的妻子对你的健康有害吗？
DOI：
10.1093/oxfordjournals.aje.a113743
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发表时间：
1984
影响因子：
5
通讯作者：
Barrett-Connor,E
中科院分区：
文献类型：
--
作者：
Suarez,L;Barrett-Connor,E
苏亚雷斯湖和E.社区与家庭医学系，医学院，美国。of加州，圣地亚哥，拉霍亚，CA 92093）。一个受过教育的妻子对你的健康有害吗？美国流行病学杂志1984;一百一十九：244- 9.四项先前的研究中有三项表明，妻子受教育程度高于自己的男性患冠心病（包括心绞痛）的风险增加，但一项关于冠心病（不包括心绞痛）的研究未能显示出与教育程度不一致的关系。在这项研究中，作者使用了来自1698对年龄在45-79岁之间的配偶的队列数据，这些配偶被前瞻性地随访了9年，以确定教育的不一致性是否是缺血性心脏病死亡的预测因素。在这些中上层阶级的人群中，妻子受教育程度较高的男性往往年龄较大，社会经济地位较低，血压水平较高。与妻子受教育程度较低的男性相比，妻子受教育程度高于自己的男性全因和缺血性心脏病死亡的风险显著增加。这种风险在受教育程度最低的男性和受教育程度最高的妻子中最高，并且不能完全用年龄，社会经济地位，血压或其他风险因素的差异来解释。这些数据支持状态不协调和致死性缺血性心脏病的因果关系。
Suarez, L. and E. Barrett-Connor (Dept of Community and Family Medicine, School of Medicine, U. of California, San Diego, La Jolla, CA 92093). is an educated wife hazardous to your health?Am J Epidemiol1984; 119: 244–9.Three of four previous studies have suggested that men whose wives are more educated than they are at increased risk of coronary heart disease, defined to include angina pectoris, but one study of coronary heart disease exclusive of angina failed to show an association with educational discordance. in this study, the authors used data from a cohort of 1698 spouse pairs aged 45–79 years who were followed prospectively for nine years to determine whether discordance for education was predictive of ischemic heart disease death. in this upper-mlddle-class population, men with more educated wives tended to be older, had a lower socioeconomic status, and higher blood pressure levels. A significant increase in risk of all-cause and ischemic heart disease death was seen in men whose wives were more educated than they, compared with men whose wives were less educated. This risk was highest for the least educated men with the most educated wives, and was not totally explained by differences in age, socioeconomic status, blood pressure, or other risk factors. These data support a causal role for status incongruity and fatal ischemic heart disease.