Long term relations between earthquake experiences and coronary heart disease risk factors

Long term relations between earthquake experiences and coronary heart disease risk factors
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DOI:
10.1093/oxfordjournals.aje.a010152
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发表时间:
2000-06-01
影响因子:
5
通讯作者:
Trevisan, M
Trevisan, M
中科院分区:
医学2区
文献类型:
--
作者:
Bland, SH;Farinaro, E;Trevisan, M

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作者分析了 1983 年至 1984 年发生的各种与地震相关的经历(经济损失、疏散、社交网络破坏指数)与 1987 年在 693 名意大利男性工厂工人中评估的冠心病危险因素(心率、血压、血清总胆固醇)之间的关系。多变量分析(根据年龄、体重指数、吸烟和教育水平进行调整)显示,地震相关经历与血压或胆固醇水平之间没有长期关系。然而,对于那些报告经济损失、与家人/朋友的距离增加或由于地震后搬迁而减少探访的人,观察到较高的静息心率。对自我报告的心理困扰进行进一步调整后(使用症状检查表的整体症状指数进行评估),结果没有变化。这些发现虽然受到数据横截面性质的限制,但表明,从长远来看,自然灾害造成的搬迁造成的许多心理社会后果与冠心病危险因素无关,除了经历过经济损失和/或社交网络中断的个人心率存在微小但显着的差异之外。
The authors analyzed the relations between a variety of earthquake-related experiences incurred in 1983-1984 (financial loss, evacuation, indices of disruption of social networks) and coronary heart disease risk factors (heart rate, blood pressure, total serum cholesterol) assessed in 1987 among 693 Italian male factory workers. Multivariate analyses (adjusting for age, body mass index, smoking, and educational level) revealed no long term relations between the quake-related experiences and blood pressure or cholesterol level. However, higher resting heart rates were observed for individuals who reported financial loss, increased distance from family/friends, or decreased visiting as a result of relocation after the quakes. Findings were unchanged after further adjustment for self-reported psychological distress (assessed using the global symptom index of the Symptom Checklist). These findings, while limited by the cross-sectional nature of the data, suggest that a number of psychosocial consequences of relocation due to a natural disaster are unrelated in the long term to coronary heart disease risk factors, except for small but significant differences in heart rate among individuals who have experienced financial loss and/or social network disruptions.