Family Member Incarceration, Psychological Stress, and Subclinical Cardiovascular Disease in Mexican Women (2012-2016)
Family Member Incarceration, Psychological Stress, and Subclinical Cardiovascular Disease in Mexican Women (2012-2016)
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DOI：
10.2105/ajph.2019.305397
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发表时间：
2020-01-01
影响因子：
12.7
通讯作者：
Lajous, Martin
中科院分区：
文献类型：
--
作者：
Connors, Kaela;Flores-Torres, Mario H.;Lajous, Martin
目标。研究家庭成员监禁、心理压力和亚临床心血管疾病 (CVD) 之间的关联。方法。 2012 年至 2016 年间，来自墨西哥教师队列的 1849 名没有 CVD 的女性回答了生活压力源清单中有关家庭监禁的问题。研究人员测量了一部分参与者的感知压力和头发皮质醇水平。测量了所有参与者的颈动脉内膜中层厚度，并确定了颈动脉粥样硬化。我们使用多变量分位数、线性和逻辑回归模型来评估家庭成员监禁、压力和亚临床 CVD 之间的关联。结果。在平均年龄为 49.7 岁 (SD +/- 5.2) 的女性中，15.3% 的女性表示家庭成员被监禁。我们发现，与没有家人被监禁的女性相比，有家人被监禁的女性感受到的压力和头发皮质醇水平显着更高。经过多变量调整后，与没有报告家庭成员监禁的女性相比，报告有家庭成员监禁的女性患颈动脉粥样硬化的几率要高 41%（95% 置信区间 = 1.04, 2.00）。结论。家庭成员监禁与压力和心血管风险的强有力标志相关。大规模监禁可能会对受影响家庭的身体健康产生长期影响。
Objectives. To examine the association between family member incarceration, psychological stress, and subclinical cardiovascular disease (CVD).Methods. Between 2012 and 2016, 1849 CVD-free women from the Mexican Teachers' Cohort responded to questions on family incarceration from the Life Stressor Checklist. Perceived stress and hair cortisol levels were measured in a subset of participants. Carotid intima- media thickness was measured, and carotid athero-sclerosis was determined in all participants. We used multivariable quantile, linear, and logistic regression models to evaluate the association between family member incarceration, stress, and subclinical CVD.Results. Among women with a mean age of 49.7 years (SD +/- 5.2), 15.3% reported family member incarceration. We found that both perceived stress and hair cortisol levels were significantly higher in women with an incarcerated family member relative to women without one. After multivariable adjustment, women who reported family member incarceration had 41% (95% confidence interval = 1.04, 2.00) higher odds of carotid atherosclerosis compared with those who did not.Conclusions. Family member incarceration was associated with robust markers of stress and cardiovascular risk. Mass incarceration may have a long-lasting impact on physical health of affected families.