Hostility and health behaviors in young adults: the CARDIA Study. Coronary Artery Risk Development in Young Adults Study.
Hostility and health behaviors in young adults: the CARDIA Study. Coronary Artery Risk Development in Young Adults Study.
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年轻人的敌意和健康行为：CARDIA 研究。
DOI：
10.1093/oxfordjournals.aje.a116480
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发表时间：
1992
影响因子：
5
通讯作者：
Manolio,TA
中科院分区：
文献类型：
--
作者：
Scherwitz,LW;Perkins,LL;Chesney,MA;Hughes,GH;Sidney,S;Manolio,TA
敌意与冠心病死亡率有关。为了评估将敌意与冠心病风险联系起来的可能机制，作者在一项横断面研究中对1985年和1986年收集的5115名18-30岁的年轻人进行了分析，这些年轻人有黑人和白人，有男性和女性，来自美国四个大城市。研究结果显示，根据库克-麦德利敌意量表（Cook-Medley敌意量表），黑人和白人、男性和女性的敌意程度越高，吸烟和吸食大麻、饮酒越多、热量摄入越多都越高。腰臀比越高，热量消耗越明显，尤其是男性（p< 0.05）。吸烟和吸大麻的相关性尤其强（p< 0.001），在调整了年龄和教育程度后，最高敌意四分位数的患病率大约是最低敌意四分位数的1.5倍。敌意水平与来自脂肪或蔗糖摄入的卡路里百分比、血浆胆固醇水平或身体健康（除了后者在白人女性中有微弱的关联）无关。研究结果描述了敌意与可能有害健康的健康行为之间的关系。这一发现为敌意和冠心病死亡率之间的关系提供了一种可能的解释。中华流行病学杂志（英文版）；2006;16(1):1 - 6。
Hostility has been associated with coronary heart disease mortality. To assess possible mechanisms linking hostility to coronary heart disease risk, the authors conducted analyses in a cross-sectional study from data collected in 1985 and 1986 on 5,115 young adults, aged 18–30 years, black and white, male and female, in four large urban areas of the United States. The results show that higher levels of hostility as determined by the Cook-Medley Hostility Scale were strongly associated wtth tobacco and marijuana smoking, increased alcohol consumption, and greater caloric intake in both blacks and whites and in both men and women. The increased caloric consumption was evident in the higher waist/hip ratios, particularly in men (p< 0.05). The associations were particularly strong (p< 0.001) for tobacco cigarette smoking and marijuana smoking, with roughly a 1.5 times higher prevalence in the top hostility quartile compared with the bottom quartile after adjusting for age and education. Hostility levels were not related to the percentage of calories from fat or from sucrose intake, to plasma cholesterol levels, or to physical fitness (except for a weak association in the latter in white women). The results describe relations between hostility and health behaviors that may be detrimental to health. The findings provide a possible explanation for the association between hostility and coronary heart disease mortality.Am J Epidemiol1992;136:136–45.