The association of peripheral arterial disease with hostility in a young, healthy veteran population.
The association of peripheral arterial disease with hostility in a young, healthy veteran population.
复制标题
外周动脉疾病与年轻健康退伍军人群体中的敌意之间的关联。
作者：
M. Joesoef;S. Wetterhall;F. Destefano;N. E. Stroup;A. Fronek
外周动脉疾病(PAD)与敌意(A型行为的一个组成部分)之间的关联尚未被调查。此前的研究已经发现，冠状动脉疾病与敌意之间存在关联。我们使用多普勒测试将PAD定义为：静息指数小于0.9，无胫骨后波形，或存在股骨杂音。在4462名男性退伍军人中，随着Cook-Medley敌意程度的增加，PAD的患病率和优势比在统计学上显著增加。敌意量表第一、二、三、四分位数的PAD患病率分别为0.7%、1.1%、1.4%、1.6%。以第一个四分位数为参照组，我们发现第二、第三和第四个四分位数的PAD的优势比分别为1.6、1.9和2.2。调整了年龄、种族、吸烟、高血压、家族性缺血性心脏病、糖尿病和升高的低密度脂蛋白/高密度脂蛋白的优势比分别为1.4、1.6和1.8。优势比的大小及其在统计学上的显著趋势表明，PAD与敌意之间存在关联。
&NA; The association of peripheral arterial disease (PAD) with hostility, a component of Type A behavior, has not been investigated. Previous studies have found an association between coronary arterial disease and hostility. We used Doppler tests to define PAD as consisting of a resting index less than 0.9, absence of posterior tibial waveform, or presence of a femoral bruit. Among 4,462 male veterans, the prevalence and odds ratio of PAD increased statistically significantly with an increase in the Cook‐Medley hostility scale. The prevalence of PAD was 0.7%, 1.1%, 1.4%, and 1.6% in the first, second, third, and fourth quartiles of the hostility scale, respectively. Using the first quartile as a reference group, we found that odds ratios of PAD were 1.6, 1.9, and 2.2 for the second, third, and fourth quartiles, respectively. Odds ratios, adjusted for age, race, cigarette smoking, hypertension, familial ischemic heart disease, diabetes, and elevated LDL/HDL were 1.4, 1.6, and 1.8, respectively. The magnitude of the odds ratios and their statistically significant trend suggest an association between PAD and hostility.