Impact of psychosocial factors on cardiovascular morbimortality: a prospective cohort study
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Impact of psychosocial factors on cardiovascular morbimortality: a prospective cohort study

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Impact of psychosocial factors on cardiovascular morbimortality: a prospective cohort study

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dc.contributor.author Mejía-Lancheros, Cília es_ES
dc.contributor.author Estruch, Ramón es_ES
dc.contributor.author Martínez-González, Miguel Ángel es_ES
dc.contributor.author Salas-Salvadó, Jordi es_ES
dc.contributor.author Castañer, Olga es_ES
dc.contributor.author Corella, Dolores es_ES
dc.contributor.author Arós, Fernando es_ES
dc.contributor.author Gómez-Gracia, Enrique es_ES
dc.contributor.author Fiol, Miquel es_ES
dc.contributor.author Lapetra, José es_ES
dc.contributor.author Serra-Majem, Lluís es_ES
dc.contributor.author Pintó, Xavier es_ES
dc.contributor.author Ros, Emilio es_ES
dc.contributor.author Díez-Espino, Javier es_ES
dc.contributor.author Basora, Josep es_ES
dc.contributor.author Sorlí Guerola, José Vicente es_ES
dc.contributor.author Lamuela-Raventós, Rosa Maria es_ES
dc.contributor.author Ruiz-Gutiérrez, Valentina es_ES
dc.contributor.author Muñoz, Miguel Ángel es_ES
dc.date.accessioned 2015-06-18T07:02:04Z
dc.date.available 2015-06-18T07:02:04Z
dc.date.issued 2014
dc.identifier.uri http://hdl.handle.net/10550/44419
dc.description.abstract BackgroundWhilst it is well known that psychosocial determinants may contribute to cardiovascular diseases (CVD), data from specific groups are scarce. The present study aims to determine the contribution of psychosocial determinants in increasing the risk of cardiovascular events (myocardial infarction and stroke), and death from CVD, in a high risk adult population.MethodsLongitudinal prospective study of 7263 patients (57.5% women), mean age 67.0 (SD 6.2) free from CVD but at high risk, with a median follow-up of 4.8 years (from October 2003 to December 2010). The Hazard Ratios (HRs) of cardiovascular events (myocardial infarction, stroke, and death from cardiovascular causes) related to educational attainment, diagnosed depression (based on medical records), and low social support (number of people living in the household) were estimated by multivariate Cox regression models.ResultsStroke incidence was associated with low educational level in the whole population (HR: 1.83, 95% CI: 1.09–3.09), and especially in men (HR: 2.11, 95% CI 1.09–4.06). Myocardial infarction and CVD mortality were not associated with any of the psychosocial factors considered.ConclusionAdults with low educational level had a higher risk of stroke. Depression and low social support were not associated with CVD incidence.Trial registrationClinical trial registration information unique identifier: ISRCTN35739639. es_ES
dc.source BMC Cardiovascular Disorders Vol. 14 es_ES
dc.subject Stroke es_ES
dc.subject Acute myocardial infarction es_ES
dc.subject Cardiovascular death es_ES
dc.subject Educational level es_ES
dc.subject Socioeconomic position es_ES
dc.subject Depression es_ES
dc.subject Social support es_ES
dc.subject Health inequalities es_ES
dc.title Impact of psychosocial factors on cardiovascular morbimortality: a prospective cohort study es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.identifier.doi 10.1186/1471-2261-14-135 es_ES
dc.identifier.idgrec 100249 es_ES

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