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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

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.citation	BMC Cardiovascular Disorders Vol. 14	es_ES
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.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	journal article	es_ES
dc.identifier.doi	10.1186/1471-2261-14-135	es_ES
dc.identifier.idgrec	100249	es_ES