Association of the psychological distress and cardiovascular risk behaviors, conditions and diseases: the CroHort study [Povezanost psihološke patnje i kardiovaskularnih rizičnih ponašanja, stanja i bolesti: CroHort studija]

Vukušić Rukavina, Tea and Brborović, Ognjen and Fazlić, Hana and Sović, Slavica and Čivljak, Marta (2012) Association of the psychological distress and cardiovascular risk behaviors, conditions and diseases: the CroHort study [Povezanost psihološke patnje i kardiovaskularnih rizičnih ponašanja, stanja i bolesti: CroHort studija]. Collegium Antropologicum, 36 (S. 1). pp. 157-164. ISSN 0350-6134

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Abstract

Aim of this study was to explore and compare association of PD (psychological distress) and cardiovascular risk behaviors, conditions and diseases in Croatian adult population. The sample of this study consisted of 3,229 respondents. Psychological distress status was measured by the five-item Mental Health Scale (MHI-5) of the Short Form questionnaire (SF-36), hence one distinguished subgroup consisted of population with PD and other without PD. Prevalence of cardiovascular risk behaviors, cardiovascular risk conditions and self-reported cardiovascular diseases within each subgroup were calculated. During the follow up period physical inactivity remained the only risk behavior showing significant difference between PD status subgroups for both genders demonstrating higher prevalence in men and women with PD. During follow up period hypertension, myocardial infarction, angina pectoris and self-reported heart failure in women remained constant in showing statistically significant prevalence difference among population with and without PD. In men that type of constant association was shown only for heart failure.

Abstract in Croatian

Cilj ovoga istraživanja bio je istražiti i usporediti povezanost psihološke patnje (PP) i kardio-vaskularnih bolesti (KVB) u odrasloj populaciji Hrvatske. Također smo istraživali snagu povezanosti putem relativnog rizika za PP na tri razine: kardiovaskularnih rizičnih ponašanja, stanja i bolesti, te njihovu promjenu tijekom vremena. Postojanje PP procijenjeno je temeljem Skale mentalnog zdravlja koja je dio SF-36 upitnika. Kompletan uzorak je podijeljen u dvije podgrupe, prva s PP, a druga bez PP. Rezultati istraživanja pokazuju da je psihološka patnja breme sudionicima u odnosu na kardiovaskularna rizična ponašanja, stanja i bolesti. Tijekom prve i druge faze kohorte tjelesna neaktivnost ostala je jedino rizično ponašanje sa statistički značajnom razlikom za oba spola s višim prevalencijama u osoba s psihološ kom patnjom. Povezanost PP i kardiovaskularnih stanja i bolesti izraženija je za žene. Sve KVB konzistentno su povezane s većim relativnim rizikom za PP u žena, dok se kod muškaraca s PP i bez PP statistički značajna razlika zadržala samo za zatajenje srca.

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