Perceived control as a predictor of cardiovascular disease mortality in Poland. The HAPIEE study
| Autor: | Andrzej Pająk, Magdalena Kozela, Roman Topór-Mądry, Martin Bobak, Krystyna Szafraniec, Urszula Stepaniak, Agnieszka Doryńska, Witosława Misiowiec |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
Gerontology medicine.medical_specialty Time Factors Population Kaplan-Meier Estimate Risk Assessment Self-Control Risk Factors Surveys and Questionnaires Internal medicine Prevalence Humans Medicine education Aged Proportional Hazards Models education.field_of_study business.industry Proportional hazards model General Medicine Middle Aged Prognosis Quartile Cardiovascular Diseases Cohort Cardiology Marital status Female Perception Poland Cardiology and Cardiovascular Medicine business Body mass index Psychosocial Follow-Up Studies Cohort study Demography |
| Popis: | Background: Neither the development in methods of treatment of coronary heart disease nor the changes in exposure to main cardiovascular disease (CVD) risk factors do not fully explain the trends in CVD mortality in Poland. An influence of psychosocial factors is considered. The aims of the study were: (1) to assess the relationship between perceived control and the prevalence of classic CVD risk factors; (2) to assess the relationship between perceived control and the risk of death from all causes and from CVD. Methods: A cohort study with 5-year follow-up was conducted. Random sample of 10,728 permanent residents of Krakow aged 45–69 was examined. Perceived control was measured using a standard 11-item scale. The studied group was divided into four subgroups of people with very high, high, moderate, and low perceived control according to quartile values. Data on deaths and causes were obtained from the local register, death certificates and participants’ families. An independent effect of perceived control on CVD mortality was assessed using Cox proportional hazards models. Results: Low perceived control was strongly associated with a higher CVD mortality, independently of age, education, marital status, history of CVD, hypertension, hypercholesterolemia, smoking, body mass index, physical activity or diabetes in both men and women (HR 2.68, 95% CI 1.36–5.31 and HR 5.18, 95% CI 1.17–22.96, respectively). After adjustment for age, both in men and women, the highest risk of death from all causes was observed in persons with low perceived control. Further adjustment for covariates attenuated the relationship. Conclusions: Perceived control is a strong independent predictor of CVD mortality and may be considered a CVD risk factor in the Polish urban population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|