Psychological stress and cardiovascular risk among women in Brazilian communities: a cross-sectional study

Autor: Antônio José C. Mattos, Alvaro Avezum, João Italo D. França, Maria Cristina O. Izar, João Fernando M. Ferreira, Luciano Ferreira Drager, José Francisco K. Saraiva, Henrique Andrade R. Fonseca
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Rok vydání: 2024
Předmět:
Zdroj: Cadernos de Saúde Pública, Vol 40, Iss 6 (2024)
Druh dokumentu: article
ISSN: 1678-4464
0102-311x
DOI: 10.1590/0102-311xen234522
Popis: Abstract: Psychosocial evaluations are rarely conducted with community-dwelling individuals, especially those with higher risk of cardiovascular disease. This study aims to evaluate the perceptual stress and cardiovascular risk among women in a large cross-sectional study performed in Brazilian communities. Subjects aged over 18 years were included out of 500 public basic health units (BHU) in Brazil. All subjects were subjected to a clinical consultation and questionnaires application. Data were used to identify healthy lifestyle, smoking status, and self-perception of psychological stress. The National Health and Nutrition Examination Survey (NHANES) risk score (NRS) was used to estimate cardiovascular risk. Ethnicity information was self-reported, considering white versus non-white (black, brown, and mixed-race) women. A total of 93,605 patients were recruited from a primary care setting, of which 62,200 (66.4%) were women. Intense and severe auto-perception of stress was higher within non-white women at home (p < 0.001), at work (p = 0.008), socially (p < 0.001), and financially (p < 0.001) compared to white women. Therefore, the NRS indicates that non-white women had higher cardiovascular risk, lower physical activity, and lower daily vegetables/fruits consumption compared to white women (p < 0.001). Non-white women in Brazilian communities are susceptible to increased stress and cardiovascular disease risk, which adds up to disparities in access to the public health system.
Databáze: Directory of Open Access Journals
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