Hostility and acute coronary syndrome in a transitional post-communist Muslim country: a population-based study in Tirana, Albania.
Background: The study aims to assess: (i) the association of hostility with socio-demographic, psychosocial and coronary risk factors and (ii) the association of hostility with acute coronary syndrome (ACS) in post-communist secular though predominantly Muslim Albania. Methods: In a population-based...
| Publicado en: | European Journal of Public Health Vol. 21; no. 4; pp. 469 - 477 |
|---|---|
| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2011
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=62989418&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 62989418 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Aug2011 vid: 21 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 62989418 104661818 104661818 10.1093/eurpub/ckp238 62989418 ppf: 469 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Hostility and acute coronary syndrome in a transitional post-communist Muslim country: a population-based study in Tirana, Albania. aug: au: Burazeri, Genc Kark, Jeremy D. affil: Department of International Health, School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands sug: subj: Acute Coronary Syndrome Epidemiology Acute Coronary Syndrome Risk Factors Acute Coronary Syndrome Psychosocial Factors Anger Human Male Female Adult Middle Age Aged Albania Case Control Studies Odds Ratio Logistic Regression Age Factors Confidence Intervals Politics Islam Academic Medical Centers Scales Structured Questionnaires Summated Rating Scaling Coefficient alpha Causal Modeling Linear Regression Data Analysis Software Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: The study aims to assess: (i) the association of hostility with socio-demographic, psychosocial and coronary risk factors and (ii) the association of hostility with acute coronary syndrome (ACS) in post-communist secular though predominantly Muslim Albania. Methods: In a population-based case–control study conducted in Tirana in 2003–06, 464 non-fatal sequential ACS patients (368 men, 96 women, 87% response) and a population-sampled control group (n = 684; 449 men, 235 women, 65.5% response) provided data on Cynical Distrust, a measure of hostility. The correlates of hostility in the population sample were assessed using the general linear model and the association of hostility with ACS in the case–control comparison by multivariable-adjusted logistic regression. Results: In the population-based sample, hostility was related to age (inversely in men), social position, social mobility, relative income (all inverse in both sexes) and emigration of close family. In the case–control comparison, there was a strong graded relationship of hostility with ACS, independent of socio-demographic characteristics and conventional coronary risk factors, including lifestyle/behavioural factors [odds ratio (OR) = 1.25, 95% confidence interval (CI) = 1.18–1.34 in men, and OR = 1.17, 95% CI = 1.05–1.32 in women per unit score of hostility and OR = 5.3, 95% CI = 3.3–8.6 in men and OR = 3.1, 95% CI = 1.1–8.6 in women for upper versus lower tertiles]. Conclusion: This may be the first report from post-communist countries of Eastern and Southeastern Europe or from a Muslim population on the hostility trait in a population-representative sample. Hostility was independently associated with ACS. This requires confirmation, in particular, to exclude the possibility of reverse causality. Hostility may represent an informative risk factor in transitional populations. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|