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Title:	Impact of psychosocial factors on cardiovascular morbimortality: a prospective cohort study
Author:	Mejía-Lancheros, Cília; Estruch Riba, Ramon; Martínez-González, Miguel Ángel, 1957-; Salas Salvadó, Jordi; Castañer, Olga; Corella Piquer, Dolores; Arós, Fernando; Gómez Gracia, Enrique; Fiol Sala, Miguel; Lapetra, José; Serra Majem, Lluís; Pintó Sala, Xavier; Ros Rahola, Emilio; Díez Espino, Javier; Basora, Josep; Sorlí, José V.; Lamuela Raventós, Rosa Ma.; Ruiz-Gutiérrez, Valentina; Muñoz, Miguel Ángel; PREDIMED Study Investigators
Notes:	Abstract BACKGROUND: Whilst 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. METHODS: Longitudinal 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. RESULTS: Stroke 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. CONCLUSION: Adults with low educational level had a higher risk of stroke. Depression and low social support were not associated with CVD incidence. TRIAL REGISTRATION: Clinical trial registration information unique identifier: ISRCTN35739639.
Subject(s):	-Morbiditat -Malalties cardiovasculars -Factors de risc en les malalties -Epidemiologia -Estudi de casos -Assaigs clínics -Morbidity -Cardiovascular diseases -Risk factors in diseases -Epidemiology -Case studies -Clinical trials
Rights:	cc-by (c) Mejía-Lancheros, Cília et al., 2014 http://creativecommons.org/licenses/by/3.0/es
Document type:	Article Article - Published version
Published by:	BioMed Central
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