Negative Aspects of Close Relationships and Heart Disease Export

@article{citeulike:1745889, abstract = {Background The aims of the study were to (1) analyze the association between negative aspects of close relationships and increased risk for coronary heart disease and (2) examine whether the association is stronger among women and people of lower social position. Methods Prospective cohort study of 9011 British civil servants (6114 men and 2897 women). Negative aspects of close relationships and other social support measures (confiding/emotional and practical) were assessed with the Close Persons Questionnaire during phase 2 (1989-1990) or phase 1 (1985-1988). Associations between negative aspects of close relationships and incident coronary events were determined during an average follow-up period of 12.2 years. Covariates included sociodemographic characteristics (age, sex, marital status, and employment grade), biological factors (obesity, hypertension, diabetes mellitus, and cholesterol level), psychosocial factors (negative affectivity, depression, and work stress), and health behaviors (smoking, alcohol intake, exercise, and fruit and vegetable consumption). Results After adjustment for sociodemographic characteristics, biological factors, and other dimensions of social support, individuals who experienced negative aspects of close relationships had a higher risk of incident coronary events (hazard ratio, 1.34; 95\% confidence interval, 1.10-1.63). The association was attenuated but remained statistically significant after additional adjustment for negative affectivity and depression (hazard ratio, 1.25; 95\% confidence interval, 1.02-1.55). Although women and men in a lower employment grade were more likely to be exposed to negative aspects of close relationships, sex and social position had no statistically significant interaction effects. Confiding/emotional and practical support were not associated with incident coronary events. Conclusion Adverse close relationships may increase the risk of heart disease.}, author = {De Vogli, Roberto and Chandola, Tarani and Marmot, Michael G.}, citeulike-article-id = {1745889}, citeulike-linkout-0 = {http://archinte.ama-assn.org/cgi/content/short/167/18/1951}, journal = {Archives of Internal Medicine}, keywords = {behaviour, communication, epidemiology, heart, outcome, relationship, study}, month = {October}, number = {18}, pages = {1951--1957}, posted-at = {2007-10-09 15:57:01}, priority = {3}, title = {Negative Aspects of Close Relationships and Heart Disease}, url = {http://archinte.ama-assn.org/cgi/content/short/167/18/1951}, volume = {167}, year = {2007} }

TY - JOUR ID - citeulike:1745889 L3 - citeulike-article-id:1745889 N2 - Background The aims of the study were to (1) analyze the association between negative aspects of close relationships and increased risk for coronary heart disease and (2) examine whether the association is stronger among women and people of lower social position. Methods Prospective cohort study of 9011 British civil servants (6114 men and 2897 women). Negative aspects of close relationships and other social support measures (confiding/emotional and practical) were assessed with the Close Persons Questionnaire during phase 2 (1989-1990) or phase 1 (1985-1988). Associations between negative aspects of close relationships and incident coronary events were determined during an average follow-up period of 12.2 years. Covariates included sociodemographic characteristics (age, sex, marital status, and employment grade), biological factors (obesity, hypertension, diabetes mellitus, and cholesterol level), psychosocial factors (negative affectivity, depression, and work stress), and health behaviors (smoking, alcohol intake, exercise, and fruit and vegetable consumption). Results After adjustment for sociodemographic characteristics, biological factors, and other dimensions of social support, individuals who experienced negative aspects of close relationships had a higher risk of incident coronary events (hazard ratio, 1.34; 95% confidence interval, 1.10-1.63). The association was attenuated but remained statistically significant after additional adjustment for negative affectivity and depression (hazard ratio, 1.25; 95% confidence interval, 1.02-1.55). Although women and men in a lower employment grade were more likely to be exposed to negative aspects of close relationships, sex and social position had no statistically significant interaction effects. Confiding/emotional and practical support were not associated with incident coronary events. Conclusion Adverse close relationships may increase the risk of heart disease. IS - 18 JF - Archives of Internal Medicine EP - 1957 TI - Negative Aspects of Close Relationships and Heart Disease VL - 167 SP - 1951 KW - behaviour KW - communication KW - epidemiology KW - heart KW - outcome KW - relationship KW - study AU - De Vogli, Roberto AU - Chandola, Tarani AU - Marmot, Michael PY - 2007/10// UR - http://archinte.ama-assn.org/cgi/content/short/167/18/1951 ER -