敌意和生活方式对日本城市中年人群冠心病的影响。
Effects of hostility and lifestyle on coronary heart disease among middle-aged urban Japanese.
作者信息
Nishi N, Nanto S, Shimai S, Matsushima Y, Otake K, Ando A, Yamasaki K, Soga S, Tatara K
机构信息
Takarazuka City Health Promotion Center, Takarazuka, Hyogo, Japan.
出版信息
J Epidemiol. 2001 Nov;11(6):243-8. doi: 10.2188/jea.11.243.
OBJECTIVE
To explore the association between multi-dimensional aspects of hostility and coronary heart disease among middle-aged urban Japanese.
SUBJECTS AND METHODS
We conducted a case-control study. Cases were consecutive patients with acute coronary syndrome admitted to a hospital in Japan. Fifty-three patients (45 men and 8 women) aged 35 to 65 were enrolled. For each case, two sex and age (+/-2 years) matched controls were recruited from among participants in a health check-up program at a health promotion center located in the same area as the hospital. Two questionnaires, both with four components, were used to measure hostility and coping with anger: the one was for anger, hostility, physical aggression and verbal aggression, and the other for aggression, social inhibition, guilt, and controlled affect.
RESULTS
The scores of all components from two questionnaires were higher for cases than controls, but the differences were not significant. Multivariate analysis showed that anger, fat intake, alcohol consumption and house size were significantly associated with the etiology of acute coronary syndrome.
CONCLUSION
Anger, lifestyle, and socioeconomic status play important roles for the etiology of coronary heart disease in middle-aged urban Japanese.
目的
探讨日本城市中年人群中敌意的多维度方面与冠心病之间的关联。
对象与方法
我们进行了一项病例对照研究。病例为日本一家医院收治的急性冠状动脉综合征连续患者。纳入了53例年龄在35至65岁之间的患者（45名男性和8名女性）。对于每例病例，从与医院位于同一地区的健康促进中心的健康体检项目参与者中招募两名性别和年龄（±2岁）匹配的对照。使用两份均有四个分量表的问卷来测量敌意和愤怒应对方式：一份用于测量愤怒、敌意、身体攻击和言语攻击，另一份用于测量攻击、社会抑制、内疚和可控情感。
结果
两份问卷所有分量表的得分病例组均高于对照组，但差异无统计学意义。多因素分析显示，愤怒、脂肪摄入、饮酒量和住房面积与急性冠状动脉综合征的病因显著相关。
结论
愤怒、生活方式和社会经济地位在日本城市中年人群冠心病的病因中起重要作用。
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