André-Petersson Lena, Hedblad Bo, Janzon Lars, Ostergren Per-Olof
Epidemiological Research Group, Department of Clinical Sciences, Malmö University Hospital, Lund University, Sweden.
Int J Behav Med. 2006;13(4):340-7. doi: 10.1207/s15327558ijbm1304_9.
Coronary heart disease remains an important cause of morbidity and mortality. Much data support the view that social support is associated with coronary heart disease. Participants of the study "Men born in 1914," (414 men) were followed from a baseline measurement in 1982/83 until the end of 1996. At baseline, the men answered a questionnaire on social support and participated in a stressful test where their behavior was categorized as adaptive or maladaptive. This study examined whether social support had a prospective impact on the incidence of myocardial infarction and all-cause mortality when behavior in the stressful task was taken into consideration. The conclusion of the study was that unsatisfactory levels of social support is associated with an increased risk of incident myocardial infarction (HR 2.40, CI 1.36-4.25, p = .003) and premature death (HR 1.99, CI 1.32-3.00, p = .001) but only in men who had shown maladaptive behavior in the test.
冠心病仍然是发病和死亡的重要原因。大量数据支持社会支持与冠心病相关这一观点。“1914年出生的男性”这项研究（414名男性）从1982/83年的基线测量开始随访，直至1996年底。在基线时，这些男性回答了一份关于社会支持的问卷，并参加了一项压力测试，其行为被归类为适应性或适应不良。本研究考察了在考虑压力任务中的行为时，社会支持是否对心肌梗死发病率和全因死亡率有前瞻性影响。该研究的结论是，社会支持水平不令人满意与心肌梗死发病风险增加（风险比2.40，可信区间1.36 - 4.25，p = 0.003）和过早死亡（风险比1.99，可信区间1.32 - 3.00，p = 0.001）相关，但仅在测试中表现出适应不良行为的男性中如此。
