Brborović Ognjen, Rukavina Tea Vukusić, Pavleković Gordana, Dzakula Aleksandar, Sogorić Selma, Vuletić Silvije
Department of Social Medicine and Organization of Healthcare, "Andrija Stampar" School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia.
Coll Antropol. 2009 Apr;33 Suppl 1:93-8.
Psychological distress (PD) is being increasingly recognized as a risk factor for cardiovascular diseases (CVD). Our aim was to recognize an association of PD and CVD in the Croatian adult population. We also explored association's strength obtainable as relative risk of PD on three levels; cardiovascular risk behaviors, conditions and diseases. This study used Croatian Adult Health Survey 2003 (CAHS 2003) data (N = 9,070). PD status was measured by the five-item Mental Health Scale of the Short Form questionnaire (SF-36) hence one distinguished subgroup consisted of population with PD and other without PD. Prevalence of cardiovascular risk behaviors, cardiovascular risk conditions and self-reported cardiovascular diseases within each subgroup were calculated using bootstrap method. Women had higher prevalence of PD in general population. Among distressed population women had higher prevalence of body mass index over 30, metabolic syndrome and angina pectoris. Men with PD had higher prevalence of high blood pressure and myocardial infarction with contradictory lower prevalence of angina pectoris then myocardial infarction. Physical inactivity was proven to be a risk behavior determinant with most impact on mental health. All CVD are consistently associated with higher prevalence and relative risks for PD both in men and women.
心理困扰（PD）日益被视为心血管疾病（CVD）的一个风险因素。我们的目的是识别克罗地亚成年人群中PD与CVD之间的关联。我们还探讨了在心血管风险行为、状况和疾病三个层面上，可作为PD相对风险获得的关联强度。本研究使用了2003年克罗地亚成人健康调查（CAHS 2003）的数据（N = 9070）。PD状态通过简短问卷（SF - 36）的五项心理健康量表进行测量，因此一个区分的亚组由患有PD的人群和其他未患PD的人群组成。使用自助法计算每个亚组中心血管风险行为、心血管风险状况和自我报告的心血管疾病的患病率。在总体人群中，女性的PD患病率更高。在有心理困扰的人群中，女性体重指数超过30、代谢综合征和心绞痛的患病率更高。患有PD的男性高血压和心肌梗死的患病率更高，与心肌梗死相比，心绞痛的患病率反而较低。事实证明，缺乏身体活动是对心理健康影响最大的风险行为决定因素。在男性和女性中，所有心血管疾病均始终与较高的PD患病率和相对风险相关。
