Scherwitz L, Perkins L, Chesney M, Hughes G
Department of Dental Public Health and Hygiene, University of California, San Francisco 94143.
Psychosom Med. 1991 Jan-Feb;53(1):36-49. doi: 10.1097/00006842-199101000-00004.
This report describes the relationships between scores obtained on the Cook-Medley Hostility (Ho) scale and race, education, gender, and age in a sample of 5115 young adult participants in a prospective study of coronary heart disease (CHD) risk factors. Large differences were observed in total Ho scale scores and in six recently identified subsets according to race, education, gender, and age. Young black males with limited education had the highest Ho scale levels (mean = 26.2) while older white females with more education had the lowest levels (mean = 15.5). In all subgroups, education was inversely associated with hostility. The findings suggest a possible mechanism whereby CHD risk is higher in males than females, in the less educated than the more educated, and in blacks than whites. In all race and gender subgroups, total Ho scale scores and the six subsets were positively correlated with negative life events and negatively correlated with social support, supporting a pattern of psychosocial vulnerability found in other studies.
本报告描述了在一项冠心病（CHD）危险因素前瞻性研究中的5115名年轻成年参与者样本中，库克-梅德利敌意（Ho）量表得分与种族、教育程度、性别和年龄之间的关系。根据种族、教育程度、性别和年龄，在总Ho量表得分以及最近确定的六个子集中观察到了很大差异。受教育程度有限的年轻黑人男性Ho量表水平最高（平均 = 26.2），而受教育程度较高的老年白人女性水平最低（平均 = 15.5）。在所有亚组中，教育程度与敌意呈负相关。研究结果表明了一种可能的机制，即男性患冠心病的风险高于女性，受教育程度较低者高于受教育程度较高者，黑人高于白人。在所有种族和性别亚组中，总Ho量表得分和六个子集与负面生活事件呈正相关，与社会支持呈负相关，支持了其他研究中发现的心理社会易损性模式。
