Institute of Social and Preventive Medicine, University Hospital of Lausanne, Lausanne, Switzerland.
Ministry of Health, Victoria, Republic of Seychelles.
Stress Health. 2018 Feb;34(1):93-101. doi: 10.1002/smi.2766. Epub 2017 Jun 6.
The direction and magnitude of the associations between cardiovascular risk factors (CVRFs) and psychological stress continue to be debated, and no data are available from surveys in the African region. In this study, we examine the associations between CVRFs and psychological stress in the Seychelles, a rapidly developing small island state in the African region. A survey was conducted in 1,240 adults aged 25-64 years representative of the Seychelles. Participants were asked to rank psychological stress that they had experienced during the past 12 months in four domains: work, social life, financial situation, and environment around home. CVRFs (high blood pressure, tobacco use, alcohol drinking, and obesity) were assessed using standard procedures. Psychological stress was associated with age, sex, and socioeconomic status. Overall, there were only few consistent associations between psychological stress and CVRFs, adjusting for age, sex, and socioeconomic status. Social stress was associated with smoking, drinking, and obesity, and there were marginal associations between stress at work and drinking, and between financial stress, and smoking and drinking. Psychological stress was not associated with high blood pressure. These findings suggest that psychological stress should be considered in cardiovascular disease prevention and control strategies.
心血管危险因素 (CVRFs) 和心理压力之间的关联方向和程度仍存在争议,非洲地区的调查尚无相关数据。本研究在塞舌尔群岛(非洲地区一个快速发展的小岛屿国家)调查了 CVRFs 和心理压力之间的关联。该调查在 25-64 岁的 1240 名成年人中进行,该人群具有塞舌尔代表性。参与者被要求在四个领域(工作、社会生活、财务状况和家庭环境)中对过去 12 个月经历的心理压力进行排名。使用标准程序评估心血管危险因素(高血压、吸烟、饮酒和肥胖)。心理压力与年龄、性别和社会经济地位有关。总体而言,在调整年龄、性别和社会经济地位后,心理压力与 CVRFs 之间只有少数一致的关联。社会压力与吸烟、饮酒和肥胖有关,工作压力与饮酒之间以及财务压力与吸烟和饮酒之间存在边缘关联。心理压力与高血压无关。这些发现表明,在制定心血管疾病预防和控制策略时应考虑心理压力。