Fukita Susumu, Kawasaki Hiromi, Yamasaki Satoko
Faculty of Nursing & Medical Care, Keio University, Tokyo, Japan.
Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
Iran J Public Health. 2021 Apr;50(4):701-709. doi: 10.18502/ijph.v50i4.5994.
Type A behavior pattern has been presented as a risk for coronary heart disease and defined as a psychological-behavioral construct. This study aimed to identify the influence of type A behavior pattern on blood pressure in the current cultural context of Japan.
This study utilized a cross-sectional design. Self-administered questionnaires were distributed to community residents aged 40-59 yr in western Japan from Aug to Sep 2017. The data included participant's demographic information (including socioeconomic variables); information related to blood pressure, type A behavior pattern, psychological factors, and health-related behaviors. Logistic regression was used to identify the influence of type A behavior pattern on systolic blood pressure after adjusting for behavioral, psychological, and socioeconomic factors.
The sample included 362 participants with a mean age of 51.5 years ( = 5.96); 148 (41.2%) men. A logistic regression demonstrated that type A behavior pattern was negatively associated with systolic blood pressure (OR = 0.43, 95% CI [0.22, 0.83]) after adjusting for sex and age. Similar results were observed after adjusting for other covariates.
There may be a negative association between type A behavior pattern and systolic blood pressure among adults living in the current cultural context of Japan.
A型行为模式已被视为冠心病的一个风险因素,并被定义为一种心理行为结构。本研究旨在确定在日本当前文化背景下,A型行为模式对血压的影响。
本研究采用横断面设计。2017年8月至9月,向日本西部40 - 59岁的社区居民发放了自填式问卷。数据包括参与者的人口统计学信息(包括社会经济变量);与血压、A型行为模式、心理因素和健康相关行为有关的信息。在对行为、心理和社会经济因素进行调整后,采用逻辑回归分析来确定A型行为模式对收缩压的影响。
样本包括362名参与者,平均年龄为51.5岁(标准差 = 5.96);其中148名(41.2%)为男性。逻辑回归分析表明,在对性别和年龄进行调整后,A型行为模式与收缩压呈负相关(比值比 = 0.43,95%置信区间[0.22, 0.83])。在对其他协变量进行调整后,观察到了类似的结果。
在日本当前文化背景下生活的成年人中,A型行为模式与收缩压之间可能存在负相关。