Perceived stress and cardiovascular disease in a community-based population

IF 1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Heart and Mind Pub Date : 2022-10-01 DOI:10.4103/hm.hm_55_22
Yasi Zhang, Aijie Zhang, Jianbang Xiang, Yi-qiang Zhan
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Abstract

Background: Perceived stress plays an important role in the pathogenesis of cardiovascular diseases (CVDs). Their associations with CVDs in the Chinese population are less investigated. The present study aims to investigate the associations of perceived stress with well-defined CVDs in a population-based survey in Shenzhen, China. Methods: In the community-based survey, we recruited 2,287 participants aged 18 years and over from 8 communities in Shenzhen, China. Perceived stress was assessed using the modified Chinese version of the Perceived Stress Scale with 14 items and a five-point Likert scale. CVDs including coronary heart disease, heart failure, and atrial fibrillation were ascertained from electronic health records and confirmed by family physicians. Potential confounders included age, sex, educational attainment, occupation, smoking, and alcohol-drinking habits. Multivariable logistic regression models were employed to estimate the magnitude of the associations. Results: Overall, the average perceived stress score was 37.2 (standard error: 7.2 and range: 14–70) among the participants. The prevalence of CVDs was 2.7%. After controlling for age, sex, educational attainment, occupation, smoking, and alcohol-drinking habits, a higher perceived stress score was significantly associated with higher risks of CVDs (odds ratio [OR]: 1.25, 95% confidence interval [CI]: 1.01–1.55). The associations were comparable among men (OR: 1.20, 95% CI: 1.01–1.43) and women (OR: 1.29, 95% CI: 1.02–1.63). We also examined the potential nonlinear relationship using restricted cubic spines and found that the relationship was almost linear. Conclusions: Our analysis showed that higher perceived stress was associated with higher risks of CVDs among adults. Future studies are warranted to clarify the biological mechanisms and shed light on these associations.
社区人群的感知压力和心血管疾病
背景:感知压力在心血管疾病(CVD)的发病机制中起着重要作用。在中国人群中,他们与心血管疾病的关系研究较少。本研究旨在调查在中国深圳进行的一项基于人群的调查中,感知压力与明确的心血管疾病之间的关系。方法:在社区调查中,我们从中国深圳的8个社区招募了2287名18岁及以上的参与者。使用改良的中文版感知压力量表评估感知压力,该量表包含14个项目和一个5分的Likert量表。心血管疾病,包括冠心病、心力衰竭和心房颤动,从电子健康记录中确定,并由家庭医生确认。潜在的混杂因素包括年龄、性别、教育程度、职业、吸烟和饮酒习惯。采用多变量逻辑回归模型来估计关联的大小。结果:总体而言,参与者的平均感知压力得分为37.2(标准误差:7.2,范围:14-70)。CVDs的患病率为2.7%。在控制了年龄、性别、教育程度、职业、吸烟和饮酒习惯后,感知压力评分越高,患心血管疾病的风险越高(比值比[OR]:1.25,95%置信区间[CI]:1.01–1.55)。男性(OR:1.20,95%CI:1.01–1.43)和女性(OR:1.29,95%CI:1.02–1.63)之间的相关性可比几乎是线性的。结论:我们的分析表明,在成年人中,感知压力越高,患心血管疾病的风险越高。未来的研究有必要澄清生物学机制并阐明这些关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
10
审稿时长
19 weeks
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