Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries
Digital
- Autores:
-
Santosa, Ailiana
Rosengren, Annika
Ramasundarahettige, Chinthanie
Rangarajan, Sumathy
Chifamba, Jephat
Lear, Scott A.
Poirier, Paul
Yeates, Karen
Yusuf, Rita
Orlandini, Andreas
Weida, Liu
Sidong, Li
Yibing, Zhu
Mohan, Viswanathan
Kaur, Manmeet
Zatonska, Katarzyna
Ismail, Noorhassim
Lopez-Jaramillo, Patricio
Iqbal, Romaina
Palileo-Villanueva, Lia M.
Yusufali, Afzalhusein H.
AlHabib, Khalid F.
Yusuf, Salim
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2021
- Institución:
- Universidad de Santander
- Repositorio:
- Repositorio Universidad de Santander
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.udes.edu.co:001/6108
- Acceso en línea:
- https://repositorio.udes.edu.co/handle/001/6108
- Palabra clave:
- Rights
- openAccess
- License
- © 2021 Santosa A et al. JAMA Network Open.
| id |
RUDES2_1a5909dabb073d55c3a4c28d147f39f4 |
|---|---|
| oai_identifier_str |
oai:repositorio.udes.edu.co:001/6108 |
| network_acronym_str |
RUDES2 |
| network_name_str |
Repositorio Universidad de Santander |
| repository_id_str |
|
| dc.title.spa.fl_str_mv |
Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries |
| title |
Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries |
| spellingShingle |
Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries |
| title_short |
Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries |
| title_full |
Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries |
| title_fullStr |
Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries |
| title_full_unstemmed |
Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries |
| title_sort |
Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries |
| dc.creator.fl_str_mv |
Santosa, Ailiana Rosengren, Annika Ramasundarahettige, Chinthanie Rangarajan, Sumathy Chifamba, Jephat Lear, Scott A. Poirier, Paul Yeates, Karen Yusuf, Rita Orlandini, Andreas Weida, Liu Sidong, Li Yibing, Zhu Mohan, Viswanathan Kaur, Manmeet Zatonska, Katarzyna Ismail, Noorhassim Lopez-Jaramillo, Patricio Iqbal, Romaina Palileo-Villanueva, Lia M. Yusufali, Afzalhusein H. AlHabib, Khalid F. Yusuf, Salim |
| dc.contributor.author.none.fl_str_mv |
Santosa, Ailiana Rosengren, Annika Ramasundarahettige, Chinthanie Rangarajan, Sumathy Chifamba, Jephat Lear, Scott A. Poirier, Paul Yeates, Karen Yusuf, Rita Orlandini, Andreas Weida, Liu Sidong, Li Yibing, Zhu Mohan, Viswanathan Kaur, Manmeet Zatonska, Katarzyna Ismail, Noorhassim Lopez-Jaramillo, Patricio Iqbal, Romaina Palileo-Villanueva, Lia M. Yusufali, Afzalhusein H. AlHabib, Khalid F. Yusuf, Salim |
| dc.contributor.researchgroup.spa.fl_str_mv |
Masira |
| description |
Digital |
| publishDate |
2021 |
| dc.date.issued.none.fl_str_mv |
2021-12-15 |
| dc.date.accessioned.none.fl_str_mv |
2022-02-22T19:54:27Z |
| dc.date.available.none.fl_str_mv |
2022-02-22T19:54:27Z |
| dc.type.spa.fl_str_mv |
Artículo de revista |
| dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
| dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
| dc.type.content.spa.fl_str_mv |
Text |
| dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/article |
| dc.type.redcol.spa.fl_str_mv |
http://purl.org/redcol/resource_type/ART |
| dc.type.version.spa.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| format |
http://purl.org/coar/resource_type/c_6501 |
| status_str |
publishedVersion |
| dc.identifier.doi.none.fl_str_mv |
10.1001/jamanetworkopen.2021.38920 |
| dc.identifier.uri.none.fl_str_mv |
https://repositorio.udes.edu.co/handle/001/6108 |
| identifier_str_mv |
10.1001/jamanetworkopen.2021.38920 |
| url |
https://repositorio.udes.edu.co/handle/001/6108 |
| dc.language.iso.spa.fl_str_mv |
eng |
| language |
eng |
| dc.relation.citationendpage.spa.fl_str_mv |
11 |
| dc.relation.citationissue.spa.fl_str_mv |
12 |
| dc.relation.citationstartpage.spa.fl_str_mv |
1 |
| dc.relation.citationvolume.spa.fl_str_mv |
4 |
| dc.relation.cites.none.fl_str_mv |
Santosa A, Rosengren A, Ramasundarahettige C, et al. Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort From 21 Low-, Middle-, and High-Income Countries. JAMA Netw Open. 2021;4(12):e2138920. doi:10.1001/jamanetworkopen.2021.38920 |
| dc.relation.indexed.spa.fl_str_mv |
Scopus |
| dc.relation.ispartofjournal.spa.fl_str_mv |
JAMA Network Open |
| dc.rights.spa.fl_str_mv |
© 2021 Santosa A et al. JAMA Network Open. |
| dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
| dc.rights.accessrights.spa.fl_str_mv |
info:eu-repo/semantics/openAccess |
| dc.rights.creativecommons.spa.fl_str_mv |
Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0) |
| dc.rights.uri.spa.fl_str_mv |
https://creativecommons.org/licenses/by-nc/4.0/ |
| rights_invalid_str_mv |
© 2021 Santosa A et al. JAMA Network Open. Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
| eu_rights_str_mv |
openAccess |
| dc.format.extent.spa.fl_str_mv |
11 p |
| dc.format.mimetype.spa.fl_str_mv |
application/pdf |
| dc.publisher.spa.fl_str_mv |
JAMA Network Open |
| dc.publisher.place.spa.fl_str_mv |
USA |
| dc.source.spa.fl_str_mv |
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2787178 |
| institution |
Universidad de Santander |
| bitstream.url.fl_str_mv |
https://repositorio.udes.edu.co/bitstreams/99594455-caaa-4c83-aee7-fd2678729562/download https://repositorio.udes.edu.co/bitstreams/feb5829c-1c82-47b8-9bfb-8a87114e511a/download https://repositorio.udes.edu.co/bitstreams/e6ac6740-ae9c-40b9-bc81-fd040a913004/download https://repositorio.udes.edu.co/bitstreams/0d987833-9af1-4461-a684-a3771f439cd9/download |
| bitstream.checksum.fl_str_mv |
0b9b3a20cae0759d92cf0a84c51881dd 38d94cf55aa1bf2dac1a736ac45c881c 5dbe86c1111d64f45ba435df98fdc825 1be440c372f10a0354a0320f53dd458a |
| bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 |
| repository.name.fl_str_mv |
Repositorio Universidad de Santander |
| repository.mail.fl_str_mv |
soporte@metabiblioteca.com |
| _version_ |
1814158967399514112 |
| spelling |
Santosa, Ailiana338cf7ed-4120-4137-9c86-604666fb5b68-1Rosengren, Annika923779f9-3a92-4086-b3d9-9d78974926d9-1Ramasundarahettige, Chinthanie76b2878f-0db1-4aaa-b925-598d763e666c-1Rangarajan, Sumathy5466c363-e515-4bd2-8537-eb839320f385-1Chifamba, Jephatf2496279-e934-40b8-8f61-0039a09f03f8-1Lear, Scott A.dc924e5a-246b-40a8-b08f-59610fa89be1-1Poirier, Paul582804c9-12d8-40fc-b146-7e224c5d4312-1Yeates, Karen79418492-ec06-4cc6-831a-4bf5b245b584-1Yusuf, Rita73629390-dae0-4d21-aca0-90da88bd2808-1Orlandini, Andreas54cd9fc2-89f0-42dc-a8aa-aa3a7bdfb882-1Weida, Liu3d44a57f-7c80-40ce-af79-14f76d7251b3-1Sidong, Li5db779d4-23bf-4a24-906e-5f4dd3b1497f-1Yibing, Zhu0e2fb566-9c69-43b3-aacf-fe3e2e4a9ce9-1Mohan, Viswanathane7246d73-7de3-4d86-9c7b-b9ca011e618b-1Kaur, Manmeet857257e4-cebb-4bea-8d9b-e134b46dc72b-1Zatonska, Katarzyna6d84170f-b69c-462b-9d93-3f363491580a-1Ismail, Noorhassim1101b3a5-610e-458d-87ec-bde747adae7c-1Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Iqbal, Romaina015cbc16-dd01-4e26-adff-257bb8827f50-1Palileo-Villanueva, Lia M.b5d2da3d-2ef2-4351-925d-14ba6471d251-1Yusufali, Afzalhusein H.320fc988-ee98-4d61-9c02-c87c2f2be6f9-1AlHabib, Khalid F.49cf9a4d-2bdf-4356-b613-9ef98a77f4c3-1Yusuf, Salim06a836b5-f5e3-41d9-a516-9cc46e5d7948-1Masira2022-02-22T19:54:27Z2022-02-22T19:54:27Z2021-12-15DigitalIMPORTANCE Stress may increase the risk of cardiovascular disease (CVD). Most studies on stress and CVD have been conducted in high-income Western countries, but whether stress is associated with CVD in other settings has been less well studied. OBJECTIVE To investigate the association of a composite measure of psychosocial stress and the development of CVD events and mortality in a large prospective study involving populations from 21 high-, middle-, and low-income countries across 5 continents. DESIGN, SETTING, AND PARTICIPANTS This population-based cohort study used data from the Prospective Urban Rural Epidemiology study, collected between January 2003 and March 2021. Participants included individuals aged 35 to 70 years living in 21 low-, middle-, and high-income countries. Data were analyzed from April 8 to June 15, 2021. EXPOSURES All participants were assessed on a composite measure of psychosocial stress assessed at study entry using brief questionnaires concerning stress at work and home, major life events, and financial stress. MAIN OUTCOMES AND MEASURES The outcomes of interest were stroke, major coronary heart disease (CHD), CVD, and all-cause mortality. RESULTS A total of 118 706 participants (mean [SD] age 50.4 [9.6] years; 69 842 [58.8%] women and 48 864 [41.2%] men) without prior CVD and with complete baseline and follow-up data were included. Of these, 8699 participants (7.3%) reported high stress, 21 797 participants (18.4%) reported moderate stress, 34 958 participants (29.4%) reported low stress, and 53 252 participants (44.8%) reported no stress. High stress, compared with no stress, was more likely with younger age (mean [SD] age, 48.9 [8.9] years vs 51.1 [9.8] years), abdominal obesity (2981 participants [34.3%] vs 10 599 participants [19.9%]), current smoking (2319 participants [26.7%] vs 10 477 participants [19.7%]) and former smoking (1571 participants [18.1%] vs 3978 participants [7.5%]), alcohol use (4222 participants [48.5%] vs 13 222 participants [24.8%]), and family history of CVD (5435 participants [62.5%] vs 20 255 participants [38.0%]). During a median (IQR) follow-up of 10.2 (8.6-11.9) years, a total of 7248 deaths occurred. During the course of follow-up, there were 5934 CVD events, 4107 CHD events, and 2880 stroke events. Compared with no stress and after adjustment for age, sex, education, marital status, location, abdominal obesity, hypertension, smoking, diabetes, and family history of CVD, as the level of stress increased, there were increases in risk of death (low stress: hazard ratio [HR], 1.09 [95% CI, 1.03-1.16]; high stress: 1.17 [95% CI, 1.06-1.29]) and CHD (low stress: HR, 1.09 [95% CI, 1.01-1.18]; high stress: HR, 1.24 [95% CI, 1.08-1.42]). High stress, but not low or moderate stress, was associated with CVD (HR, 1.22 [95% CI, 1.08-1.37]) and stroke (HR, 1.30 [95% CI, 1.09-1.56]) after adjustment. CONCLUSIONS AND RELEVANCE This cohort study found that higher psychosocial stress, measured as a composite score of self-perceived stress, life events, and financial stress, was significantly associated with mortality as well as with CVD, CHD, and stroke events.Ciencias Médicas y de la Salud11 papplication/pdf10.1001/jamanetworkopen.2021.38920https://repositorio.udes.edu.co/handle/001/6108engJAMA Network OpenUSA111214Santosa A, Rosengren A, Ramasundarahettige C, et al. Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort From 21 Low-, Middle-, and High-Income Countries. JAMA Netw Open. 2021;4(12):e2138920. doi:10.1001/jamanetworkopen.2021.38920ScopusJAMA Network Open© 2021 Santosa A et al. JAMA Network Open.info:eu-repo/semantics/openAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2787178Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income CountriesArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationORIGINALPsychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries.pdfPsychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries.pdfapplication/pdf274674https://repositorio.udes.edu.co/bitstreams/99594455-caaa-4c83-aee7-fd2678729562/download0b9b3a20cae0759d92cf0a84c51881ddMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-859https://repositorio.udes.edu.co/bitstreams/feb5829c-1c82-47b8-9bfb-8a87114e511a/download38d94cf55aa1bf2dac1a736ac45c881cMD52TEXTPsychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries.pdf.txtPsychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries.pdf.txtExtracted texttext/plain5https://repositorio.udes.edu.co/bitstreams/e6ac6740-ae9c-40b9-bc81-fd040a913004/download5dbe86c1111d64f45ba435df98fdc825MD53THUMBNAILPsychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries.pdf.jpgPsychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort from 21 Low-, Middle-, and High-Income Countries.pdf.jpgGenerated Thumbnailimage/jpeg11323https://repositorio.udes.edu.co/bitstreams/0d987833-9af1-4461-a684-a3771f439cd9/download1be440c372f10a0354a0320f53dd458aMD54001/6108oai:repositorio.udes.edu.co:001/61082023-10-09 16:47:45.674https://creativecommons.org/licenses/by-nc/4.0/© 2021 Santosa A et al. JAMA Network Open.https://repositorio.udes.edu.coRepositorio Universidad de Santandersoporte@metabiblioteca.comTGljZW5jaWEgZGUgUHVibGljYWNpw7NuIFVERVMKRGlyZWN0cmljZXMgZGUgVVNPIHkgQUNDRVNPCgo= |