Socioeconomic status variables predict cardiovascular disease risk factors and prospective mortality risk among women with chest pain. The WISE Study.

Abstract:

:This study examined the relationship between socioeconomic status (SES), coronary artery disease (CAD) risk factors, and all-cause mortality in a cohort of women with chest pain. A total of 743 women (mean age = 59.6 years) with chest pain who were referred for coronary angiography completed a diagnostic protocol including CAD risk factor assessment, ischemic testing, psychosocial testing, and queries of SES. Patients were followed for about 2 years to track subsequent all-cause mortality. Results indicated that low SES was associated with CAD risk factors, including higher BMI and waist-hip ratios, cigarette smoking, lower reported activity levels, and a greater probability of hypertension. Low income also predicted all-cause mortality (RR = 2.7, 95% CI 1.4, 5.2), including after adjusting for proposed psychosocial and behavioral variables (RR = 5.9, 95% CI 1.2-29.7). Future research will require a thorough a priori focus on potential mechanisms to better understand SES effects on health.

journal_name

Behav Modif

journal_title

Behavior modification

authors

Rutledge T,Reis SE,Olson M,Owens J,Kelsey SF,Pepine CJ,Reichek N,Rogers WJ,Bairey-Merz CN,Sopko G,Cornell CE,Matthews KA

doi

10.1177/0145445502238693

keywords:

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

54-67

issue

1

eissn

0145-4455

issn

1552-4167

journal_volume

27

pub_type

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