Social Support, Social Network Size, Social Strain, Stressful Life Events, and Coronary Heart Disease in Women With Type 2 Diabetes: A Cohort Study Based on the Women's Health Initiative

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Miao Jonasson, Junmei,1972Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Univ Gothenburg, Sweden (author)

Social Support, Social Network Size, Social Strain, Stressful Life Events, and Coronary Heart Disease in Women With Type 2 Diabetes: A Cohort Study Based on the Women's Health Initiative

Article/chapterEnglish2020

Publisher, publication year, extent ...

2020-06-04
American Diabetes Association,2020

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LIBRIS-ID:oai:gup.ub.gu.se/295139
https://gup.ub.gu.se/publication/295139URI
https://doi.org/10.2337/dc19-2065DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-168263URI

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Language:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Funding Agencies|National Heart, Lung, and Blood Institute, National Institutes of Health, U.S. Department of Health and Human ServicesUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Heart Lung & Blood Institute (NHLBI) [HHSN268201600018C, HHSN268201600001C, HHSN268201600002C, HHSN268201600003C, HHSN268201600004C]
OBJECTIVE We studied associations between social support, social network size, social strain, or stressful life events and risk of coronary heart disease (CHD) in postmenopausal women with type 2 diabetes. RESEARCH DESIGN AND METHODS From the Women's Health Initiative, 5,262 postmenopausal women with type 2 diabetes at baseline were included. Cox proportional hazards regression models adjusted for demographics, depressive symptoms, anthropometric variables, and lifestyle factors were used to examine associations between social factors and CHD. RESULTS A total of 672 case subjects with CHD were observed during an average 12.79 (SD 6.29) years of follow-up. There was a significant linear trend toward higher risk of CHD as the number of stressful life events increased (Pfor trend = 0.01; hazard ratio [HR] [95% CI] for the third and fourth quartiles compared with first quartile: 1.27 [1.03-1.56] and 1.30 [1.04-1.64]). Being married or in an intimate relationship was related to decreased risk of CHD (HR 0.82 [95% CI 0.69-0.97]). CONCLUSIONS Among postmenopausal women with type 2 diabetes, higher levels of stressful life events were associated with higher risk of CHD. Experience of stressful life events might be considered as a risk factor for CHD among women with type 2 diabetes.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Endokrinologi och diabetes hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Endocrinology and Diabetes hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Allmänmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine General Practice hsv//eng
line characteristics
self-management
risk
epidemiology
metaanalysis
mortality
trials
family
Endocrinology & Metabolism

Added entries (persons, corporate bodies, meetings, titles ...)

Hendryx, M.Indiana Univ, IN USA (author)
Shadyab, A. H.Univ Calif San Diego, CA 92093 USA (author)
Kelley, E.Case Western Reserve Univ, OH 44106 USA; Univ Hosp MacDonald Womens Hosp, OH USA (author)
Johnson, K. C.Univ Tennessee, TN 38163 USA (author)
Kroenke, C. H.Kaiser Permanente Northern Calif, CA USA (author)
Garcia, L.Univ Calif Davis, CA 95616 USA (author)
Sederholm Lawesson, Sofia,1973-Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)sofla80 (author)
Santosa, AilianaGothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Univ Gothenburg, Sweden(Swepub:gu)xsanai (author)
Sealy-Jefferson, S.Virginia Commonwealth Univ, VA USA (author)
Lin, X. C.Univ N Carolina, NC 27515 USA (author)
Cene, C. W.Univ N Carolina, NC 27515 USA (author)
Liu, S. M.Brown Univ, RI USA (author)
Valdiviezo, C.MedStar Georgetown Univ Hosp, DC USA (author)
Luo, J. H.Indiana Univ, IN USA (author)
Göteborgs universitetInstitutionen för medicin, avdelningen för samhällsmedicin och folkhälsa (creator_code:org_t)

Related titles

In:Diabetes care: American Diabetes Association43:8, s. 1759-17660149-59921935-5548

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By the author/editor: Miao Jonasson, J ...; Hendryx, M.; Shadyab, A. H.; Kelley, E.; Johnson, K. C.; Kroenke, C. H.; show more...; Garcia, L.; Sederholm Lawess ...; Santosa, Ailiana; Sealy-Jefferson, ...; Lin, X. C.; Cene, C. W.; Liu, S. M.; Valdiviezo, C.; Luo, J. H.; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Endocrinology an ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and General Practice

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