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Sökning: id:"swepub:oai:gup.ub.gu.se/72347" > Psychosocial factor...

  • Rosengren, Annika,1951 (författare)

Psychosocial factors and venous thromboembolism: a long-term follow-up study of Swedish men

  • Artikel/kapitelEngelska2008

Förlag, utgivningsår, omfång ...

  • Elsevier BV,2008

Nummerbeteckningar

  • LIBRIS-ID:oai:gup.ub.gu.se/72347
  • https://gup.ub.gu.se/publication/72347URI
  • https://doi.org/10.1111/j.1538-7836.2007.02857.xDOI

Kompletterande språkuppgifter

  • Språk:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • BACKGROUND: The link between psychosocial factors and coronary heart disease is well established, but although effects on coagulation and fibrinolysis variables may be implicated, no population-based study has sought to determine whether venous thromboembolism is similarly related to psychosocial factors. OBJECTIVE: To determine whether venous thromboembolism (deep vein thrombosis or pulmonary embolism) is related to psychosocial factors. PATIENTS/METHODS: A stress questionnaire was filled in by 6958 men at baseline from 1970 to 1973, participants in a cardiovascular intervention trial. Their occupation was used to determine socio-economic status. RESULTS: After a maximum follow-up of 28.8 years, 358 cases of deep vein thrombosis and/or pulmonary embolism were identified through the Swedish hospital discharge and cause-specific death registries. In comparison with men who, at baseline, had no or moderate stress, men with persistent stress had increased risk of pulmonary embolism [hazard ratio (HR)=1.80, 95% CI: 1.21-2.67]. After multivariable adjustment, the HR decreased slightly to 1.66 (95% CI: 1.12-2.48). When compared with manual workers, men with white-collar jobs at intermediate or high level and professionals showed an inverse relationship between occupational class and pulmonary embolism (multiple-adjusted HR=0.57, 95% CI: 0.39-0.83). Deep vein thrombosis was not significantly related to either stress or occupational class. CONCLUSION: Both persistent stress and low occupational class were independently related to future pulmonary embolism. The mechanisms are unknown, but effects on coagulation and fibrinolytic factors are likely.

Ämnesord och genrebeteckningar

  • MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
  • MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
  • Aged
  • 80 and over
  • Alcoholism/epidemiology
  • Body Mass Index
  • Cardiovascular Diseases/mortality
  • Confounding Factors (Epidemiology)
  • Diabetes Mellitus/epidemiology
  • Follow-Up Studies
  • Humans
  • Hyperlipidemias/epidemiology
  • Hypertension/epidemiology
  • Intervention Studies
  • Leisure Activities
  • Male
  • Neoplasms/mortality
  • Occupations/statistics & numerical data
  • Proportional Hazards Models
  • Pulmonary Embolism/*epidemiology/etiology/psychology
  • Questionnaires
  • Risk Factors
  • Smoking/epidemiology
  • Social Class
  • Stress
  • Psychological/*epidemiology
  • Sweden/epidemiology
  • Thrombophlebitis/*epidemiology/etiology/psychology

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Freden, M. (författare)
  • Hansson, Per-Olof,1958 (författare)
  • Wilhelmsen, Lars,1932Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för akut och kardiovaskulär medicin,Institute of Medicine, Department of Emergeny and Cardiovascular Medicine(Swepub:gu)xwilhl (författare)
  • Wedel, H. (författare)
  • Eriksson, Henry,1946 (författare)
  • Göteborgs universitetInstitutionen för medicin, avdelningen för akut och kardiovaskulär medicin (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Thrombosis and Haemostasis: Elsevier BV6:4, s. 558-641538-7836

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