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Sökning: WFRF:(Wasay Mohammad) > (2022) > Association of Psyc...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005359naa a2200697 4500
001oai:gup.ub.gu.se/322700
003SwePub
008240528s2022 | |||||||||||000 ||eng|
0247 a https://gup.ub.gu.se/publication/3227002 URI
0247 a https://doi.org/10.1001/jamanetworkopen.2022.448362 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Reddin, Catriona4 aut
2451 0a Association of Psychosocial Stress With Risk of Acute Stroke.
264 c 2022-12-09
264 1b American Medical Association (AMA),c 2022
520 a Psychosocial stress is considered a modifiable risk factor for stroke. Given the prevalence of chronic and acute exposure to stress, it represents a potentially attractive target for population-health interventions.To determine the association of psychosocial stress with the risk of acute stroke and explore factors that might modify the association of stress with risk of acute stroke in a large international population.INTERSTROKE is an international retrospective case-control study of risk factors for first acute stroke in 32 countries in Asia, North and South America, Europe, Australia, the Middle East, and Africa. A total of 13462 patients with stroke and 13488 matched controls were recruited between January 11, 2007, and August 8, 2015. The present analyses were performed from June 1 to 30, 2021, and included 13350 cases and 13462 controls with available data on psychosocial stress.Psychosocial stress and occurrence of stressful life events within the preceding year were measured using a standardized questionnaire of self-reported stress at home and work.The association of stress with acute stroke and its subtypes was examined using multivariable conditional logistic regression and factors that might modify the association, particularly self-reported locus of control.Among 26812 participants included in the analysis, the mean (SD) age of cases was 62.2 (13.6) years; that of controls, 61.3 (13.3) years; 7960 cases (59.6%) and 8017 controls (59.6%) were men. Several periods of stress and permanent stress were reported for 2745 cases (20.5%) and 1933 controls (14.4%), with marked regional variation in prevalence, with the lowest in China (201 of 3981 [5.0%] among controls and 364 of 3980 [9.1%] among cases) and highest in South East Asia (233 of 855 [26.1%] among controls and 241 of 782 [30.8%] among cases). Increased stress at home (odds ratio [OR], 1.95 [95% CI, 1.77-2.15]) and at work (OR, 2.70 [95% CI, 2.25-3.23]) and recent stressful life events (OR, 1.31 [95% CI, 1.19-1.43]) were associated with an increased risk of acute stroke on multivariable analyses (vs no self-reported stress). Higher locus of control at home was associated with a reduced odds of all stroke (OR, 0.73 [95% CI, 0.68-0.79]), and higher locus of control both at work and at home were associated with a lower odds of acute stroke and significantly diminished the association with stress at work (OR, 2.20 [95% CI, 1.88-2.58]; P =.008 for interaction) and home (OR, 1.69 [95% CI, 1.44-1.98]; P < .001 for interaction) for acute stroke.Psychosocial stress is a common risk factor for acute stroke. The findings of this case-control study suggest that higher locus of control is associated with lower risk of stroke and may be an important effect modifier of the risk associated with psychosocial stress.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng
653 a Male
653 a Humans
653 a Middle Aged
653 a Female
653 a Case-Control Studies
653 a Retrospective Studies
653 a Stroke
653 a epidemiology
653 a etiology
653 a Risk Factors
653 a Stress
653 a Psychological
653 a complications
653 a epidemiology
7001 a Murphy, Robert4 aut
7001 a Hankey, Graeme J4 aut
7001 a Judge, Conor4 aut
7001 a Xavier, Denis4 aut
7001 a Rosengren, Annika,d 1951u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xrosan
7001 a Ferguson, John4 aut
7001 a Alvarez-Iglesias, Alberto4 aut
7001 a Oveisgharan, Shahram4 aut
7001 a Iversen, Helle K4 aut
7001 a Lanas, Fernando4 aut
7001 a Al-Hussein, Fawaz4 aut
7001 a Czlonkowska, Anna4 aut
7001 a Oguz, Aytekin4 aut
7001 a McDermott, Clodagh4 aut
7001 a Pogosova, Nana4 aut
7001 a Málaga, German4 aut
7001 a Langhorne, Peter4 aut
7001 a Wang, Xingyu4 aut
7001 a Wasay, Mohammad4 aut
7001 a Yusuf, Salim4 aut
7001 a O'Donnell, Martin4 aut
7102 a Göteborgs universitetb Institutionen för medicin, avdelningen för molekylär och klinisk medicin4 org
7730 t JAMA network opend : American Medical Association (AMA)g 5:12q 5:12x 2574-3805
8564 8u https://gup.ub.gu.se/publication/322700
8564 8u https://doi.org/10.1001/jamanetworkopen.2022.44836

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