Life Events as Risk Factors for Myocardial Infarction: A Pilot Case-control Study in Kolkata, India
This case-control study was conducted in the Cardiology Department of Medical College, Kolkata, India, during 2000-2001, to explore the link between stressful life events and subsequent myocardial infarction (MI). One hundred consecutive confirmed MI patients were selected as a case group. One hundr...
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Published in | Journal of health, population and nutrition Vol. 23; no. 2 |
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Main Authors | , , , , , |
Format | Journal Article |
Published |
Bangladesh
ICDDR,B: Centre for Health and Population Research
18.07.2006
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Subjects | |
Online Access | Get full text |
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Summary: | This case-control study was conducted in the Cardiology Department of
Medical College, Kolkata, India, during 2000-2001, to explore the link
between stressful life events and subsequent myocardial infarction
(MI). One hundred consecutive confirmed MI patients were selected as a
case group. One hundred age-, sex- and income-matched controls were
selected from visitors other than relatives who attended these
patients. The subjects were interviewed and asked to rate 61 life
events with a number between 0 and 20. They also noted which of these
they had experienced in the last one year. The main exposure variables
included life events as per E.S. Paykel, smoking, alcohol consumption,
chewing of tobacco, marital status, literacy, employment, and monthly
per-capita income. The results showed that an MI patient was likely to
experience 4.16 stressful life events, which were twice as much as the
control group (2.24). The total stress score was the highest for
serious personal illness followed by illness of family members and
unemployment for the MI patients. For the controls, conflict between
husband and wife, death of friends, and personal illness had the
highest total stress score. The mean stress score for the MI patients
was 35.5 compared to 17.35 among the controls. The MI subjects were
more likely to have experienced stressful life events than the
controls. |
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ISSN: | 1606-0997 2072-1315 |