Associations between high levels of hostility and coronary heart disease in an open urban population among 25—64-year-old men

Abstract

Aim. To establish the associations of the prevalence of coronary heart disease (CHD) with high levels of hostility in the open population of 25—64-year-old men in an average urbanized Siberian town. Subjects and methods. A cross-sectional epidemiological survey was conducted in a representative sample of the electorate of a Tyumen administrative district among 1000 males, with 250 being in each of 4 life decades (25—34, 35—44, 45—54, and 55—64 years). There were 850 (85%) responses. Different forms of CHD were identified by standard methods (the WHO exertional angina questionnaire, resting EEG, and Minnesota coding) used in epidemiological surveys. Definite CHD (DCHD) and possible CHD were identified. A continuous survey method was used by self-filling out the WHO MONICA-psychosocial questionnaire to estimate the levels of hostility. Results. In an average urbanized Siberian town, the prevalence of high levels of hostility among 25—64-year-old men was 46.4% (age-adjusted rate). The high levels of hostility increased with age, peaking in the 55—64-year-old group. In the Tyumen male population aged 25—64-year-old, the odds ratio (OR) for coronary heart disease and high levels of hostility was 2.71; 95% confidence interval (CI), 1.63—4.52 (p

Keywords

• epidemiological survey
• open population
• men
• coronary heart disease
• psychosocial factors
• hostility