Document Detail


Vital exhaustion in coronary heart disease: the impact of socioeconomic status.
MedLine Citation:
PMID:  18753955     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Vital exhaustion has been shown to be a significant risk factor contributing to coronary heart disease, as well as a predictor of a worse prognosis among coronary patients. Socioeconomic differences in vital exhaustion may be part of the causal mechanism in the health and mortality inequalities connected with socioeconomic disadvantage. Our aim was to explore socioeconomic inequalities in vital exhaustion among coronary patients. METHODS: We included 362 patients (32% women, mean age 56+/-7.3 years) who were referred for coronary angiography. The Maastricht interview for vital exhaustion was conducted with each patient. Level of income and education were used as indicators of socioeconomic status. Functional status was assessed with the NYHA (dyspnoe symptoms) and CCS (chest pain) scales. RESULTS: Logistic regression showed significant socioeconomic inequalities in vital exhaustion among patients. Participants with low and middle income and education had a higher probability of being exhausted in comparison with patients with high income and education [odds ratio (95% confidence interval): 13.31 (4.67-37.94) and 2.10 (1.19-3.64), respectively]. Associations remained statistically significant after controlling for the effect of functional status and seriousness of disease. Socioeconomic differences were more salient among men than among women. CONCLUSION: Low education and income seem to be strongly associated with higher vital exhaustion among patients; a significant factor contributing to worse prognosis and lower quality of life among patients with coronary heart disease.
Authors:
Zuzana Skodova; Iveta Nagyova; Jaroslav Rosenberger; Jitse P van Dijk; Berrie Middel; Helena Vargova; Adriana Sudzinova; Martin Studencan; Sijmen A Reijneveld
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology     Volume:  15     ISSN:  1741-8267     ISO Abbreviation:  Eur J Cardiovasc Prev Rehabil     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-02     Completed Date:  2009-01-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101192000     Medline TA:  Eur J Cardiovasc Prev Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  572-6     Citation Subset:  IM    
Affiliation:
Faculty of Arts, Department of Educational and Health Psychology, University of PJ Safarik, Moyzesova 16, Kosice 04001, Slovakia. zuzana.skodova@upjs.sk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angina Pectoris / etiology
Coronary Angiography
Coronary Disease / complications*,  psychology,  radiography
Cross-Sectional Studies
Depression / etiology*
Dyspnea / etiology
Educational Status*
Fatigue / etiology*
Female
Humans
Income*
Irritable Mood*
Logistic Models
Male
Middle Aged
Odds Ratio
Prognosis
Quality of Life
Risk Assessment
Risk Factors
Sex Factors
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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