open access

Vol 22, No 4 (2015)
Original articles
Published online: 2015-08-28
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Perceived control as a predictor of cardiovascular disease mortality in Poland. The HAPIEE study

Magdalena Kozela, Agnieszka Doryńska, Urszula Stepaniak, Krystyna Szafraniec, Roman Topór-Mądry, Witosława Misiowiec, Martin Bobak, Andrzej Pająk
DOI: 10.5603/CJ.a2015.0002
·
Pubmed: 25588534
·
Cardiol J 2015;22(4):404-412.

open access

Vol 22, No 4 (2015)
Original articles
Published online: 2015-08-28

Abstract

Background: Neither the development in methods of treatment of coronary heart disease nor the changes in exposure to main cardiovascular disease (CVD) risk factors do not fully explain the trends in CVD mortality in Poland. An influence of psychosocial factors is considered. The aims of the study were: (1) to assess the relationship between perceived control and the prevalence of classic CVD risk factors; (2) to assess the relationship between perceived control and the risk of death from all causes and from CVD.

Methods: A cohort study with 5-year follow-up was conducted. Random sample of 10,728 permanent residents of Krakow aged 45–69 was examined. Perceived control was measured using a standard 11-item scale. The studied group was divided into four subgroups of people with very high, high, moderate, and low perceived control according to quartile values. Data on deaths and causes were obtained from the local register, death certificates and participants’ families. An independent effect of perceived control on CVD mortality was assessed using Cox proportional hazards models.

Results: Low perceived control was strongly associated with a higher CVD mortality, independently of age, education, marital status, history of CVD, hypertension, hypercholesterolemia, smoking, body mass index, physical activity or diabetes in both men and women (HR 2.68, 95% CI 1.36–5.31 and HR 5.18, 95% CI 1.17–22.96, respectively). After adjustment for age, both in men and women, the highest risk of death from all causes was observed in persons with low perceived control. Further adjustment for covariates attenuated the relationship.

Conclusions: Perceived control is a strong independent predictor of CVD mortality and may be considered a CVD risk factor in the Polish urban population.  

Abstract

Background: Neither the development in methods of treatment of coronary heart disease nor the changes in exposure to main cardiovascular disease (CVD) risk factors do not fully explain the trends in CVD mortality in Poland. An influence of psychosocial factors is considered. The aims of the study were: (1) to assess the relationship between perceived control and the prevalence of classic CVD risk factors; (2) to assess the relationship between perceived control and the risk of death from all causes and from CVD.

Methods: A cohort study with 5-year follow-up was conducted. Random sample of 10,728 permanent residents of Krakow aged 45–69 was examined. Perceived control was measured using a standard 11-item scale. The studied group was divided into four subgroups of people with very high, high, moderate, and low perceived control according to quartile values. Data on deaths and causes were obtained from the local register, death certificates and participants’ families. An independent effect of perceived control on CVD mortality was assessed using Cox proportional hazards models.

Results: Low perceived control was strongly associated with a higher CVD mortality, independently of age, education, marital status, history of CVD, hypertension, hypercholesterolemia, smoking, body mass index, physical activity or diabetes in both men and women (HR 2.68, 95% CI 1.36–5.31 and HR 5.18, 95% CI 1.17–22.96, respectively). After adjustment for age, both in men and women, the highest risk of death from all causes was observed in persons with low perceived control. Further adjustment for covariates attenuated the relationship.

Conclusions: Perceived control is a strong independent predictor of CVD mortality and may be considered a CVD risk factor in the Polish urban population.  

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Keywords

perceived control, cardiovascular disease, mortality, cohort study, psychosocial factors

About this article
Title

Perceived control as a predictor of cardiovascular disease mortality in Poland. The HAPIEE study

Journal

Cardiology Journal

Issue

Vol 22, No 4 (2015)

Pages

404-412

Published online

2015-08-28

DOI

10.5603/CJ.a2015.0002

Pubmed

25588534

Bibliographic record

Cardiol J 2015;22(4):404-412.

Keywords

perceived control
cardiovascular disease
mortality
cohort study
psychosocial factors

Authors

Magdalena Kozela
Agnieszka Doryńska
Urszula Stepaniak
Krystyna Szafraniec
Roman Topór-Mądry
Witosława Misiowiec
Martin Bobak
Andrzej Pająk

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