Education, marital status, and total and cardiovascular mortality in novosibirsk, Russia: A prospective cohort study

Malyutina, Sofia; Bobák, Martin; Simonova, Galina; Гафаров, В. В.; Nikitin, Yu. P.; Marmot, Michael

doi:10.1016/s1047-2797(03)00133-9

Cited by 77 publications

(63 citation statements)

References 18 publications

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“…They showed that the all-cause and CVD mortalities of Caucasian men aged 45-64 who had never married were significantly higher than those of married men (Relative Risk (RR)=1.58 for all-cause mortality, RR=1.32 for CVD mortality) 1) . Malyutina et al 2) and Mendes de Leon et al 4) reported similar results in studies conducted in Russia and the Netherlands. 14) .…”

Section: Discussionsupporting

confidence: 53%

“…Current smoking rates, blood pressure, total cholesterol and plasma glucose were higher in Group N, than in Group M. Group N had more of 4 CVD risk factors than the Group M. The difference in risk factor clustering between Groups M and N was more evident among men who lived with others than among those who lived alone. Many Western reports have described the relationship between marital status and all-cause mortality 1-6, 11, 12) , CVD mortality 1,2,4,5) or CVD risk factors [6][7][8][9][10] . Johnson et al examined the effect of marital status on mortality in a cohort of 281,460 men and women aged 45 yr and older in the United States.…”

Section: Discussionmentioning

confidence: 99%

“…Most have found that total and CVD mortality is higher among those who never married than in those who had married 1-5, 11, 12) . This impact is more apparent for men than for women 2,6,12) . Therefore, men who have never married might have higher CVD risk factors than those who marry.…”

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confidence: 96%

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Marital Status and Cardiovascular Risk Factors among Middle‐aged Japanese Male Workers: The High‐risk and Population Strategy for Occupational Health Promotion (HIPOP‐OHP) Study

Kamon

Okamura

Tanaka

et al. 2008

Journal of Occupational Health

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Marital status is related to cardiovascular disease (CVD) risk factors in Western countries. However, few studies have addressed the relationship between marital status and CVD risk factors in other populations. We investigated lifestyle and CVD risk factors relative to marital status among middle-aged Japanese men. We analyzed baseline data of 40-59-yr-old male workers who participated in the high-risk and population strategy for occupational health promotion (HIPOP-OHP) study. We compared lifestyle and CVD risk factors between men who were married (Group M; n=1,419, mean age 47.9 ± 5.1 yr) and those who had never married (Group N; n=163, mean age 46.7 ± 4.3 yr). Men in Group N were more likely to skip breakfast, work more shifts and exercise less. Current smoking rates, as well as average values of diastolic blood pressure (DBP), serum total cholesterol and fasting plasma glucose were also higher in Group N than in Group M. The proportion of participants with three or more CVD risk factors, namely smoking, hypertension, hypercholesterolemia and hyperglycemia was higher in Group N, than in Group M (12.9% vs. 5.0%, p<0.01). The difference between Groups M and N was more evident in the subgroup of living with others, than in the subgroup of living alone. Since men who have never married might be at higher risk for CVD, effort should be made to educate this population about decreasing lifestyle-related risk factors. (J Occup Health 2008; 50: 348-356)

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

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Marital Status and Cardiovascular Risk Factors among Middle‐aged Japanese Male Workers: The High‐risk and Population Strategy for Occupational Health Promotion (HIPOP‐OHP) Study

Kamon

Okamura

Tanaka

et al. 2008

Journal of Occupational Health

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“…In recent years the average lifespan of Russians has decreased more and more, and at least 55% of Russians die from cardiovascular events. The age-standardized male and female mortality rates from cardiovascular diseases in Russia are 751 and 453 per 100,000 (Malyutina et al 2004).…”

mentioning

confidence: 99%

Comparison of Brachial-Ankle Pulse Wave Velocity in Japanese and Russians

Liu

Yambe

Zhang

et al. 2005

Tohoku J. Exp. Med.

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Pulse wave velocity (PWV) is a well-known indicator of arterial stiffness and a marker of the presence of vascular lesions. Cardiovascular mortality in Russia has become the highest in the world. The Japanese are enjoying long lives, and the mortality caused by cardiovascular diseases has thus far remained at lower levels than that in Russia. In this study, we focused on brachial-ankle pulse wave velocity (baPWV) obtained from normal human subjects in Russia as well as in Japan, and compared their respective cardiovascular risks. We evaluated baPWV in 337 Japanese and 138 Russian healthy subjects. The baPWV was recorded using a PWV diagnosis device. BaPWV was measured between 2 locations of the arterial tree. The baPWV in the Russian group was significantly higher than that obtained in the Japanese of two groups categorized by age (40-59 years and 60-years). Further, body mass index (BMI), systolic blood pressure (SBP) and diastolic blood pressure in the Russian group were significantly higher than those obtained in Japanese in three age groups (under 39 years, 40-59 years, and 60-years). Moreover, the baPWV indicated a positive correlation with age, BMI and SBP in both Japanese and Russians, although the increasing trend of the baPWV against age of the Russian group had a larger value than that of the Japanese. Therefore, we suggest that arterial stiffness might be promoted earlier in the Russian group, which might be the main cause of the increased cardiovascular risk in Russia.brachial-ankle pulse wave velocity; atherosclerosis; Japanese; Russians

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“…4,9,10,[15][16][17][18][19][20] We grouped patients who were separated, divorced, or widowed based on publications suggesting that this group was often at a higher risk for CV events. 9,[19][20][21][22][23][24] The primary outcome of this analysis was MACE 4 at 15 months, defined as a composite of all-cause death, repeat MI, stroke, or urgent coronary revascularization (UCR). The outcomes for MI and stroke were reported as first fatal or nonfatal events.…”

Section: Methodsmentioning

confidence: 99%

Marital status and outcomes after myocardial infarction: Observations from the Canadian Observational Antiplatelet Study (COAPT)

Ghosh-Swaby

Tan

Bagai

et al. 2018

Clinical Cardiology

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While divorced or living alone, patients with stable cardiovascular disease are at increased risk for adverse cardiovascular events. The importance of marital status following a myocardial infarction (MI) is less clear. We hypothesized that marital status may affect cardiovascular outcomes following MI. We analyzed outcomes among patients with MI who underwent percutaneous coronary intervention from the Canadian Observational Antiplatelet Study (COAPT).Marital status was categorized into 3 groups: married/common-law patients living together; never married; and divorced, separated, or widowed patients. Patients were followed for 15 months and our primary outcome was the occurrence of a major adverse cardiovascular event (MACE), defined as a composite of mortality, repeat acute MI, stroke, or urgent coronary revascularization. Multivariable logistic regression models were performed, with married/common-law patients living together considered the reference group. Among 2100 patients included in analyses, 1519 (72.3%) were married/common-law patients living together, 358 (17.1%) were separated/divorced/widowed, and 223 (10.6%) patients were never married.Dual antiplatelet therapy use after 15 months was similar across groups (75.4%, 77.8%, and 73.6%, respectively). The risk of MACE after 15 months was similar among married patients living together (12.7%; referent) compared with patients who were never married (13.9%; adjusted odds ratio: 1.09, 95% confidence interval: 0.58-2.07, P = 0.79) and patients separated/divorced/widowed (14.3%; adjusted odds ratio: 0.71, 95% confidence interval: 0.40-1.25, P = 0.23). Similarly, the risk of individual endpoints, including mortality, was similar across the 3 groups. Among patients stabilized following an MI, we found no association between marital status and 15-month outcomes.

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Education, marital status, and total and cardiovascular mortality in novosibirsk, Russia: A prospective cohort study

Cited by 77 publications

References 18 publications

Marital Status and Cardiovascular Risk Factors among Middle‐aged Japanese Male Workers: The High‐risk and Population Strategy for Occupational Health Promotion (HIPOP‐OHP) Study

Marital Status and Cardiovascular Risk Factors among Middle‐aged Japanese Male Workers: The High‐risk and Population Strategy for Occupational Health Promotion (HIPOP‐OHP) Study

Comparison of Brachial-Ankle Pulse Wave Velocity in Japanese and Russians

Marital status and outcomes after myocardial infarction: Observations from the Canadian Observational Antiplatelet Study (COAPT)

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