War-stress-induced medical emergencies in south Croatia

Rumboldt, Zvonko; Mirić, Dinko; Božić, Ivo; Giunio, Lovel; Polić, Stojan; Tonkić, Ante

doi:10.1016/0140-6736(93)91260-s

Cited by 15 publications

(7 citation statements)

References 2 publications

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“…When Tel Aviv was subjected to missile attack, for instance, an excess cardiovascular mortality was noted during periods of bombardment [11,12]. The evidence of increased mortality during bombardment in the Bosnian conflict is, however, inconsistent [13,14]. Finally, there have been three reports of natural disasters; the incidence of AMI following earthquakes in Athens [15,16], in Newcastle, Australia [17], and in Los Angeles [18] was significantly increased.…”

Section: Life‐event Stress and Coronary Heart Diseasementioning

confidence: 99%

Life stress, social support and coronary heart disease

Tennant¹

1999

Aust N Z J Psychiatry

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Section: Life‐event Stress and Coronary Heart Diseasementioning

confidence: 99%

Life stress, social support and coronary heart disease

Tennant¹

1999

Aust N Z J Psychiatry

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“…Because of the "healthy worker" effect and difficulty in choosing appropriate control groups, attempts to demonstrate a causal association have been limited. Only a few studies have examined this relation among civilians; some (12)(13)(14) but not all (15) have reported positive associations. Many examined war as an acute, life-threatening situation and limited their study to the period immediately after the stress occurred.…”

mentioning

confidence: 99%

Variations in the Impact of Long-term Wartime Stressors on Mortality among the Middle-aged and Older Population in Beirut, Lebanon, 1983-1993

Sibai¹

2001

American Journal of Epidemiology

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The authors investigated the relation between exposure to wartime events and cardiovascular disease (CVD) and all-cause mortality in Lebanon, which recently underwent a 16-year civil war. The study population comprised a representative cohort (n = 1,786) of middle-aged and older men and women who, in 1983, participated in a community-based health interview survey. In 1993, the authors traced 87.7 % of the original cohort (n = 1,567) and assessed their vital status, exposure to war-related events, and, in case they had died, cause of death. War experiences were aggregated into different clusters according to type of exposure, realm affected (human vs. property losses), and person central to the event. Women, but not men, had a significantly elevated CVD mortality risk for exposures to human traumas that occurred to them (rate ratio = 3.37, 95% confidence interval: 1.41, 8.05) or their families (rate ratio = 1.45, 95% confidence interval: 1.20, 1.74). Exposure to property losses and work-related problems carried a greater mortality risk for men, particularly those with lower levels of education, than for women. Subjects displaced during the war had a significantly higher risk for CVD and total mortality. These results suggest that, during prolonged wars, different elements of exposures have a long-term impact on mortality, with effects varying by gender and socioeconomic resources.

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“…Various authors have found that mental stress can induce myocardial ischaemia [5][6][7][8] and this may have been a contributing factor in the increased number of cardiovascular deaths around the millennium. Previous studies have examined the relation between cardiac deaths and severe stressors such as earthquakes and wars, finding both positive [9][10][11][12] and negative 13 correlations. While the millennium changeover was certainly not as stressful as an earthquake or a war, the significant increases in cardiac deaths may reflect some degree of ''millennium hype''.…”

Section: Discussionmentioning

confidence: 99%