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  1. Perceived health modifies the effect of biomedical risk factors in the prediction of acute myocardial infarction. An incident case-control study from northern Sweden.

    Article - En anglais

    Objectives

    To assess the importance of biomedical risk factors, social factors and self-reported health in the prediction of the first event of acute myocardial infarction (AMI) in an apparently healthy middle-aged population.

    Design

    An incident case-control study.

    Setting.

    The study was nested within the Västerbotten Intervention Program and the Northern Sweden MONICA cohorts.

    Subjects

    The study consists of 78 AMI cases with two randomly selected controls per case from the same study cohorts.

    Results

    Significant odds ratios were found for history of diabetes, daily smoking, cholesterol, body-mass index, hypertension, lower education and perceived ill health.

    In multivariate logistic regression smoking, hypertension and cholesterol of =7.8 mmol L-1 remained significant.

    An interaction was observed between number of biomedical risk factors and perceived health.

    Conclusions

    Smoking, hypertension and hypercholesterolaemia explain a major share of incident AMI events in a Swedish middle-aged population.

    The study further illustrates that perceived ill health negatively modifies the impact of these risk factors.

    Mots-clés Pascal : Infarctus, Myocarde, Santé, Autoperception, Aspect social, Epidémiologie, Facteur risque, Prédiction, Incidence, Homme, Etude cas témoin, Suède, Europe, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie

    Mots-clés Pascal anglais : Infarct, Myocardium, Health, Self perception, Social aspect, Epidemiology, Risk factor, Prediction, Incidence, Human, Case control study, Sweden, Europe, Cardiovascular disease, Coronary heart disease, Myocardial disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0202333

    Code Inist : 002B12A03. Création : 11/09/1998.