Sociopolitical stress and acute cardiovascular disease hospitalizations around the 2016 presidential election.

Szczegóły
Abstrakt

Tytuł:: Sociopolitical stress and acute cardiovascular disease hospitalizations around the 2016 presidential election.
Autorzy:: Mefford MT; Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101.
Mittleman MA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115.
Li BH; Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101.
Qian LX; Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101.
Reynolds K; Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101.
Zhou H; Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101.
Harrison TN; Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101.
Geller AC; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA 02115.
Sidney S; Division of Research, Kaiser Permanente Northern California, Oakland, CA 94612.
Sloan RP; Division of Behavioral Medicine, Columbia University Medical Center, New York, NY 10032.
Mostofsky E; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115.
Williams DR; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA 02115; .; Department of African and African American Studies, Harvard University, Cambridge, MA 02138.
Źródło:: Proceedings of the National Academy of Sciences of the United States of America [Proc Natl Acad Sci U S A] 2020 Oct 27; Vol. 117 (43), pp. 27054-27058. Date of Electronic Publication: 2020 Oct 12.
Typ publikacji:: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: Washington, DC : National Academy of Sciences
MeSH Terms:: Politics*
Myocardial Infarction/*epidemiology
Stress, Psychological/*complications
Stroke/*epidemiology
Adolescent ; Adult ; Aged ; California/epidemiology ; Female ; Hospitalization/statistics & numerical data ; Humans ; Male ; Middle Aged ; Myocardial Infarction/etiology ; Retrospective Studies ; Stroke/etiology ; Young Adult
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Contributed Indexing:: Keywords: cardiovascular disease; elections; epidemiology; sociopolitical; stress
Entry Date(s):: Date Created: 20201013 Date Completed: 20201217 Latest Revision: 20210412
Update Code:: 20240105
PubMed Central ID:: PMC7604431
DOI:: 10.1073/pnas.2012096117
PMID:: 33046627
: Czasopismo naukowe

Previous research suggests that stressors may trigger the onset of acute cardiovascular disease (CVD) events within hours to days, but there has been limited research around sociopolitical events such as presidential elections. Among adults ≥18 y of age in Kaiser Permanente Southern California, hospitalization rates for acute CVD were compared in the time period immediately prior to and following the 2016 presidential election date. Hospitalization for CVD was defined as an inpatient or emergency department discharge diagnosis of acute myocardial infarction (AMI) or stroke using International Classification of Diseases, 10th revision codes. Rate ratios (RR) and 95% confidence intervals (CIs) were calculated comparing CVD rates in the 2 d following the 2016 election to rates in the same 2 d of the prior week. In a secondary analysis, AMI and stroke were analyzed separately. The rate of CVD events in the 2 d after the 2016 presidential election (573.14 per 100,000 person-years [PY]) compared to the rate in the window prior to the 2016 election (353.75 per 100,000 PY) was 1.62 times higher (95% CI 1.17, 2.25). Results were similar across sex, age, and race/ethnicity groups. The RRs were similar for AMI (RR 1.67, 95% CI 1.00, 2.76) and stroke (RR 1.59, 95% CI 1.03, 2.44) separately. Transiently heightened cardiovascular risk around the 2016 election may be attributable to sociopolitical stress. Further research is needed to understand the intersection between major sociopolitical events, perceived stress, and acute CVD events.
Competing Interests: The authors declare no competing interest.

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