Gender differences in quality of life perception and cardiovascular risk in a community sample

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• 作者：Joana Prata^a ; ^{joanappr@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Amadeu Quelhas Martins^b ; ^c ; Só ; nia Ramos^a ; Francisco Rocha-Gonç ; alves^a ; Rui Coelho^c ; ^d
• 关键词：Cardiovascular risk factors ; Self-reported health ; Quality of life ; Gender
• 刊名：Revista Portuguesa de Cardiologia (English Edition)
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：35
• 期：3
• 页码：153-160
• 全文大小：311 K

文摘

Self-reported heath and quality of life is an independent predictor of overall and cardiovascular morbidity and mortality, and incident coronary heart disease. However, less is known regarding how gender differences in cardiovascular risk factors impact quality of life perception.

Methods

Primary healthcare users (n=261, 158 women) were screened for cardiovascular risk factors and completed the Medical Outcomes Study Short Form (SF-36).

Results

Women had significantly lower alcohol consumption, body mass index and exercise frequency than men, but more prevalent psychiatric history, depressive and anxiety symptoms, and negative affectivity. Prevalences of hypertension, diabetes, dyslipidemia and type D personality were similar between genders. Women reported significantly worse quality of life on most SF-36 subscales and gender differences were apparent in predictors of quality of life. Moreover, high negative affectivity was an independent predictor of worse general health for women, whereas high social inhibition and high anxiety had a comparable role for men.

Conclusion

Gender specifics in cardiovascular risk factors should be considered in prevention strategies. Women reported significantly worse quality of life, putting them at higher risk for cardiovascular morbidity and mortality. Therefore, gender differences in predictors of quality of life warrant further investigation.