Neighborhood Stress and Heart Disease in Japan
Author Information
Author(s): Fujino Yoshihisa, Tanabe Naohito, Honjo Kaori, Suzuki Sadao, Shirai Kokoro, Iso Hiroyasu, Tamakoshi Akiko
Primary Institution: University of Occupational and Environmental Health
Hypothesis
Does area-level stress affect the likelihood of death due to ischemic heart disease?
Conclusion
Area-level stress affects the likelihood of death due to ischemic heart disease in men.
Supporting Evidence
- The study followed participants for 15 years, recording 936 deaths due to ischemic heart disease.
- Area-level stress was calculated based on self-reported stress levels from residents.
- Mortality rate ratios indicated a significant association between area-level stress and heart disease mortality in men.
Takeaway
Living in a stressful neighborhood can make people more likely to die from heart problems, especially men.
Methodology
The study used multilevel Poisson regression models to analyze data from a cohort of 110,792 residents across 45 areas in Japan.
Potential Biases
Potential bias due to self-reported data and unmeasured confounding factors.
Limitations
Residual confounding may be present, and the validity of self-reported stress measures was not evaluated.
Participant Demographics
Participants were aged 40-79 years, with 32,183 men and 45,896 women included in the analysis.
Statistical Information
P-Value
0.043
Confidence Interval
1.00-1.12
Statistical Significance
p=0.043
Digital Object Identifier (DOI)
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