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Increased psychosocial strain in Lithuanian versus Swedish men: the LiVicordia study
M Kristenson1, Z Kucinskienë, B Bergdahl
1Department of Environment and Health, Faculty of Health Sciences, Linköping University, Sweden.
Insights
Lithuanian men have higher coronary heart disease (CHD) mortality than Swedish men. This study found Lithuanian men exhibit more psychosocial risk factors, suggesting new explanations for CHD disparities.
Area of Science:
- Cardiology
- Psychosocial Medicine
- Epidemiology
Background:
- Coronary heart disease (CHD) mortality rates significantly differ between Lithuanian and Swedish 50-year-old men.
- Standard risk factors do not fully account for the observed four-fold higher CHD mortality in Lithuania.
Observation:
- The LiVicordia study surveyed 150 randomly selected 50-year-old men in Vilnius, Lithuania, and Linköping, Sweden.
- A comprehensive assessment of psychosocial characteristics known to predict CHD was conducted.
Findings:
- Vilnius men exhibited a cluster of unfavorable psychosocial risk factors compared to Linköping men, including higher job strain, lower social support, and reduced emotional support.
- Lithuanian participants reported lower coping abilities, self-esteem, and sense of coherence, alongside higher vital exhaustion and depression.
- Perceived health and quality of life were lower in Vilnius men, with higher expectations of future ill health.
Implications:
- The identified psychosocial risk factors in Lithuanian men may offer novel explanations for the pronounced differences in CHD mortality between Lithuania and Sweden.
- These findings highlight the critical role of psychosocial factors in cardiovascular health disparities and suggest potential targets for intervention.
Objective:
Coronary heart disease (CHD) mortality is four times higher in 50-year-old Lithuanian men than in 50-year-old Swedish men. The difference cannot be explained by standard risk factors. The objective of this study was to examine differences in psychosocial risk factors for CHD in the two countries.
Methods:
The LiVicordia study is a cross-sectional survey comparing 150 randomly selected 50-year-old men in each of the two cities: Vilnius, Lithuania, and Linköping, Sweden. As part of the study, a broad range of psychosocial characteristics, known to predict CHD, were investigated.
Results:
In the men from Vilnius compared with those from Linköping, we found a cluster of psychosocial risk factors for CHD; higher job strain (p <.01), lower social support at work, lower emotional support, and lower social integration (p values <.001). Vilnius men also showed lower coping, self-esteem, and sense of coherence (p values < .001), higher vital exhaustion, and depression (p values < .001). Quality of life and perceived health were lower and expectations of ill health within 5 to 10 years were higher in Vilnius men (p values < .001). Correlations between measurements on traditional and psychosocial risk factors were few and weak.
Conclusions:
The Vilnius men, representing the population with a four-fold higher CHD mortality, had unfavorable characteristics on a cluster of psychosocial risk factors for CHD in comparison with the Linköping men. We suggest that this finding may provide a basis for possible new explanations of the differences in CHD mortality between Lithuania and Sweden.
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