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.
Abstract

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