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Table 3 Prevalence Ratios (PR 95% CI) of Hypertension and Diabetes Control by psychosocial measures among men and women, JHS (2000–2004).

From: Cumulative psychosocial factors are associated with cardiovascular disease risk factors and management among African Americans in the Jackson Heart Study

Psychosocial Measures

Hypertension Control (PR, 95% CI)

Diabetes Control (PR, 95% CI)

Men

Women

Men

Women

Cynical distrust

 Low (referent)

1.0

1.0

1.0

1.0

 Medium

0.75 (0.55–1.02)Ɨ

0.97 (0.77–1.23)

1.49 (0.70–3.22)

0.79 (0.65–0.95)*a

 High

1.26 (0.95–1.68)

0.62 (0.46–0.84)*

1.70 (0.83–3.48)

0.49 (0.36–0.66)*a

P for trend

< 0.001

< 0.005

0.35

< 0.001

Anger In

 Low (referent)

1.0

1.0

1.0

1.0

 Medium

1.04 (0.68–1.58)

1.27 (1.01–1.60)*a

1.85 (1.31–2.62)*a

1.48 (1.18–1.86)*a

 High

1.44 (1.04–2.00)*

0.75 (0.60–0.95)

1.01 (0.70–1.47)

1.20 (0.92–1.55)

P for trend

0.05

< 0.001

< 0.001

0.003

Anger Out

 Low (referent)

1.0

1.0

1.0

1.0

 Medium

0.72 (0.51–1.03)Ɨ

1.21 (0.99–1.47)*

2.63 (1.55–4.48)*a

0.57 (0.45–0.72)*a

 High

1.28 (0.95–1.73)

0.77 (0.62–0.96)Ɨ

0.68 (0.50–0.93)*a

0.74 (0.59–0.92)*a

P for trend

0.01

< 0.001

< 0.001

< 0.001

Depressive symptoms

 Low (referent)

1.0

1.0

1.0

1.0

 Medium

1.22 (0.90–1.66)

1.09 (0.85–1.38)

0.90 (0.64–1.27)

1.05 (0.83–1.33)

 High

1.36 (1.00–1.85)Ɨ

1.24 (0.99–1.55)

0.76 (0.49–1.19)

0.94 (0.73–1.20)

P for trend

0.14

0.16

0.48

0.61

Global Stress

 Low (referent)

1.0

1.0

1.0

1.0

 Medium

0.66 (0.55–0.78)*a

1.03 (0.91–1.18)

1.05 (0.81–1.36)

0.90 (0.78–1.03)

 High

1.09 (0.92–1.29)

0.81 (0.71–0.94)*a

1.37 (1.05–1.78)

0.80 (0.68–0.95)*

P for trend

< 0.001

0.003

0.05

0.02

Weekly Stress-Events

 Low (referent)

1.0

1.0

1.0

1.0

 Medium

0.84 (0.65–1.09)

0.93 (0.78–1.11)

1.32 (0.93–1.87)Ɨ

0.66 (0.53–0.82)*a

 High

1.01 (0.78–1.30)

0.83 (0.68–1.01)

1.67 (1.09–2.57)*a

0.98 (0.82–1.17)

P for trend

0.35

0.19

0.06

< 0.001

Weekly Stress-Impact

 Low (referent)

1.0

1.0

1.0

1.0

 Medium

1.68 (1.22–2.33)*a

0.86 (0.68–1.09)

0.82 (0.57–1.17)

0.65 (0.50–0.85)*a

 High

1.95 (1.36–2.78)*a

0.97 (0.76–1.23)

0.93 (0.50–1.74)

0.72 (0.56–0.93)

P for trend

< 0.001

0.44

0.55

0.005

Major Life Events

 Low (referent)

1.0

1.0

1.0

1.0

 Medium

0.94 (0.77–1.16)

0.87 (0.74–1.03)

0.90 (0.69–1.17)

1.02 (0.88–1.18)

 High

1.30 (1.08–1.55)*

1.22 (1.08–1.39)*a

0.95 (0.70–1.28)

1.04 (0.87–1.24)

P for trend

0.08

< 0.001

0.74

0.90

  1. *Bold indicates p value < 0.05. ƗP value < 0.10. Abbreviations: CI confidence interval, WSI weekly stress inventory, SD standard deviation
  2. Models adjusted for age, sex, education, income, physical activity, smoking, fat intake, alcohol consumption and body
  3. mass index. Multiple imputation for missing data in covariates based on 5 data sets. a Bonferroni Correction with p value < 0.02