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International Journal of Public Health

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01-04-2014 | Original Article

Differences in health-related quality of life between Roma and non-Roma coronary heart disease patients: the role of hostility

Authors: Barbora Silarova, Jitse P. van Dijk, Iveta Nagyova, Jaroslav Rosenberger, Sijmen A. Reijneveld

Published in: International Journal of Public Health | Issue 2/2014

Abstract

Objectives

The aim of this study was to assess differences in health-related quality of life (HRQoL) between Roma and non-Roma coronary heart disease (CHD) patients, and whether differences in hostility contribute to this association.

Methods

We examined 570 CHD patients (mean age 57.8, 28.1 % female) scheduled for coronary angiography, 88 (15.4 %) of whom were Roma. Hostility was measured using the 27-item Cook-Medley Scale and HRQoL using the Short-Form Health Survey 36, from which the mental and physical component summary (MCS, PCS) were calculated. The relationship between ethnicity, hostility and HRQoL was examined using regression analyses.

Results

Roma ethnicity was associated with poorer MCS (B = −3.44; [95 % CI = −6.76; −0.13] and poorer PCS (B = −4.16; [95 % CI = −7.55; −0.78]) when controlled for age, gender and socioeconomic status. Adding hostility to the model weakened the strength of the association between Roma ethnicity and MCS (B = −1.87; [95 % CI = −5.08; 1.35]) but not between Roma ethnicity and PCS (B = −4.07; [95 % CI = −7.50; −0.64]).

Conclusions

Roma ethnicity is associated with poorer MCS and PCS. Hostility may mediate the association between Roma ethnicity and MCS. The poorer HRQoL of Roma CHD patients requires attention in both care and research, with special attention on the role of hostility.

Albus C (2010) Psychological and social factors in coronary heart disease. Ann Med 42:487–494PubMedCrossRef

Anderson NB, Armstead CA (1995) Toward understanding the association of socioeconomic status and health: a new challenge for the biopsychosocial approach. Psychosom Med 57:213–225PubMed

Babinska I, Dankulincova Veselska Z, Bobakova D et al (2013) Is the cardiovascular risk profile of people living in Roma settlements worse in comparison with the majority population? Int J Public Health 58:417–425PubMedCrossRef

Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51:1173–1182PubMedCrossRef

Brondolo E, Thompson S, Brady N et al (2005) The relationship of racism to appraisals and coping in community sample. Ethn Dis 15:S14–S19

Brondolo E, Brady N, Thompson S et al (2008) Perceived racism and negative affect: analyses of trait and state measures of affect in a community sample. J Soc Clin Psychol 27:150–173PubMedCentralPubMedCrossRef

Brondolo E, Hausmann LRM, Jhalani J et al (2011) Dimensions of perceived racism and self-reported health: examination of racial/ethnic differences and potential mediators. Ann Behav Med 42:14–28PubMedCrossRef

Broudy R, Brondolo E, Coakley V et al (2007) Perceived ethnic discrimination in relation to daily moods and negative social interactions. J Behav Med 30:31–43PubMedCrossRef

Campeau L (1976) Grading of angina pectoris letter. Circulation 54:522–523PubMed

Chida Y, Steptoe A (2009) The association of anger and hostility with future coronary heart disease: a meta-analytic review of prospective evidence. J Am Coll Cardiol 53:936–946PubMedCrossRef

Cook WW, Medley DM (1954) Proposed hostility and pharisaic-virtue scales for the MMPI. J Appl Psychol 38:414–418CrossRef

Criteria Committee of the New York Heart Association (1994) Functional capacity and objective assessment. In: Dolgin M (ed) Nomenclature and criteria for diagnosis of diseases of the heart and great vessels. Little, Brown and Company, Boston, pp 253–255

Davidson K, Hall P (1997) Potential for hostility and faking-good in high-hostile men. J Behav Med 20:47–54PubMedCrossRef

European Comission (2011) Communication from the Commission to the European Parliament, the Council, The European Economic and Social Commitee and the Commitee of the Regions: An EU Framework for National Roma Integration Strategies up to 2020. COM 173 final, Brussels, European Commission

European Parliament Resolution of 31 January 2008 on a European Strategy on the Roma, 2009/C 68 E06. P6 TA (2008) 0035

European Union Agency for Fundamental Rights (2009) EU-MIDIS. European Union minorities and discrimination survey. Main results report, p 36

Failde I, Ramos I (2000) Validity and reliability of the SF-36 Health Survey Questionnaire in patients with coronary artery disease. J Clin Epidemiol 53:359–365PubMedCrossRef

Gallo LC, Ghaed SG, Bracken WS (2004) Emotions and cognitions in coronary heart disease: risk, resilience and social context. Cogn Ther Res 28:669–694

Gidron Y, Davidson K, Bata I (1999) The short-term effects of hostility-reduction intervention on male coronary heart disease patients. Health Psychol 18:416–420PubMedCrossRef

Hajioff S, McKee M (2000) The health of the Roma people: a review of the published literature. J Epidemiol Community Health 54:864–869PubMedCentralPubMedCrossRef

Kawachi I, Kennedy BP, Lochner K et al (1997) Social capital, income inequality and mortality. Am J Public Health 87:1491–1498PubMedCentralPubMedCrossRef

Konstam V, Salem D, Pouleur H et al (1996) Baseline Quality of Life as a predictor of mortality and hospitalization in 5,025 patients with congestive heart failure. SOLVD Investigations. Studies of Left Ventricular Dysfunction Investigators. Am J Cardiol 78:890–895PubMedCrossRef

Kosa Z, Szeles G, Kardos L et al (2007) A comparative health survey of the inhabitants of Roma settlements in Hungary. Am J Public Health 97:853–859PubMedCentralPubMedCrossRef

Low CA, Thurston RC, Matthews KA (2010) Psychosocial factors in the development of heart disease in women: current research and future directions. Psychosom Med 72:842–854PubMedCentralPubMedCrossRef

McKee M, Adany R, MacLehose L (2004) Health status and trends in candidate countries. In: McKee M, MacLehose L, Nolte E (eds) Health Policy and European Union Enlargement. European observatory on health systems and policies series. Open University Press, Maidenhead, pp 24–42

Nabi H, Singh-Manoux A, Ferrie JE et al (2010) Hostility and depressive mood: results from the Whitehall II prospective cohort study. Psychol Med 40:405–413PubMedCrossRef

Ormish D, Scherwitz LW, Billings JH et al (1998) Intensive lifestyles changes for reversal of coronary heart disease. JAMA 280:2001–2007CrossRef

Rosicova K, Madarasova Geckova A, Rosic M et al (2011) Socioeconomic factors, ethnicity and alcohol-related mortality in regions in Slovakia. What might a tree analysis add to our understanding? Health Place 17:701–709PubMedCrossRef

Schenkeveld L, Pedersen SS, van Nierop JWI et al (2010) Health-related quality of life and long-term mortality in patients treated with percutaneous coronary intervention. Am Heart J 159:471–476PubMedCrossRef

Skodova Z, van Dijk JP, Nagyova I et al (2010) Psychosocial factors of coronary heart disease and quality of life among Roma coronary patients: a study matched by socioeconomic position. Int J Public Health 55:373–380PubMedCrossRef

Sloan RP, Shapiro PA, Gorenstein EE et al (2010) Cardiac autonomic control and treatment of hostility: a randomized controlled trial. Psychosom Med 72:1–8PubMedCentralPubMedCrossRef

Slovak Ministry of Social Affairs. Act No. 252/2009 Governmental Regulation of Minimum Wage. http://www.employment.gov.sk/DIS/dis/index.php?SMC=1&id=170. Accesse 1 June 2010

Sudzinova A, Nagyova I, Studencan M et al (2013) Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma. Int J Public Health 58:409–415PubMedCrossRef

The Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology (2006) Guidelines on the management of stable angina pectoris. Eur Heart J 27:1341–1381CrossRef

Tindle HA, Chang Y-F, Kuller LH (2009) Optimism, cynical hostility, and incident coronary heart disease and mortality in the women’s health initiative. Circulation 120:656–662PubMedCentralPubMedCrossRef

Tindle HA, Davis E, Kuller L (2010) Attitudes and cardiovascular disease. Maturitas 67:108–113PubMedCentralPubMedCrossRef

Titscher G, Ambros O, Bunzel B et al (2009) The curriculum for the Austrian Cardiologic Psychosomatic Society of Cardiology [Das Curriculum für Kardiologische Psychosomatik der Österreichischen Kardiologischen Gesellschaft]. Austrian J Cardiol 16:146–150

UNDP (2005) Faces of poverty, faces of hope. Vulnerability profiles of Roma population in decade of Roma Inclusion countries. UNDP, Bratislava

Ware JE, Kosinski M, Keller SD (1994) SF-36 Physical and mental summary scales: a user’s manual. The Health Institute, Boston

Weintraub WS, Spertus JA, Kolm P et al (2008) Effect of PCI on quality of life in patients with stable coronary disease. N Engl J Med 359:677–687PubMedCrossRef

Williams RB (1998) Lower socioeconomic status and increased mortality: early childhood roots and the potential for successful interventions. JAMA 279:1745–1746PubMedCrossRef

Title: Differences in health-related quality of life between Roma and non-Roma coronary heart disease patients: the role of hostility
Authors: Barbora Silarova
Jitse P. van Dijk
Iveta Nagyova
Jaroslav Rosenberger
Sijmen A. Reijneveld
Publication date: 01-04-2014
Publisher: Springer Basel
Published in: International Journal of Public Health / Issue 2/2014
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-013-0490-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Differences in health-related quality of life between Roma and non-Roma coronary heart disease patients: the role of hostility

Abstract

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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