TY - JOUR
T1 - Men's and Women's Health Beliefs Differentially Predict Coronary Heart Disease Incidence in a Population-Based Sample
AU - Rom Korin, Maya
AU - Chaplin, William F.
AU - Shaffer, Jonathan A.
AU - Butler, Mark J.
AU - Ojie, Mary Jane
AU - Davidson, Karina W.
N1 - Funding Information:
The study was supported by grants HP-10260 from the National Institutes of Health, Bethesda, MD, as well as HL-080665, HL-088117, HL-076857, HL-084034, HL-072866, and HL-04458 from the National Heart, Lung, and Blood Institute, Bethesda, Md. This project was also supported by Grant UL1 RR024156 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH) and NIH Roadmap for Medical Research. The National Health & Welfare of Canada, the Nova Scotia Department of Health, and the Heart and Stroke foundation of Canada all supported the original data collection. The study sponsors had no role in the study design, collection, analysis, writing, or interpretation.
PY - 2013/4
Y1 - 2013/4
N2 - Objective. To examine gender differences in the association between beliefs in heart disease preventability and 10-year incidence of coronary heart disease (CHD) in a population-based sample. Methods. A total of 2,688 Noninstitutionalized Nova Scotians without prior CHD enrolled in the Nova Scotia Health Study (NSHS95) and were followed for 10 years. Risk factors, health behaviors, and incident CHD were assessed. Participants responded "yes" or "no" to a question about heart disease preventability. Survival models, adjusted for age, income, total and high-density lipoprotein cholesterol, and systolic blood pressure, were used to estimate the relation between health belief and incident CHD. Gender differences in the relation between health beliefs and health behaviors were assessed. Results. Gender was a significant moderator of the relation between belief and CHD incidence; specifically, women who believed heart disease could be prevented were less likely to have incident CHD events compared with women who believed heart disease could not be prevented (hazard ratio [HR] = 0.36, 95% confidence interval [CI] = 0.24-0.55, p <.001). This relation was not found for men. Belief was also related to smoking behavior for women (β = -0.70, odds ratio [OR] = 0.50, 95% CI = 0.33-0.74, p =.001) but not for men. Smoking significantly mediated the relation between health beliefs and incident CHD for women (z = -1.96, p =.05), but not for men. Conclusion. Health belief in prevention and subsequent smoking was an important independent predictor of incident CHD in women but not in men.
AB - Objective. To examine gender differences in the association between beliefs in heart disease preventability and 10-year incidence of coronary heart disease (CHD) in a population-based sample. Methods. A total of 2,688 Noninstitutionalized Nova Scotians without prior CHD enrolled in the Nova Scotia Health Study (NSHS95) and were followed for 10 years. Risk factors, health behaviors, and incident CHD were assessed. Participants responded "yes" or "no" to a question about heart disease preventability. Survival models, adjusted for age, income, total and high-density lipoprotein cholesterol, and systolic blood pressure, were used to estimate the relation between health belief and incident CHD. Gender differences in the relation between health beliefs and health behaviors were assessed. Results. Gender was a significant moderator of the relation between belief and CHD incidence; specifically, women who believed heart disease could be prevented were less likely to have incident CHD events compared with women who believed heart disease could not be prevented (hazard ratio [HR] = 0.36, 95% confidence interval [CI] = 0.24-0.55, p <.001). This relation was not found for men. Belief was also related to smoking behavior for women (β = -0.70, odds ratio [OR] = 0.50, 95% CI = 0.33-0.74, p =.001) but not for men. Smoking significantly mediated the relation between health beliefs and incident CHD for women (z = -1.96, p =.05), but not for men. Conclusion. Health belief in prevention and subsequent smoking was an important independent predictor of incident CHD in women but not in men.
KW - cardiovascular disease
KW - gender differences
KW - health beliefs
UR - http://www.scopus.com/inward/record.url?scp=84875771984&partnerID=8YFLogxK
U2 - 10.1177/1090198112449461
DO - 10.1177/1090198112449461
M3 - Article
C2 - 22991050
AN - SCOPUS:84875771984
SN - 1090-1981
VL - 40
SP - 231
EP - 239
JO - Health Education and Behavior
JF - Health Education and Behavior
IS - 2
ER -