Journal article
Psychosocial Risk Factors and Retinal Microvascular Signs
American journal of epidemiology, v 171(5), pp 522-531
01 Mar 2010
PMID: 20035010
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The association between psychosocial risk factors and retinal microvascular signs was examined in the Multi-Ethnic Study of Atherosclerosis. Subjects were recruited from Baltimore, Maryland; Chicago, Illinois; Forsyth County, North Carolina; Los Angeles County, California; New York, New York; and St. Paul, Minnesota. Levels of depressive symptoms, trait anger, trait anxiety, chronic burdens, emotional support, and cynical distrust were assessed by questionnaire (from July 2000 to July 2002). Digital retinal images (from August 2002 to January 2004) from 6,147 participants were used to evaluate retinopathy and retinal vascular caliber. After controlling for potential confounding factors, the authors found that subjects without access to emotional support (Enriched Social Support Instrument score of < 19 vs. >= 19) had 60% greater odds of retinopathy (odds ratio = 1.6, 95% confidence interval (CI): 1.3, 2.0). Subjects with high Spielberger trait-anxiety scale scores (>= 22 vs. < 14) and subjects with high depressive symptoms (Center for Epidemiology Studies Depression Scale score, >= 16 vs. < 16) were also more likely to have retinopathy (odds ratio = 1.4, 95% CI: 1.1, 1.9 and odds ratio = 1.5, 95% CI: 1.2, 1.9), respectively. In this cross-sectional study, lack of emotional support, increased trait anxiety, and more depressive symptoms were associated with retinopathy signs, independently of other known risk factors.
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Details
- Title
- Psychosocial Risk Factors and Retinal Microvascular Signs
- Creators
- Richard A. Jensen (Corresponding Author) - University of WashingtonSteven Shea - Columbia UniversityNalini Ranjit - University of MichiganAna Diez-Roux - University of MichiganTien Y. Wong - National University of SingaporeRonald Klein - College Station Medical CenterBarbara E. K. Klein - College Station Medical CenterMary Frances Cotch - National Institutes of HealthDavid S. Siscovick - University of Washington
- Publication Details
- American journal of epidemiology, v 171(5), pp 522-531
- Publisher
- Oxford University Press
- Number of pages
- 10
- Grant note
- ZIAEY000403 / NATIONAL EYE INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Eye Institute (NEI) N01HC095159 / DIVISION OF EPIDEMIOLOGY AND CLINICAL APPLICATIONS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Eye Institute (NEI) Z01Ey000403 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA N01-HC-95159; N01-HC-95165; N01-HC-95169; T32HL007902 / National Heart, Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) R21HL095165 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000274786500002
- Scopus ID
- 2-s2.0-77249120093
- Other Identifier
- 991020112305404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health