American Journal of Epidemiology Vol. 136, No. 2: 136-145
Copyright © 1992 by The Johns Hopkins University School of Hygiene and Public Health
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Hostility and Health Behaviors in Young Adults: The CARDIA Study
1University of California, San Francisco San Francisco, CA
2University of Alabama Birmingham, AL
3West Alabama Hearth Services, Inc. Eutaw, AL
4Kaiser Permanente Oakland, CA
5National Heart, Lung, and Blood Institute Bethesda, MD
Reprint requests to Stephen Sparler, 23 Woodland Ave , San Francisco, CA 94117
Hostility has been associated with coronary heart disease mortality. To assess possible mechanisms linking hostility to coronary heart disease risk, the authors conducted analyses in a cross-sectional study from data collected in 1985 and 1986 on 5,115 young adults, aged 18–30 years, black and white, male and female, in four large urban areas of the United States. The results show that higher levels of hostility as determined by the Cook-Medley Hostility Scale were strongly associated wtth tobacco and marijuana smoking, increased alcohol consumption, and greater caloric intake in both blacks and whites and in both men and women. The increased caloric consumption was evident in the higher waist/hip ratios, particularly in men (p < 0.05). The associations were particularly strong (p < 0.001) for tobacco cigarette smoking and marijuana smoking, with roughly a 1.5 times higher prevalence in the top hostility quartile compared with the bottom quartile after adjusting for age and education. Hostility levels were not related to the percentage of calories from fat or from sucrose intake, to plasma cholesterol levels, or to physical fitness (except for a weak association in the latter in white women). The results describe relations between hostility and health behaviors that may be detrimental to health. The findings provide a possible explanation for the association between hostility and coronary heart disease mortality. Am J Epidemiol 1992;136:136–45.
alcohol drinking; body mass index; coronary disease; exercise; health behavior; hostility; mortality; smoking
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