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American Journal of Epidemiology Vol. 136, No. 2: 146-154
Copyright © 1992 by The Johns Hopkins University School of Hygiene and Public Health

research-article

Hostility during Late Adolescence Predicts Coronary Risk Factors at Mid-Life

Ilene C. Siegler1,, Bercedis L. Peterson2, John C. Barfoot1 and Redford B. Williams1

1Behavioral Medicine Research Center and Department of Psychiatry, Duke University Medical Center Durham, NC
2Division of Biometry, Department of Community and Family Medicine, Duke University Medical Center Durham, NC

Reprint requests to Dr. Ilene Siegler, Box 2969, Duke University Medical Center, Durham, NC 27710

Hostility, as measured by the Cook-Medley Hostility Scale of the Minnesota Multiphasic Personality inventory, has been found to predict higher rates of both coronary heart disease and all-cause mortality. To evaluate one mechanism whereby hostility might contribute to health problems, the authors used regression models to determine whether hostility measured in college (1964–1966) predicted coronary risk factors assessed 21–23 years later (1987–1990) in 4,710 men and women. Of this group, 828 had lipids measured (1988–1991). Persons with higher hostility scores in college were significantly more likely at follow-up to consume more caffeine (r = 0.043), to have a larger body mass index (r = 0.055), to have higher lipid ratios (r = 0.092), and to be current smokers (r = 0.069) than those with tower hostility scores during college. Cross-sectional analyses found significant associations of contemporaneous hostility scores with the same four risk factors, as well as with alcohol consumption and hypertension (rs ranging from 0.043 to 0.117). These associations are large enough to have possible public health significance. We conclude that hostility may contribute to health problems through its influences on several coronary risk factors across the adult life span. Am J Epidemiol 1992;136:146–54.

body mass index; caffeine; cholesterol; exercise; hostility; hypertension; lipoproteins, HDL cholesterol; smoking


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