Coronary-prone behavior among Japanese men.
The Japanese Coronary-prone Behavior Scale (JCBS) is a questionnaire developed by the Eastern Collaborative Group Study (ECGS), a multi-center study of coronary-prone behavior among Japanese men in Japan. From the JCBS, a subscale was extracted consisting of 9 items that were independently associated with the presence of coronary artery disease (CAD) in patients undergoing coronary angiography (CAG). The subscale, named Scale C, represents job-centered lifestyle, social dominance, and suppressed overt type A behavior. To further validate the association of Scale C with CAD among Japanese men, the present study examined if such an association would be observed in a newly sampled population. The JCBS was carried out by 311 men undergoing CAG. The association between Scale C score and the presence of CAD was evaluated with logistic regression analysis that included established coronary risk factors. The Scale C score was significantly higher in subjects with CAD than in those without and stepwise multivariate logistic regression showed that the Scale C score was associated with the presence of CAD independent of age, low-density lipoprotein cholesterol, diabetes mellitus, and obesity. These results indicate that the Scale C score is independently associated with the presence of CAD even among a newly sampled population of Japanese men undergoing CAG. Scale C may reflect an important feature of coronary-prone behavior among Japanese men.
Hori
Reiko
R
Department of Health and Psychosocial Medicine, Aichi Medical University, School of Medicine, Nagakute-cho, Japan. rhori@aichi-med-u.ac.jp
Hayano
Junichiro
J
Monou
Hirokazu
H
Kimura
Kazuhiro
K
Tsuboi
Hirohito
H
Kamiya
Takeshi
T
Kobayashi
Fumio
F
D000368:Aged; D001242:Assertiveness; D003327:Coronary Disease / Q000209:etiology* / Q000523:psychology; D015438:Health Behavior; D006801:Humans; D007398:Interpersonal Relations; D007564:Japan / Q000453:epidemiology; D008019:Life Style; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D018570:Risk Assessment / Q000379:methods / Q000592:standards; D011795:Surveys and Questionnaires / Q000592:standards