title: Psychosocial and socioeconomic factors associated with glycated hemoglobin in nondiabetic middle-aged men and women.
abstract: The authors tested associations between glycated hemoglobin (HbA1c; an index of glucose homeostasis and an indicator of cardiovascular disease risk in nondiabetic populations) and socioeconomic status (defined by grade of employment) and psychosocial factors in 234 British civil servants. HbA1c concentration was inversely related to grade of employment. Higher HbA1c was associated with greater waist-hip ratio, lower control at work, lower internal locus of control, lower active coping, and lower social support. Control at work, internal and chance locus of control, and active coping were also related to socioeconomic status. The association of social support but not other psychosocial factors with HbA1c was independent of socioeconomic status. HbA1c may complement measures of the metabolic syndrome and insulin resistance in studies of psychosocial factors in cardiovascular disease risk.
authors.affiliation: Department of Epidemiology and Public Health, University College London, United Kingdom.
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Feldman
authors.forename: Andrew
authors.initials: A
authors.lastname: Steptoe
mesh_terms: D000223:Adaptation, Psychological; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism*; D006801:Humans; D007389:Internal-External Control; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology / Q000378:metabolism / Q000523:psychology; D008875:Middle Aged; D011584:Psychology; D012944:Social Support; D012959:Socioeconomic Factors
chemical_list: D006442:Glycated Hemoglobin