title: Association of socioeconomic status and life-style factors with coping strategies in Isfahan Healthy Heart Program, Iran.
abstract: OBJECTIVE
  To investigate the association between life-style and socioeconomic factors and coping strategies in a community sample in Iran.
  
  
  METHODS
  As part of a community-based study called Isfahan Healthy Heart Program, we studied 17593 individuals older than 19 living in the central part of Iran. Demographic and socioeconomic factors (age, sex, occupation status, marital status, and educational level) and lifestyle variables (smoking status, leisure time physical activity, and psychological distress), and coping strategy were recorded. Data were analyzed by Pearson correlation and multiple linear regression.
  
  
  RESULTS
  Not smoking (women beta=-11.293, P<0.001; men beta=-3.418, P=0.007), having leisure time physical activity (women beta=0.017, P=0.046; men beta=0.005, P=0.043), and higher educational level (women beta=0.344, P=0.015; men beta=0.406, P=0.008) were predictors of adaptive coping strategies, while smoking (women beta=11.849, P<0.001; men beta=9.336, P<0.001), high stress level (women beta=1.588, P=0.000; men beta=1.358, P<0.001), and lower educational level (women beta=-0.443, P=0.013; men beta=-0.427, P=0.013) were predictors of maladaptive coping strategies in both sexes. Non-manual work was a positive predictor of adaptive (beta=4.983, P<0.001) and negative predictor of maladaptive (beta=-3.355, P=0.023) coping skills in men.
  
  
  CONCLUSIONS
  Coping strategies of the population in central Iran were highly influenced by socioeconomic status and life-style factors. Programs aimed at improving healthy life-styles and increasing the socioeconomic status could increase adaptive coping skills and decrease maladaptive ones and consequently lead to a more healthy society.
authors: Mental Health Department, Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. roohafza@crc.mui.ac.ir
authors: Hamidreza
authors: H
authors: Roohafza
authors: Masoumeh
authors: M
authors: Sadeghi
authors: Shahin
authors: S
authors: Shirani
authors: Ahmad
authors: A
authors: Bahonar
authors: Mahsa
authors: M
authors: Mackie
authors: Nizal
authors: N
authors: Sarafzadegan
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D006801:Humans; D007492:Iran; D008019:Life Style; D008297:Male; D012923:Social Class; D013315:Stress, Psychological; D011795:Surveys and Questionnaires