Extreme violence is associated with a higher risk of cardiovascular events or death | Whuff News

Experiencing a violent encounter even with an intimate partner or family member can increase a young adult’s risk of having a heart attack, stroke or heart failure in the hospital over the years. finally, according to the first research to be presented at the American Heart Association’s Scientific Sessions 2022. The meeting, held in person in Chicago and virtually, Nov. 5-7, 2022, is the first worldwide publication of the latest scientific advances, research and evidence-based clinical trials in cardiovascular science.

According to the Centers for Disease Control and Prevention (CDC): intimate partner violence is defined as physical, emotional or mental abuse or aggression that occurs in an intimate relationship from a current or former partner. first partner or partner. It includes physical violence, sexual violence, conspiracy and psychological harassment, including verbal or non-verbal communication with the intent to harm the thinking or feeling a partner or directing a partner. About 1 in 4 women and almost 1 in 10 men report experiencing sexual violence, physical violence and/or stalking by an intimate partner during their lifetime and report some of the effects of affect close partners. More than 43 million women and 38 million men in the US have experienced psychological abuse by an intimate partner in their lives, according to current CDC statistics.

Women 18 to 34 years of age tend to experience the highest rates of domestic violence, according to the National Domestic Violence Hotline.

There is increasing evidence linking domestic violence – a serious psychological and physical problem – to adverse cardiovascular outcomes. Much of the current evidence is limited to self-reports of cardiovascular health and analysis from one point in time, which is the case in this study, which tracked participants for almost 30 years, could see a relationship, very nice.

Kathryn Recto, BA, lead study author, enrolled in the MD/MPH dual-degree program at Northwestern University’s Feinberg School of Medicine in Chicago

Research staff collected information about hospitalization and outpatient treatment during routine examinations and annual appointments. If there were hospitalizations or outpatient visits, medical records were requested and used by physicians to review CVD events. This study examined whether past exposure to intimate partner violence is associated with the health of the future generations, and how these relationships manifest throughout a person’s life.

Researchers analyzed data from the Coronary Artery Risk Development in Young Adults Study (CARDIA), a long-term study that began in 1985, of more than 5,000 Black and white adults, ages 18-30 years. enrollment, to study factors that contribute to the development of cardiovascular disease. CARDIA enrolled participants at four different centers across the United States: Birmingham, Alabama; Chicago; Minneapolis; and Oakland, California. The study was designed to include an equal number of people in each center and compare characteristics based on sports, gender and educational level. About half of CARDIA participants (51.5%) self-identify as Black and older; 54.5% are women; and 60% of participants pursued education beyond high school.

Researchers were asked to participate in health surveys every 2-5 years. Although the purpose of each clinic visit is different, the data collected during the 28-year follow-up on many factors related to heart disease, such as blood pressure, glucose, cholesterol, diet, body, drug use, MRI scans, mental health and family history, as well as health conditions including heart problems, type 2 diabetes and its complications, sleep apnea, adverse outcomes of pregnancy, kidney problems, liver disease, cancer, stomach disease, depression and death.

For this analysis, researchers analyzed questionnaires completed in 1987 and 1988 from more than 4,300 people to assess exposure to violence in in families. The survey asked how often in the past year you had been in a violent argument with the following people: 1) with a spouse/lover (intimate partner); 2) with relatives other than spouse/lover; 3) with another person they know; 4) with someone they don’t know. They were also asked if they kept a gun at home for protection. The researchers then sorted and analyzed the study results and analyzed the clinical trials to link the study results to non-invasive heart attacks, stroke, hospitalizations and death related to other cardiovascular causes among the participants. The analysis was adjusted for risk factors, including physical identity, smoking, doctor or nurse diagnosed with anxiety or depression, diabetes type 2 and more, to study the association with the exposure of intimate partner violence and the occurrence of cardiovascular complications or death.

The study found the following information:

  • People who reported at least one exposure to intimate partner violence within the past year at the beginning of the study also had higher alcohol consumption (16 milliliters/day or .5 ounces per day) those who reported exposure to intimate partner violence vs. 11 ml/day or .4 ounce per day) for the unexposed; smoking more (3.3 pack-years for those who experienced domestic violence versus 2.4 pack-years for no exposure); and were more likely to report depression (8.3% for exposure vs. 6.0% for no exposure) in the survey completed at the beginning of the study.
  • 62% of participants who reported experiencing intimate partner violence were Black adults and 38% were white adults.
  • Exposure to intimate partner violence or domestic violence was associated with at least a 34% higher risk for cardiovascular events and at least a 30% the increased risk of death from any cause when adjusted for age, sex and race.
  • Having more than one episode with an intimate partner in the past year also increased the risk of dying from any cause by 34%. trend after additional adjustment for cardiovascular risk factors. The increased risk of death was 59% among those who reported the abuse involved a family member other than a spouse/partner; 34% if the incident involved someone they know and 26% involved someone they don’t know.

“The results indicate that intimate partner violence appears to be significantly associated with a higher level of trauma.” heart attack or death,” said Recto. “It is important that we better understand the connection between these two public health problems in order to improve the risk that can develop and implemented. with a history of intimate partner violence may require careful monitoring for an increased risk of future cardiovascular events here.”

Randi Foraker, Ph.D., MA, FAHA, vice chair of the American Heart Association’s Epidemiology & Cardiovascular Stroke Nursing Prevention Science Committee, said that the report uses the best available data on violence and cardiovascular events between young adults provide “our greatest estimate of cardiovascular risk from violence.”

“The authors were careful to adjust for other risk factors for cardiovascular disease, such as smoking, alcohol and stress, to reduce the impact of these risk factors in the analysis,” said Foraker, who a professor of medicine and director of the Center. for Population Health Informatics in I2 at Washington University School of Medicine in St. Louis. “This work emphasizes the need for increased surveillance of individuals exposed to adverse events for cardiovascular disease and risk monitoring.”

The study authors also note that future studies should investigate the biological mechanisms that may link the abuse of intimate partners with cardiovascular disease.

Limitations of the study included only participants who were asked about the number of episodes of intimate partner violence at the beginning of the study, and was not considered at any other time in the study. In addition, the definition of what constitutes a “violent or violent conflict” is not clearly defined, therefore, the answers may be inaccurate or misleading due to differences in people’s opinions. each in the event. Also, the CARDIA study included only black and white adults.

Co-authors are Donald M. Lloyd-Jones, MD, Sc.M., FAHA; Kiarri Kershaw, Ph.D., MPH; and Laura Colangelo, MS Author’ details are listed in the description.

This study was funded by the National Heart, Lung, and Blood Institute, part of the National Institutes of Health.


American Heart Association

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