A review of psychosocial factors and stroke: A new public health problem.
Environmental factors
Psychosocial factors
Risk factors
Stress
Stroke
TIA
Journal
Revue neurologique
ISSN: 0035-3787
Titre abrégé: Rev Neurol (Paris)
Pays: France
ID NLM: 2984779R
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
08
01
2019
accepted:
11
02
2019
pubmed:
28
5
2019
medline:
2
6
2020
entrez:
28
5
2019
Statut:
ppublish
Résumé
The role of psychosocial factors (PSF) in increased risk of stroke is a novel public health challenge, but unclear definitions for PSF and the multiple stroke subtypes have led to inconsistent reports. A review of this issue is therefore warranted. Several databases were used for this narrative systematic review (Medline, Embase and Cochrane Library). Two independent reviewers evaluated articles from between 2001 and 2018 on the themes of PSF and stroke/transient ischemic attack (TIA). PSF criteria were job strain, psychological interpersonal and behavioral stress, and social deprivation. Ischemic and hemorrhagic stroke and TIA subtypes were also identified. Forty-five cohorts, five case-control studies and two meta-analyses were included. Despite mixed results, PSF were associated with an increased risk of ischemic and hemorrhagic stroke in populations of all ages, and more predominantly in women. This broad review shows that the presence of PSF is associated with an increased risk stroke and TIA. As such, PSF must figure in both public health policy and stroke prevention programs, similar to other established metabolic and environmental factors.
Identifiants
pubmed: 31130312
pii: S0035-3787(19)30005-0
doi: 10.1016/j.neurol.2019.02.001
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
686-692Informations de copyright
Copyright © 2019 Elsevier Masson SAS. All rights reserved.