Journal of Behavioral Medicine

, Volume 13, Issue 1, pp 1–13 | Cite as

Type A behavior and its association with cardiovascular disease prevalence in Blacks and Whites: The Minnesota heart survey

  • J. Michael Sprafka
  • Aaron R. Folsom
  • Gregory L. Burke
  • Lorraine P. Hahn
  • Phyllis Pirie
Article

Abstract

Population-based surveys were conducted in 1985 and 1986 to measure the prevalence of coronary heart disease (CHD) history and risk factors in Black and White adults. Type A behavior was measured by the Jenkins Activity Survey (JAS). JAS scores were associated with age (negatively), education (positively), and sex (men>women) but were largely unrelated to CHD risk factors. Blacks had significantly lower age- and education-adjusted Type A and component scores than Whites, more so formen than women. Univariate analysis indicated that a history of angina and/or heart attack was positively associated with the Type A score in both Blacks and Whites. Following adjustment for known cardiovascular risk factors, Type A score remained positively and significantly associated with CHD prevalence. These findings are consistent with other cross-sectional studies and suggest that Type A behavior, as measured by the JAS, may increase the risk of CHD in both Blacks and Whites. Follow-up of these cohorts may help to clarify the complex relationship of Type A behavior to the risk of CHD.

Key words

Black Americans cardiovascular disease Jenkins Activity Survey prevalence Type A pattern 

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Copyright information

© Plenum Publishing Corporation 1990

Authors and Affiliations

  • J. Michael Sprafka
    • 1
  • Aaron R. Folsom
    • 1
  • Gregory L. Burke
    • 1
  • Lorraine P. Hahn
    • 1
  • Phyllis Pirie
    • 1
  1. 1.Division of Epidemiology, School of Public HealthUniversity of MinnesotaS.E., Minneapolis

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