Type A behavior and its association with cardiovascular disease prevalence in Blacks and Whites: The Minnesota heart survey
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 wordsBlack Americans cardiovascular disease Jenkins Activity Survey prevalence Type A pattern
Unable to display preview. Download preview PDF.
- Dembroski, T. M. (1978). Reliability and validity of methods used to assess coronary-prone behavior. In Dembroski, T. M., Weiss, S. M., Shields, T. L.,et al. (eds.),Coronary Prone Behavior, Springer-Verlag, New York, pp. 95–106.Google Scholar
- Jenkins, C. D. (1983). Psychosocial and behavioral factors. In Kaplan, N. M., and Stamler, J., (eds.),Prevention of coronary Heart Disease: Practical Management of the Risk Factors, W. B. Saunders, Philadelphia, pp. 98–118.Google Scholar
- Jenkins, C. D., Zyzanski, S. J., and Rosenman, R. H. (1979).Jenkins Activity Survey, Psychological Corporation.Google Scholar
- Lipid Research Clinics Program (1974).Manual on Laboratory Operations, DHEW Publication NIH 75-628, NHLBI, NIH, Bethesda, Md.Google Scholar
- Ragland, D. R., and Brand, R. J. (1988). Type A behavior and mortality from coronary heart disease.N. Engl. J. Med. 381: 65–69.Google Scholar
- Rose, G. A., Blackburn, H., Gillum, R. F., and Prineas, R. J. (1982).Cardiovascular Survey Methods, 2nd ed., World Health Organization, Geneva.Google Scholar
- Rosenman, R. H. (1978). The interview method of assessment of the coronary-prone behavior pattern. In Dembroski, T. M., Weiss, S. M., Shields, T. L.,et al. (eds.),Coronary-Prone Behavior, Springer-Verlag, New York, pp. 55–70.Google Scholar
- Schneiderman, N. (1987). Psychophysiologic factors in atherogenesis and coronary artery disease.Circulation 76 (Suppl. I): 141–147.Google Scholar
- Waldron, I., Zyzanski, S. J., Shekelle, R. B., Jenkins, C. D.,et al. (1978). Type A behavior pattern in employed men and women.J. Hum. Stress 3: 2–18.Google Scholar
- Winer, B. J. (1971).Statistical Principles in Experimental Design (2nd ed.), McGraw-Hill, New York.Google Scholar
- Zyzanski, S. J. (1978). Coronary prone behavior patterns and coronary heart disease. Epidemiologic evidence. In Dembroski, T. M., Weiss, S. M., Shields, J. L.,et al. (eds.),Coronary Prone Behavior, Springer-Verlag, New York, pp. 25–40.Google Scholar