TY - JOUR
T1 - Social Burden and Lifestyle in Adults With Congenital Heart Disease
AU - Zomer, A. Carla
AU - Vaartjes, Ilonca
AU - Uiterwaal, Cuno S. P.
AU - van der Velde, Enno T.
AU - Sieswerda, Gert-Jan T.
AU - Wajon, Elly M. C.
AU - Plomp, Koos
AU - van Bergen, Paul F. M.
AU - Verheugt, Carianne L.
AU - Krivka, Eva
AU - de Vries, Cees J.
AU - Lok, Dirk J. A.
AU - Grobbee, Diederick E.
AU - Mulder, Barbara J. M.
PY - 2012
Y1 - 2012
N2 - We aimed to evaluate how the presence and severity of congenital heart disease (CHD) influence social life and lifestyle in adult patients. A random sample (n = 1,496) from the CONgenital CORvitia (n = 11,047), the Dutch national registry of adult patients with CHD, completed a questionnaire on educational attainment, employment and marital statuses, and lifestyle (response 76%). The Utrecht Health Project provided a large reference group (n = 6,810) of unaffected subjects. Logistic regression models were used for subgroup analyses and to adjust for age, gender, and socioeconomic status where appropriate. Of all patients 51.5% were men (median age 39 years, interquartile range 29 to 51) with mild (46%), moderate (44%), and severe (10%) CHD. Young ( <40-year-old) patients with CHD were more likely to have achieved a lower education (adjusted odds ratios [ORs] 1.6 for men and 1.9 for women, p <0.05 for the 2 comparisons), significantly more often unemployed (adjusted ORs 5.9 and 2.0 for men and women, respectively), and less likely to be in a relationship compared to the reference group (adjusted ORs 8.5 for men and 4.5 for women). These poorer outcomes were seen in all severity groups. Overall, the CHD population smoked less (adjusted OR 0.5, p <0.05), had more sports participation (adjusted OR 1.2, p <0.05), and had less obesity (adjusted OR 0.7, p <0.05) than the reference group. In conclusion, there was a substantial social disadvantage in adult patients with CHD, which was seen in all severity groups and primarily in young men. In contrast, adults with CHD had healthier lifestyles compared to the reference group. (C) 2012 Elsevier Inc. All rights reserved. (Am J Cardiol 2012;109:1657-1663)
AB - We aimed to evaluate how the presence and severity of congenital heart disease (CHD) influence social life and lifestyle in adult patients. A random sample (n = 1,496) from the CONgenital CORvitia (n = 11,047), the Dutch national registry of adult patients with CHD, completed a questionnaire on educational attainment, employment and marital statuses, and lifestyle (response 76%). The Utrecht Health Project provided a large reference group (n = 6,810) of unaffected subjects. Logistic regression models were used for subgroup analyses and to adjust for age, gender, and socioeconomic status where appropriate. Of all patients 51.5% were men (median age 39 years, interquartile range 29 to 51) with mild (46%), moderate (44%), and severe (10%) CHD. Young ( <40-year-old) patients with CHD were more likely to have achieved a lower education (adjusted odds ratios [ORs] 1.6 for men and 1.9 for women, p <0.05 for the 2 comparisons), significantly more often unemployed (adjusted ORs 5.9 and 2.0 for men and women, respectively), and less likely to be in a relationship compared to the reference group (adjusted ORs 8.5 for men and 4.5 for women). These poorer outcomes were seen in all severity groups. Overall, the CHD population smoked less (adjusted OR 0.5, p <0.05), had more sports participation (adjusted OR 1.2, p <0.05), and had less obesity (adjusted OR 0.7, p <0.05) than the reference group. In conclusion, there was a substantial social disadvantage in adult patients with CHD, which was seen in all severity groups and primarily in young men. In contrast, adults with CHD had healthier lifestyles compared to the reference group. (C) 2012 Elsevier Inc. All rights reserved. (Am J Cardiol 2012;109:1657-1663)
U2 - https://doi.org/10.1016/j.amjcard.2012.01.397
DO - https://doi.org/10.1016/j.amjcard.2012.01.397
M3 - Article
C2 - 22444325
SN - 0002-9149
VL - 109
SP - 1657
EP - 1663
JO - American journal of cardiology
JF - American journal of cardiology
IS - 11
ER -