PSY 349 Lecture Notes - Lecture 3: Menopause, Myocardial Infarction, Social Isolation

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Pshosoial aspets of oe’s adioasula health
Factors Affecting Cardiovascular Health
HD is oet; do’t ko if ou’e deelopig it so sptos a go udiagosed fo
eas if the’e ot popel assessed
If someone in your family has HD at a young age, you may be at risk for it
Heritable high cholesterol, obesity, hypertension, diabetes can influence risk for HD
Behavioral factors can be important triggers that bring about HD
Health behaviors
Psychosocial factors CVD
Direct physiological effects and impacts from health behaviors that affect our health
HD is the #1 ause of death fo oth e ad oe ut it’s tue that i idustialized
counties around the world is the #1 cause of disability and economical loss
Incidence of HD increases as we get older but rate of increase is greatest among women
after menopause
o Reduced levels of estrogen
Greater decrease in deaths among men than in women around 2000, but it has
improved in the last 15 years
Usually diagnosed 10 years later in women then in men
o Whe the ae diagosed, eause the’e olde the teatet a e oe
complicated because they may be more sick and have other illness that can
complicate treatment
Risk factors that cannot be changed: gender and genetics
Modifiable risk factors: behaviors as well as psychological factors
In a large representative study74% had at least one risk factor for HD but only 16% had
been told that they were at risk for HD
o About 1/3rd were told to lose weight and postponed future appointments so
they could lose weight
Womens lack of knowledge about their risk of HD is greater among women of color
Bias i health ae: phsiias thik of HD as a a’s disease ad this ifluees
diagnosis and treatment
Estrogen in women after menopause resulted in an increased risk of breast cancer (once
it was finally investigated)
Etiology and Prevention
Social isolation and support
SI: not having someone to confide in; not having help; shown to be risk factors for HD
People who are socially isolated tend to have higher blood pressure
Having others keep tabs on you can encourage better health behaviors like going to the
doctor, eat a healthier diet, or to exercise
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