Negative attitudes to transition in post-communist Albania and acute coronary syndrome

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
Genc Burazeri, Jeremy D Kark

Abstract

The authors assessed the association of acute coronary syndrome (ACS) with attitudes to the socioeconomic aspects of rapid change in transitional Albania. A population-based case-control study conducted in Tirana, Albania, in 2003-2006 included 467 nonfatal ACS patients (370 men, 97 women; 88% response) and a population-sampled control group (469 men, 268 women; 69% response). Reaction to transition was assessed as a composite score of 3 items capturing attitudes toward socioeconomic aspects of transition in Albania. Using logistic regression, there was a strong linear relationship of the attitude score with ACS. When categorized as negative, intermediate, or positive attitudes, the age- and sex-adjusted odds ratio (OR) for the negative versus positive categories was 3.0; 95% confidence interval (CI) = 2.1, 4.3; p for linear trend <.01, which persisted on adjustment for socioeconomic characteristics, psychosocial factors, and conventional coronary risk factors, OR = 4.4; 95% CI = 2.7, 7.2; p for linear trend <.01. The association appeared to be stronger in the more vulnerable, lower socioeconomic segment of Albanian society. In a country moving rapidly from rigid Stalinism to a free market-oriented society, the authors found a ...Continue Reading

Citations

Jan 12, 2010·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Genc Burazeri, Jeremy D Kark
May 23, 2019·Frontiers in Public Health·Klevis CaushajGenc Burazeri

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