OBJECTIVES: Aim was to examine the relationship between individually perceived changes in psychosocial stressors associated with German reunification and cardiovascular effects. We hypothesised that higher levels of psychosocial stress related to German reunification were associated with an increase in @entity65 factors and @entity65 ( @entity65 ). DESIGN: Cross-sectional data from 2 cohort studies in East Germany were used: @entity65 , Living and Ageing in Halle Study (CARLA), and Study of Health in Pomerania (SHIP). SETTING: 2 populations in East Germany. @entity1 : CARLA study: 1779 @entity1 , aged 45-83 years at baseline (812 @entity1 ), SHIP study: 4308 @entity1 , aged 20-79 years at baseline (2193 @entity1 ). PRIMARY AND SECONDARY OUTCOME MEASURES: Psychosocial stressors related to reunification were operationalised by the @entity1642 ( @entity1642 ; scale from 0 to 10). This index was composed of questions that were related to individually perceived changes in psychosocial stressors (occupational, financial and personal) after reunification. To examine the associations between the @entity1642 and each stressor separately with @entity65 factors and CVD, regression models were used. RESULTS: @entity1642 was associated with CVD in @entity1 (RR=1.15, 95% CI 1.00 to 1.33). @entity65 factors were associated with @entity1642 for both @entity1 and @entity1 , with strongest associations between @entity1642 and @entity6 in @entity1 (RR=1.10, 95% CI 1.01 to 1.20) and @entity308 in @entity1 (RR=1.15, 95% CI 1.07 to 2.77). The change in occupational situation related to reunification was the major contributing psychosocial stressor. We observed a strong association with CVD in @entity1 who experienced occupational deterioration after reunification (RR=4.04, 95% CI 1.21 to 13.43). CONCLUSIONS: Individually perceived deterioration of psychosocial stressors (occupational, financial and personal) related to German reunification was associated with @entity65 factors and CVD. The associations were stronger for @entity1 than for @entity1 . An explanation for these findings could be that @entity1 were more often affected by unemployment after reunification. Morbidity and mortality follow-up of both cohorts could enhance the results.

Changes of individual perception in psychosocial stressors related to German reunification in 1989/1990 and @entity65 factors and XXXX in a population-based study in East Germany.

@entity1 :: ('9606', 'Species') :: ['participants', 'women', 'PARTICIPANTS', 'men'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depressive disorders'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes'] @entity1642 :: ('MESH:D015775', 'Disease') :: ['RSI', 'Reunification Stress Index'] @entity65 :: ('MESH:D002318', 'Disease') :: ['Cardiovascular Disease', 'CVDs', 'cardiovascular risk', 'cardiovascular diseases', 'Cardiovascular risk']
@entity65 :: (MESH:D002318,Disease) :: ['cardiovascular diseases']
