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. 2024 Dec 20;7(12):e2451806. doi: 10.1001/jamanetworkopen.2024.51806

Table 3. Association Between the Frequency of Witnessing Interparental Physical Violence and Incident CVD, 2011-2020.

Frequency of witnessing interparental physical violence No. (incidence rate per 1000 person-years) Model 1a Model 2b
HR (95% CI) P value HR (95% CI) P value
Total CVD
None 1853 (28.8) 1 [Reference] NA NA NA
Rarely 304 (29.9) 1.07 (0.95-1.21) .26 1.09 (0.96-1.23) .19
Sometimes 194 (37.0) 1.31 (1.13-1.51) <.001 1.32 (1.14-1.53) <.001
Often 64 (46.0) 1.58 (1.23-2.03) <.001 1.59 (1.24-2.04) <.001
P value for trendc NA NA <.001 NA <.001
Heart diseased
None 1420 (21.8) 1 [Reference] NA NA NA
Rarely 230 (22.2) 1.07 (0.93-1.23) .38 1.08 (0.94-1.24) .28
Sometimes 147 (27.6) 1.28 (1.08-1.52) .004 1.30 (1.10-1.54) .002
Often 51 (36.3) 1.63 (1.23-2.15) .001 1.63 (1.23-2.16) .001
P value for trend NA NA <.001 NA <.001
Stroke
None 631 (9.3) 1 [Reference] NA NA NA
Rarely 106 (9.9) 1.07 (0.87-1.32) .51 1.08 (0.88-1.33) .48
Sometimes 64 (11.3) 1.23 (0.95-1.59) .12 1.24 (0.96-1.60) .10
Often 21 (13.8) 1.53 (0.99-2.36) .06 1.52 (0.98-2.35) .06
P value for trend NA NA .02 NA .02

Abbreviations: CVD, cardiovascular disease; HR, hazard ratio; NA, not applicable.

a

Model 1: adjusted for age and sex.

b

Model 2: adjusted for age, sex, residence, educational level, smoking status, and current drinking status.

c

P value for trend was calculated using the frequency of witnessing interparental violence as a continuous variable.

d

Heart disease included myocardial infarction, angina, coronary heart disease, heart failure, or other heart problems.