But stressed-out affluent older men who drink and
smoke have less heart disease than less-economically
endowed men?

http://my.webmd.com/printing/article/2950.1737

'Researchers in Scotland followed a group of men for
more than 20 years and found that those who reported
the most stress actually died less often from heart
attacks and had fewer objective signs of heart
disease. Surprisingly, these men also tended to smoke
more, drink more, and exercise less than other men in
the study. 

"We aren't saying that stress protects your heart, and
we certainly aren't saying that smoking, drinking to
excess, and taking no exercise are good for you," says
lead author John Macleod, MD, of the University of
Birmingham in England. "Of course, these things are
bad for you. But we found that with regard to stress,
other factors came into play." 

Specifically, Macleod and colleagues found that men
reporting more stress tended to be more socially and
economically advantaged. These men reported more
symptoms of heart disease, but they also experienced
fewer heart attack deaths over the study period. This
led the authors to conclude that the protective
benefits of affluence, such as better access to
medical care, help to offset an unhealthy lifestyle.
The findings were reported in the May 25 issue of the
British Medical Journal.' 

Other factors include hostility levels, or whether one
perceives stress to be a challenge or a fear, or how
much control one has (real or perceived) over
stressors, or how much access one has to decent health
care - to name a few.

Studies Are So Much Fun! Maru

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