NATO ADVANCED RESEARCH WORKSHOP

Co-Sponsored by the Office of Behavioral and Social Sciences Research at the National Institutes of Health, the Wellcome Trust, and the Hungarian Ministry of Health

Increase in Coronary Heart Disease in Central and Eastern Europe:
Stress- and Gender related Factors -
May 20-24, 2000
Budapest, HUNGARY

DIRECTOR: Gerdi Weidner, State University of New York at Stony Brook
CO-DIRECTOR: Maria Kopp, Semmelweis University, Budapest

Location:

Hotel Agro Normafa ut 54 1121 Budapest (36)1- 375-4011, Fax (36)1- 375-6164

Program

Saturday, May 20: Arrival and Registration at Hotel Agro

19:30 Opening Session (Workshop Directors and Representatives of NATO (Dr. Kaffenberger), the Office of Behavioral and Social Sciences Research at NIH (Dr. Cain), and the Wellcome Trust (Dr. Sweiry)
20:00-22:00 Reception and Buffet at Hotel Agro

Sunday, May 21

Cardiovascular mortality in women and men: A global perspective I.
Session Chair: Ralf Schwarzer

09:00 Weidner:The role of stress- and gender-related factors in the increase in coronary heart disease in Eastern Europe: Overview and goals of workshop
09:30 Hertzman: A population health perspective on gender, cardiovascular disease, and stress in Central and Eastern Europe
10:00 Jozan:Cardiovascular mortality in East and West: The crux in closing the gap

10:30 coffee break

10:45 Nagy, Óváry, Kóti, Kricsfalvi: Vascular risk factor profile and risks for stroke in Hungarian women and men: Results from a population based study
11:00 Mesle, Shkolnikov & Leon: Premature cardiovascular death in Russia: Population-level evidence
11:15 Leon, Mesle & Shkolnikov: Premature cardiovascular death in Russia: Proportional mortality analysis
11:30 Shkolnikov, Mesle & Leon: Premature cardiovascular death in Russia: Individual-level data
12:00 Panel Discussion- presenters and discussants: Cain, Malyutina, Shestov, Viigimaa

13:00 Lunch

Cardiovascular mortality in women and men: A global perspective II.
Session Chair: Lorraine Collins

14:30 Malyutina & Nikitin: The incidence of coronary heart disease and cardiovascular mortality in the urban Siberian population: Gender specific findings from 10-year cohort study
14:45 Viigimaa, Johansson, Tiganik & Rimm: Cardiovascular risk factors in women and men in Tartu (Estonia) and Stockholm (Sweden)
15:15 Knox, Unden, Elofsson &Viigimaa: Psychosocial factors and cardiovascular risk in Swedish and Estonian men and women

15:30 coffee break

15:45 Kristenson: Chronic stress and the rising CHD mortality in Eastern Europe: Results from a comparative study of Sweden and Lithuania
16:15 Kucinskiené (for the LiVicordia group): Role of antioxidant status in the increased CHD mortality in Lithuanian vs. Swedish men - the LiVicordia study

16:30-17:30 Panel discussion - presenters and discussants: W. Connor, Deev, Siegrist, Wortman

18:30 Departure for the House of Hungarian Culture (Castle District) - opportunity for walking and sight seeing
19:30-22:00 Concert and dinner in the House of Hungarian Culture; welcome by the Ministry of Health (Minister Arpad Gogl) and the Rector of Semmelweis University (Professor Peter Sotonyi)

Monday, May 22

Psychosocial coronary risk factors and health behaviors I.
Session Chair: Sarah Knox

09:00 Kopp:Psychosocial risk factors, inequality and self-rated morbidity in a changing society
09:30 Shestov:Mortality in in Russia: epidemiological findings from a long-term follow-up study of men and women in St. Petersburg
10:00 Deev:Sex differential in life expectancy in Russia: Results from two cohort studies

10:15 coffee break

10:30 Siegrist: Adverse health effects of effort-reward imbalance - applying the model to Eastern Europe
11:00 Panel discussion - presenters and discussants: Barnett, Bobak, Hertzman, Jozan

12:00 press conference

12:15 lunch

13:15-14:45 Poster Session: Cultural and Psychosocial Factors
Session Chairs: Maria Kopp and Gerdi Weidner

Wrzesniewski, Forgays, Bonaiuto & Giannini: Gender and age differences in coronary-prone behavior across cultures
Kohlmann, Egloff, Hock & Mohiyeddini: Gender and cultural differences in coping strategies
Knoll & Schwarzer: Gender and age differences in perceived social support: A study comparing East German migrants and non-migrants
Dobrovolsky: The effects of tobacco use, alcohol, and Chernobyl stress on CVD morbidity and mortality in women and men of Ukraine
Plyushch: The effects of radiation on the development of atherosclerosis
Baban & Viorel: Gender differences in psychosocial risk factors and health behaviors in Romania
Csoboth: Psychosocial correlates of tobacco use in Hungarian women and men
Purebl, Kopp, Szedmák: Gender differences in depressive symptom patterns in the Hungarian population
Réthelyi & Kopp: Gender differences in the relationship of depression to self-perceived health and help-seeking behavior: Results from a population study of 45 to 65 year olds in Hungary
Sieverding: How do gender roles affect health behavior? The mediating role of (masculine) self-concept
Klauer: Gender, mental health status, and perceptions of social support during a stressful event: A study of dyads
Schmidt, Jain & Schwartz: Measures of cardiovascular reactivity and variability in everyday life: effect of age, gender, stress, personality, posture and physical activity
Heszen-Niejodek & Michalak: Gender differences in stress experienced by MI patients undergoing coronary artery bypass surgery (CABG)

Psychosocial coronary risk factors and health behaviors II.
Session Chair: Camille Wortman

15:00 Waldron:Trends in gender differences in ischemic heart disease mortality -- relationships to trends in health-related behavior and changing gender roles

15:30 coffee break

15:45 Buda:Alcohol abuse and alcohol addiction in relation to stress and gender in Hungary
16:00 Collins:Alcohol consumption, coping, and the gender gap in cardiovascular disease
16:15 Bobak Malyutina, Nikitin & Marmot: The role of tobacco in the cardiovascular disease epidemic in Eastern Europe
16:30-17:30 Panel discussion - presenters and discussants: Kristenson, Leon, Shkolnikov

[no evening events are scheduled - participants are free to explore Budapest on their own]

Tuesday, May 23

Stress, coping, social support, and health
Session Chair: Carl-Walter Kohlmann

09:15 Barnett: Gender, social roles and stress-related mental- and physical-health
09:45 Schwarzer: Social support and health

10:15 coffee break

10:30 Solomon:Gender differences in response to disaster exposure
10:45 Wortman:Gender differences in mortality and morbidity following a major stressor: the case of conjugal bereavement
11:00 Panel discussion - presenters and discussants: Collins, Shapiro, Waldron, Wrzesniewski

12:00 lunch

New coronary risk factors
Session Chair: Virginia Cain

13:15 Bobak:Beyond traditional risk factors: cardiovascular risk factors of biological nature
13:45 Connor W:The role of thrombosis and endothelial dysfunction in coronary heart disease: Can these vascular factors be controlled?
14:00 Connor S.: A changing spectrum of pathogenic and protective dietary factors in the coronary epidemic disease
14:15 Shapiro:Blood Pressure in Everyday Life: Interplay of Biological, Psychological, Emotional, and Situational Factors
14:30 Panel discussion- presenters and discussants: Kristenson, Schmidt, Knox, De Chatel

15:30 coffee break

15:45 -17:30 Panel discussion on future directions: Barnett, Bobak, Cain, Hertzman, Jozan, Kopp, Kristenson, Shestov, Shkolnikov, Viigimaa, Waldron, Weidner
19:00 Departure for Normafa Restaurant (within walking distance from Hotel Agro)
19:30 - Farewell Dinner

Wednesday, May 24

09:00 - 10:30 editorial meeting (Kopp, Kristenson, Weidner)

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Observers: Dr. Rachel Snow for the WHO (Institute of Tropical Hygiene and Public Health, University of Heidelberg ), Dr. Ullrich Buss (Department of Psychosomatics, University of Goettingen), and Dr. Richard Stone (the Journal Science) )

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IOS Press will publish a book on the theme of this workshop (as part of the NATO Science Series). This book is entitled "Heart Disease: Environment, Stress and Gender", and is edited by G. Weidner, M. Kopp, and M. Kristenson. Tentative publication date is December 2000.

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last updated: 5. May 2000

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