Date of Award

January 2021

Document Type


Degree Name

Master of Public Health (MPH)


School of Public Health

First Advisor

Judith H. Lichtman


We proposed that angina burden is associated with marital stress after AMI among young patients, and the association may differ by sex. This analysis used the VIRGO data and separated participants into three groups based on their marital stress level at 1-month follow- up. Angina burden was measured in four domains by SAQ score at three points (baseline, 1- month, and 12-month) during the 12-month follow-up after AMI.We found that severe marital stress was associated with higher anginal frequency, more physical limitations after considering sociodemographic characteristics, medical history, healthcare accessibilities, and clinical features at presentation. The association differed in comparing quality of life with a significant association between severe marital stress and worse quality of life in women, not in men.


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