Racial and psychosocial risk factors for herpes zoster in the elderly

J Infect Dis. 1998 Nov:178 Suppl 1:S67-70. doi: 10.1086/514254.

Abstract

The effects of black race and psychologic stress on the risk of acquiring herpes zoster in late life were examined. Subjects were participants of a stratified probability sample of community-dwelling persons > or = 65 years old. A comprehensive health survey was administered in 1986-1987 (P1), 1989-1990 (P2), and 1992-1994 (P3). Incident cases of zoster between P1 and P2 and P2 and P3 served as the dependent variables. Hypothesis-testing variables included race, negative life events, and measures of social support. Control variables included age, sex, education, cancer, other chronic diseases, hospitalization, activities of daily living, self-rated health, depression, and cigarette smoking. From P1 to P2, 1.4% of black and 3.4% of white subjects developed zoster (P < .001). From P2 to P3, 2.9% of black and 7.5% of white subjects developed zoster (P < .001). After controlling for variables, black subjects were significantly less likely to develop zoster than were white subjects (adjusted odds ratio, 0.37; 95% confidence interval, 0.26, 0.53; P = .0001). Most measures of stress were not significantly related to zoster; however, study limitations preclude definitive conclusions.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Black People
  • Black or African American / psychology
  • Cohort Studies
  • Female
  • Herpes Zoster / epidemiology*
  • Herpes Zoster / etiology
  • Herpes Zoster / immunology
  • Humans
  • Life Change Events
  • Male
  • North Carolina / epidemiology
  • Risk Factors
  • Social Support
  • Stress, Psychological / complications
  • White People / psychology