Coronary disease & ACSCohort study

Experiences of Stalking and Obtaining a Restraining Order Are Associated With Onset of Cardiovascular Events in Women: A Prospective Analysis in the Nurses’ Health Study II

CirculationPublished

  • Prospective cohort study

Authors' conclusion

Experiences of stalking and obtaining a restraining order are both associated with an increased risk of developing CVD in women.

Study context

Population
Women free of cardiovascular disease (CVD) in 2001, Nurses' Health Study II cohort
Participants
66,270 women
Exposure
Stalking or restraining order vs neither
  • Stalkedn = 7,721
  • Restraining ordern = 3,686
Outcome
Incident CVD (self-reported MI or stroke)
Follow-up
Through 2021 (over 20 years)

Main finding

As reported in the abstract

Self-reported incident CVD · median 19.9 years
Estimate (95% CI)
Stalked vs Not stalkedadjusted for sociodemographic and childhood or family factors
HR 1.41(1.24–1.60)
Restraining order vs No restraining order
adjusted HR 1.70(1.44–1.98)
Women with new-onset CVD
1879 (2.8%)

Observational data: associations, not effects.

Further findings

Self-reported MI and stroke separately; confirmed or corroborated CVD

Results similar

Incident CVD, further adjusted for health behaviours, medications, health conditions, childhood abuse and depressive symptoms

Slightly attenuated but remained statistically significant

Original publication

Experiences of Stalking and Obtaining a Restraining Order Are Associated With Onset of Cardiovascular Events in Women: A Prospective Analysis in the Nurses’ Health Study II. Circulation. Published 11 August 2025. doi:10.1161/circulationaha.124.073592

Summarised from the published abstract; every number is checked against it