Center for Healthcare Advancement and Outcomes, Baptist Health South Florida, Miami, FL, USA.
Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.
J Public Health (Oxf). 2018 Dec 1;40(4):e456-e463. doi: 10.1093/pubmed/fdx140.
There is increasing evidence of the role psychosocial factors play as determinants of cardiovascular health (CVH). We examined the association between self-rated health (SRH) and ideal CVH among employees of a large healthcare organization.
Data were collected in 2014 from employees of Baptist Health South Florida during an annual voluntary health risk assessment and wellness fair. SRH was measured using a self-administered questionnaire where responses ranged from poor, fair, good, very good to excellent. A CVH score (the proxy for CVH) that ranged from 0 to 14 was calculated, where 0-8 indicate an inadequate score, 9-10, average and 11-14, optimal. A multinomial logistic regression was used to examine the association between SRH and CVH.
Of the 9056 participants, 75% were female and mean age (SD) was 43 ± 12 years. The odds of having a higher CVH score increased as SRH improved. With participants who reported their health status as poor-fair serving as reference, adjusted odds ratios for having an optimal CVH score by the categories of SRH were: excellent, 21.04 (15.08-29.36); very good 10.04 (7.25-13.9); and good 3.63 (2.61-5.05).
Favorable SRH was consistently associated with better CVH.
越来越多的证据表明，社会心理因素在心血管健康（CVH）决定因素中起着重要作用。我们研究了大型医疗机构员工的自我报告健康（SRH）与理想 CVH 之间的关系。
2014 年，在佛罗里达州浸信会健康中心的年度自愿健康风险评估和健康博览会上，从员工那里收集了数据。使用自我管理问卷来衡量 SRH，答案范围从差、一般、好、很好到优秀。CVH 评分（CVH 的代表）范围从 0 到 14，其中 0-8 表示分数不足，9-10 表示平均，11-14 表示最佳。使用多项逻辑回归来检查 SRH 与 CVH 之间的关联。
在 9056 名参与者中，75%为女性，平均年龄（标准差）为 43 ± 12 岁。随着 SRH 的改善，CVH 评分较高的可能性增加。以健康状况为差-一般的参与者为参照，SRH 各分类的最佳 CVH 评分的调整比值比为：优秀，21.04（15.08-29.36）；很好，10.04（7.25-13.9）；好，3.63（2.61-5.05）。
良好的 SRH 与更好的 CVH 始终相关。
