College of Medicine, Florida State University, Tallahassee, FL, USA.
Center on Better Health and Life for Underserved Populations, Florida State University, Tallahassee, FL, 32306-1491, USA.
J Behav Med. 2018 Jun;41(3):344-356. doi: 10.1007/s10865-017-9909-0. Epub 2018 Jan 22.
This study examined lower life satisfaction, active coping and cardiovascular disease risk factors (diastolic and systolic blood pressure, body mass index, and circumferences) in older African Americans over the phases of an 18-month church-based intervention, using a quasi-experimental design. Participants (n = 89) were 45 years of age and older from six churches (three treatment, three comparison) in North Florida. Lower life satisfaction had a persistent unfavorable effect on weight variables. Active coping showed a direct beneficial effect on selected weight variables. However, active coping was adversely associated with blood pressure, and did not moderate the association between lower life satisfaction and cardiovascular risk factors. The intervention had a beneficial moderating influence on the association between lower life satisfaction and weight variables and on the association between active coping and these variables. Yet, this pattern did not hold for the association between active coping and blood pressure. The relationship of lower life satisfaction and selected cardiovascular risk factors and the positive effect of active coping were established, but findings regarding blood pressure suggest further study is needed.
本研究采用准实验设计，考察了 18 个月基于教会的干预项目中老年人生活满意度、积极应对与心血管疾病风险因素（舒张压和收缩压、体重指数和周长）之间的关系。参与者（n=89）来自北佛罗里达州的六所教堂（三组干预组，三组对照组），年龄在 45 岁及以上。较低的生活满意度对体重变量有持续的不利影响。积极应对对部分体重变量有直接的有益影响。然而，积极应对与血压呈负相关，且不能调节生活满意度与心血管风险因素之间的关系。干预对生活满意度与体重变量之间的关系以及积极应对与这些变量之间的关系具有有益的调节作用。然而，这种模式并不适用于积极应对与血压之间的关系。本研究确定了较低的生活满意度与部分心血管风险因素的关系，以及积极应对的积极作用，但血压方面的研究结果表明，还需要进一步研究。
