Osibogun Olatokunbo, Ogunmoroti Oluseye, Spatz Erica S, Burke Gregory L, Michos Erin D
Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida.
The Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease, Baltimore, Maryland.
Clin Cardiol. 2018 Sep;41(9):1154-1163. doi: 10.1002/clc.22995. Epub 2018 Sep 20.
Self-rated health (SRH) is an indicator of health status-a determinant of health-promoting behaviors and a predictor of morbidity/mortality. Little is known about the association between SRH and ideal cardiovascular health (CVH), as measured by the AHA Life's Simple 7 (LS7) metrics, or whether the relationship between SRH and CVH differs by race/ethnicity.
Favorable SRH is associated with better CVH.
We conducted a cross-sectional analysis of 6457 men and women (4 race/ethnicities) who participated in the Multi-Ethnic Study of Atherosclerosis. SRH was measured on a 5-point Likert scale (excellent, very good, good, fair, and poor). CVH was assessed using the LS7 metrics, each scored from 0 to 2, with a total score of 0 to 14. Scores of 0 to 8 indicate inadequate, 9 to 10, average, and 11 to 14, optimal CVH. ORs and 95% CIs were calculated for associations between SRH and CVH scores using multinomial logistic regression, adjusted for age, sex, race/ethnicity, education, income, marital status, health insurance, and chronic diseases.
Mean age of participants was 62 ± 10 years; 53% were female. Odds of ideal CVH increased as SRH improved. Compared with poor-fair SRH, adjusted ORs and 95% CIs for optimal CVH by SRH status were excellent, 4.9 (3.4-7.0); very good, 2.2 (1.6-3.1); and good, 1.5 (1.1-2.1). Results were similar by race/ethnicity, sex, and age groups.
More favorable SRH was associated with better CVH, irrespective of sex, race/ethnicity, or age. Further research could explore whether optimization of SRH predicts CVH.
自我评估健康状况（SRH）是健康状态的一个指标，是促进健康行为的一个决定因素，也是发病率/死亡率的一个预测指标。关于SRH与理想心血管健康（CVH）（通过美国心脏协会的“生命简单7项指标”（LS7）来衡量）之间的关联，或者SRH与CVH之间的关系是否因种族/民族不同而有所差异，目前所知甚少。
良好的SRH与更好的CVH相关。
我们对参加动脉粥样硬化多民族研究的6457名男性和女性（4个种族/民族）进行了横断面分析。SRH采用5点李克特量表进行测量（优秀、非常好、良好、一般和差）。使用LS7指标评估CVH，每个指标的得分从0到2，总分从0到14。得分0至8表示CVH不足，9至10表示平均水平，11至14表示最佳CVH。使用多项逻辑回归计算SRH与CVH得分之间关联的比值比（OR）和95%置信区间（CI），并对年龄、性别、种族/民族、教育程度、收入、婚姻状况、健康保险和慢性病进行了调整。
参与者的平均年龄为62±10岁；53%为女性。随着SRH的改善，理想CVH的几率增加。与一般-差的SRH相比，按SRH状态调整后的最佳CVH的OR和95%CI分别为：优秀，4.9（3.4-7.0）；非常好，2.2（1.6-3.1）；良好；1.5（1.1-2.1）。按种族/民族、性别和年龄组划分，结果相似。
更良好的SRH与更好的CVH相关，与性别、种族/民族或年龄无关。进一步的研究可以探索优化SRH是否能预测CVH。
