University of California San Francisco, Center for the Study of Adversity and Cardiovascular Disease (NURTURE Center), Division of Cardiology, Department of Medicine, San Francisco, CA.
University of Maryland School of Public Health, Department of Epidemiology and Biostatistics, College Park, MD.
Am Heart J. 2019 Sep;215:129-138. doi: 10.1016/j.ahj.2019.06.002. Epub 2019 Jun 14.
Financial strain is a prevalent form of psychosocial stress in the United States; however, information about the relationship between financial strain and cardiovascular health remains sparse, particularly in older women.
The cross-sectional association between financial strain and ideal cardiovascular health were examined in the Women's Health Study follow-up cohort (N = 22,048; mean age = 72± 6.0 years).Six self-reported measures of financial strain were summed together to create a financial strain index and categorized into 4 groups: No financial strain, 1 stressor, 2 stressors, and 3+ stressors. Ideal cardiovascular health was based on the American Heart Association strategic 2020 goals metric, including tobacco use, body mass index, physical activity, diet, blood pressure, total cholesterol and diabetes mellitus. Cardiovascular health was examined as continuous and a categorical outcome (ideal, intermediate, and poor). Statistical analyses adjusted for age, race/ethnicity, education and income.
At least one indicator of financial strain was reported by 16% of participants. Number of financial stressors was associated with lower ideal cardiovascular health, and this association persisted after adjustment for potential confounders (1 financial stressor (FS): B = -0.10, 95% Confidence Intervals (CI) = -0.13, -0.07; 2 FS: B = -0.20, 95% CI = -0.26, -0.15; 3+ FS: B = -0.44, 95% CI = -0.50, -0.38).
Financial strain was associated with lower ideal cardiovascular health in middle aged and older female health professional women. The results of this study have implications for the potential cardiovascular health benefit of financial protections for older individuals.
财务压力是美国普遍存在的一种心理社会压力形式；然而，关于财务压力与心血管健康之间的关系的信息仍然很少，特别是在老年女性中。
在妇女健康研究随访队列中（N=22048；平均年龄72±6.0 岁），研究了财务压力与理想心血管健康之间的横断面关联。将 6 项自我报告的财务压力测量指标加在一起，形成一个财务压力指数，并分为 4 组：无财务压力、1 个压力源、2 个压力源和 3 个以上压力源。理想心血管健康基于美国心脏协会 2020 年战略目标指标，包括吸烟、体重指数、身体活动、饮食、血压、总胆固醇和糖尿病。心血管健康作为连续和分类结果进行检查（理想、中等和较差）。统计分析调整了年龄、种族/民族、教育和收入。
至少有 16%的参与者报告了一种财务压力指标。财务压力源的数量与较低的理想心血管健康相关，并且这种关联在调整潜在混杂因素后仍然存在（1 个财务压力源（FS）：B=-0.10，95%置信区间（CI）=-0.13，-0.07；2 个 FS：B=-0.20，95%CI=-0.26，-0.15；3 个及以上 FS：B=-0.44，95%CI=-0.50，-0.38）。
在中年和老年女性健康专业人员中，财务压力与较低的理想心血管健康相关。这项研究的结果对为老年人提供财务保护的潜在心血管健康益处具有启示意义。
