美国“心脏健康研究”中非洲裔美国人的乐观情绪与心血管健康。
Optimism and cardiovascular health among African Americans in the Jackson Heart Study.
机构信息
Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
出版信息
Prev Med. 2019 Dec;129:105826. doi: 10.1016/j.ypmed.2019.105826. Epub 2019 Aug 29.
Little research has examined associations of positive psychosocial factors with the American Heart Association Life's Simple 7™ (LS7) among African Americans. This study examined the associations between positive optimistic orientation and LS7 among African Americans. Using exam 1 data (2000-2004) from the Jackson Heart Study, we examined cross-sectional associations of optimism (in tertiles) with LS7 components [smoking, physical activity, diet, body mass index, blood pressure, cholesterol, glucose] and a composite LS7 score (classified as poor, intermediate, ideal) among 4734 African Americans free of cardiovascular disease. Multivariable prevalence regression was used to estimate prevalence ratios (PR, 95% confidence interval-CI) of intermediate and ideal (vs. poor) individual LS7 components and composite LS7 score by optimism levels, adjusting for demographics, socioeconomic status, and depressive symptoms. For LS7 components with low prevalence, we estimated odds ratios. A greater percentage of participants with high vs. low optimism were younger, female, high SES, and not depressed. After full covariate adjustment, the prevalence ratio of ideal (vs. poor) composite LS7 score was 1.24 for participants who reported high (vs. low) optimism (95% CI 1.09-1.42) at exam 1. Higher levels of optimism were also associated with greater prevalence of ideal (vs. poor) physical activity and smoking. Promoting positive optimistic orientation may be an important step toward increasing the likelihood of achieving optimal cardiovascular health among African Americans.
针对非裔美国人,鲜有研究检验积极心理社会因素与美国心脏协会生活简单 7 项指标(LS7)之间的关联。本研究检验了乐观积极取向与非裔美国人 LS7 之间的关联。利用杰克逊心脏研究的检测 1 数据(2000-2004 年),我们检验了乐观程度(分为三档)与 LS7 指标 [吸烟、身体活动、饮食、体重指数、血压、胆固醇、血糖] 和 LS7 综合评分(分为较差、中等、理想)之间的横断面关联,该研究纳入了 4734 名无心血管疾病的非裔美国人。多变量患病率回归用于估计不同乐观程度人群的中等和理想(与较差)LS7 单项指标和综合 LS7 评分的患病率比(PR,95%置信区间[CI]),调整了人口统计学、社会经济地位和抑郁症状等因素。对于低患病率的 LS7 指标,我们估计了比值比。与低乐观程度相比,高乐观程度参与者中更年轻、女性居多、社会经济地位较高、抑郁程度较轻。在充分调整协变量后,检测 1 时报告高乐观(与低乐观相比)的参与者,其理想(与较差)综合 LS7 评分的患病率比为 1.24(95%CI 1.09-1.42)。较高的乐观程度也与理想(与较差)身体活动和吸烟的更高患病率相关。促进积极的乐观取向可能是提高非裔美国人实现最佳心血管健康的重要步骤。
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