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志愿服务与心血管健康:西班牙裔社区健康研究/拉丁裔研究社会文化辅助研究

Volunteerism and Cardiovascular Health: The HCHS/SOL Sociocultural Ancillary Study.

作者信息

Estrella Mayra L, Kelley Michele A, Durazo-Arvizu Ramon A, Gallo Linda C, Chambers Earle C, Perreira Krista M, Zeng Donglin, Giachello Aida L, Isasi Carmen R, Wu Donghong, Lash James P, Daviglus Martha L

机构信息

University of Illinois at Chicago, Chicago, IL.

Loyola University Chicago, Maywood, IL.

出版信息

Health Behav Policy Rev. 2020 Mar;7(2):120-135. doi: 10.14485/HBPR.7.2.5.

Abstract

OBJECTIVES

The objective of this study was to examine the association between volunteerism and favorable cardiovascular health (CVH) among Hispanics/Latinos living in the US.

METHODS

Data from the Hispanic Community Health Study/Study of Latinos (2008-2011) Sociocultural Ancillary Study were used (N = 4,926; ages 18-74 years). Favorable CVH was defined as positive profiles of all major CVD risk factors: low total serum cholesterol, blood pressure, and body mass index; not having diabetes; and not smoking. Survey-weighted logistic regression models were adjusted for sociodemographic, lifestyle, and psychological factors. In secondary analyses, we tested whether the volunteerism-CVH association was modified by sex, age, or years lived in the US (<10 vs. ≥10 years; a proxy acculturation measure).

RESULTS

Prevalence of volunteerism was 14.5%. Compared to non-volunteers, volunteers had 1.67 higher odds of favorable CVH in the fully-adjusted model (Odds Ratio [OR] = 1.67, 95% Confidence Interval [CI] = 1.11, 2.52). There was evidence of effect modification by acculturation; only volunteers who had lived in the US ≥10 years had 2.41 higher odds of favorable CVH (OR = 2.41, 95% CI=1.53, 3.80). There was no evidence of effect modification by sex or age.

CONCLUSIONS

Volunteerism was associated with favorable CVH among US Hispanics/Latinos.

摘要

目的

本研究的目的是调查在美国生活的西班牙裔/拉丁裔人群中志愿服务与良好心血管健康(CVH)之间的关联。

方法

使用西班牙裔社区健康研究/拉丁裔研究(2008 - 2011年)社会文化辅助研究的数据(N = 4,926;年龄18 - 74岁)。良好的CVH被定义为所有主要心血管疾病风险因素呈阳性特征:总血清胆固醇、血压和体重指数低;没有糖尿病;不吸烟。调查加权逻辑回归模型针对社会人口统计学、生活方式和心理因素进行了调整。在二次分析中,我们测试了志愿服务与CVH之间的关联是否因性别、年龄或在美国居住年限(<10年与≥10年;一种文化适应程度的替代指标)而有所改变。

结果

志愿服务的患病率为14.5%。在完全调整模型中,与非志愿者相比,志愿者拥有良好CVH的几率高1.67倍(优势比[OR] = 1.67,95%置信区间[CI] = 1.11,2.52)。有证据表明文化适应存在效应修正;只有在美国居住≥10年的志愿者拥有良好CVH的几率高2.41倍(OR = 2.41,95% CI = 1.53,3.80)。没有证据表明性别或年龄存在效应修正。

结论

在美国的西班牙裔/拉丁裔人群中,志愿服务与良好的CVH相关。

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Positive Cardiovascular Health: A Timely Convergence.积极的心血管健康:适时的融合。
J Am Coll Cardiol. 2016 Aug 23;68(8):860-7. doi: 10.1016/j.jacc.2016.03.608.

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