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
University of Illinois at Chicago, Chicago, IL.
Loyola University Chicago, Maywood, IL.
Health Behav Policy Rev. 2020 Mar;7(2):120-135. doi: 10.14485/HBPR.7.2.5.
The objective of this study was to examine the association between volunteerism and favorable cardiovascular health (CVH) among Hispanics/Latinos living in the US.
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).
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.
Volunteerism was associated with favorable CVH among US Hispanics/Latinos.
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。
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。
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。
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。
