Nurs Res. 2022;71(1):66-74. doi: 10.1097/NNR.0000000000000560.
Potentially traumatic experiences throughout the life course are associated with poor cardiovascular health among women. However, research on the associations of trauma with cardiovascular health among Latino populations is limited. Understanding the impact of trauma on cardiovascular health within marginalized populations may provide guidance on developing interventions with a particular focus on preventative care.
The purpose of this descriptive cross-sectional study was to examine the associations of lifetime trauma with cardiovascular health among middle-aged and older Latina women.
Participants were recruited from an existing study in New York City. All participants completed a structured questionnaire to assess lifetime trauma, demographic characteristics (such as age and education), financial resource strain, and emotional support. The Trauma History Questionnaire was used to assess lifetime exposure to potentially traumatic experiences (range 0-24). Cardiovascular health was measured with a validated measure of cardiovascular health from the American Heart Association (Life's Simple 7). We used self-reported and objective data to calculate cardiovascular health scores (range 0-14). Multiple linear regression was used to examine the associations of lifetime trauma with cardiovascular health, adjusted for age, education, financial resource strain, and emotional support.
The sample included 50 Latina women with a mean age of 63.1 years, 88% were Dominican, and only 6% had completed a college degree. Women reported an average of 4.8 traumatic experiences. Mean cardiovascular health score was 6.5 (SD = 1.6, range 3-10). Linear regression models found that, after adjusting for age, education, financial resource strain, and emotional support, a higher count of lifetime trauma was associated with worse cardiovascular health. However, this association did not reach statistical significance.
Women with a higher count of lifetime trauma had worse cardiovascular health scores; this association was not statistically significant. Future studies should investigate associations of lifetime trauma and cardiovascular health in larger and more diverse samples of Latinas. Nurses and other clinicians should incorporate trauma-informed approaches to cardiovascular disease risk reduction to improve the cardiovascular health of Latina women who are survivors of trauma.
一生中经历的潜在创伤事件与女性的心血管健康不良有关。然而，关于创伤与拉丁裔人群心血管健康之间关联的研究有限。了解创伤对边缘化人群心血管健康的影响可能有助于指导制定特别注重预防保健的干预措施。
本描述性横断面研究旨在探讨中年和老年拉丁裔女性一生中经历的创伤与心血管健康之间的关联。
参与者是从纽约市的一项现有研究中招募的。所有参与者都完成了一份结构化问卷，以评估一生中的创伤、人口统计学特征（如年龄和教育程度）、经济资源紧张和情感支持。使用创伤史问卷评估一生中可能经历的创伤经历（范围 0-24）。心血管健康采用美国心脏协会（Life's Simple 7）的经过验证的心血管健康测量方法进行测量。我们使用自我报告和客观数据计算心血管健康评分（范围 0-14）。使用多元线性回归来检查一生中的创伤与心血管健康之间的关联，调整了年龄、教育程度、经济资源紧张和情感支持等因素。
该样本包括 50 名拉丁裔女性，平均年龄为 63.1 岁，88%是多米尼加人，只有 6%完成了大学学业。女性报告平均有 4.8 次创伤经历。平均心血管健康评分为 6.5（SD=1.6，范围 3-10）。线性回归模型发现，在校正年龄、教育程度、经济资源紧张和情感支持后，一生中经历的创伤次数越多，心血管健康越差。然而，这种关联没有达到统计学意义。
一生中经历创伤次数较多的女性心血管健康评分较差；这种关联没有统计学意义。未来的研究应该在更大和更多样化的拉丁裔女性样本中调查一生中的创伤和心血管健康之间的关联。护士和其他临床医生应该将创伤知情的方法纳入心血管疾病风险降低措施中，以改善创伤幸存者拉丁裔女性的心血管健康。
