负面情绪与导致移民人群心血管风险的社会行为因素有关。
Negative mood is associated with sociobehavioral factors contributing to cardiovascular risk in an immigrant population.
机构信息
Department of Psychiatry & Psychology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Rochester Healthy Community Partnership, Rochester, MN, USA.
出版信息
BMC Public Health. 2024 Jul 16;24(1):1911. doi: 10.1186/s12889-024-19402-z.
BACKGROUND
After settling in the United States (US), immigrants often accumulate obesity and cardiovascular risk factors. As mood is often associated with health behaviors in the US population, mood may be an important mediating factor in immigrant populations.
METHODS
The Healthy Immigrant Community (HIC) study, set in southeast Minnesota, enrolled 475 adult participants in a weight loss intervention designed to reduce cardiovascular risk. Baseline questionnaires assessed mood, nutrition, physical activity, self-efficacy for healthy eating and physical activity, social support, and cohesion. A single-item mood rating of poor or fair was considered "negative", while ratings of good, very good, or excellent were considered "positive".
RESULTS
Hispanic/Latino (n = 268) and Somali (n = 181) adults enrolled in HIC completed baseline measures and were included in this analysis. Participants endorsing negative mood compared to positive mood had lower healthy eating scores (p = 0.02), lower physical activity levels (p = 0.03), lower confidence in eating a healthy diet (p = 0.001), and felt less of a sense of belonging to their community (p = 0.01). Those endorsing negative mood reported receiving less social support to eat healthy (p = < 0.001) and be physically active (p = 0.01). They also accessed community resources for healthy eating (p = 0.001) and physical activity (p = < 0.01) less frequently than participants endorsing positive mood.
CONCLUSIONS
On self-report, negative mood was associated with less healthy nutrition, lower confidence in eating healthy, sedentary lifestyle, and perceived lack of belonging to the community. Integrating mood management and self-efficacy strategies may enhance the effectiveness of lifestyle interventions to reduce obesity and cardiovascular risk among immigrants who report negative mood.
TRIAL REGISTRATION
ClinicalTrials.gov registration: NCT05136339; April 23, 2022.
背景
移民到美国（美国）后，他们经常积累肥胖和心血管风险因素。由于情绪在美国人群中通常与健康行为有关，因此情绪可能是移民人群中的一个重要中介因素。
方法
健康移民社区（HIC）研究设在明尼苏达州东南部，招募了 475 名参加旨在降低心血管风险的减肥干预措施的成年参与者。基线问卷评估了情绪、营养、身体活动、健康饮食和身体活动的自我效能感、社会支持和凝聚力。将情绪评定为“差”或“一般”的单一项目被认为是“负面”，而评定为“好”、“非常好”或“极好”的则被认为是“正面”。
结果
在 HIC 注册并完成基线测量的西班牙裔/拉丁裔（n=268）和索马里裔（n=181）成年人被纳入本分析。与积极情绪相比，情绪消极的参与者健康饮食评分较低（p=0.02），身体活动水平较低（p=0.03），对健康饮食的信心较低（p=0.001），对社区的归属感较低（p=0.01）。与积极情绪相比，情绪消极的参与者报告获得的支持来健康饮食（p= < 0.001）和进行身体活动（p=0.01）较少。他们还较少访问社区健康饮食（p=0.001）和身体活动（p= < 0.01）的资源。与积极情绪的参与者相比，他们的饮食和活动模式也更为久坐。
结论
在自我报告中，消极情绪与不太健康的营养、较低的健康饮食信心、久坐的生活方式以及对社区归属感的缺乏有关。在报告负面情绪的移民中，整合情绪管理和自我效能策略可能会增强生活方式干预减少肥胖和心血管风险的有效性。
试验注册
ClinicalTrials.gov 注册号：NCT05136339；2022 年 4 月 23 日。
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