通过志愿服务降低高血压？按性别、种族和年龄组调查志愿服务频率与血压之间的潜在因果关系。
Reducing Hypertension Through Volunteering? Investigating the Potential Causal Link Between Volunteering Frequency and Blood Pressure by Gender, Race, and Age Groups.
作者信息
Kim Seoyoun, Shiba Koichiro, Halvorsen Cal
出版信息
Biopsychosoc Sci Med. 2025 Jun 1;87(5):322-331. doi: 10.1097/PSY.0000000000001392. Epub 2025 Apr 7.
OBJECTIVE
This project examined the relationship between volunteering and changes in systolic (SBP) and diastolic (DBP) blood pressure by gender, race, and age groups as potential effect modifiers.
METHODS
Using the Health and Retirement Study (2006-2016, N = 18,847), this study assessed the link between volunteering and blood pressure within each stratum of gender, race/ethnicity, and age groups. The combined effects of volunteering and each of the effect modifiers are estimated by the relative excess risk due to interaction and ratio of prevalence ratios (PRs).
RESULTS
Individuals volunteering 201+ hours annually had a lower likelihood of clinically high DBP (PR = 0.85, 95% CI = 0.72, 0.98, p = .042) and SBP (PR = 0.98, 95% CI = 0.97, 0.99, p = .038). Moderate level of volunteering was predictive of low SBP. The combination of volunteering 201+ hours and being female was protective against high DBP (relative excess risk due to interaction = -0.09, 95% CI = -0.13, -0.03, p = .026).
CONCLUSIONS
Given the effect modification, frequent volunteering has an anti-hypertensive effect for the general population of adults 50 and older.
目的
本项目研究了志愿服务与收缩压（SBP）和舒张压（DBP）变化之间的关系，并将性别、种族和年龄组作为潜在效应修饰因素进行分析。
方法
利用健康与退休研究（2006 - 2016年，N = 18847），本研究评估了性别、种族/民族和年龄组各分层内志愿服务与血压之间的联系。通过交互作用导致的相对超额风险和患病率比（PRs）之比来估计志愿服务与各效应修饰因素的综合效应。
结果
每年志愿服务201小时及以上的个体临床舒张压高的可能性较低（PR = 0.85，95%CI = 0.72，0.98，p = 0.042），收缩压高的可能性也较低（PR = 0.98，95%CI = 0.97，0.99，p = 0.038）。中等水平的志愿服务可预测低收缩压。每年志愿服务201小时及以上且为女性的组合对高舒张压具有保护作用（交互作用导致的相对超额风险 = -0.09，95%CI = -0.13，-0.03，p = 0.026）。
结论
考虑到效应修饰作用，频繁志愿服务对50岁及以上的成年普通人群具有抗高血压作用。
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