Acculturation and cardiovascular disease risk in midlife immigrant women from the former Soviet Union.

Acculturation and cardiovascular disease risk in midlife immigrant women from the former Soviet Union.
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DOI:
10.1111/j.0889-7204.2004.02267.x
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发表时间:
2004-01-01
期刊:
Progress in cardiovascular nursing
影响因子:
--
通讯作者:
Sorokin, Olga
Sorokin, Olga
中科院分区:
其他
文献类型:
--
作者:
Miller, Arlene Michaels;Chandler, Peggy J;Sorokin, Olga

文献摘要

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本研究探讨了来自前苏联的中年妇女的文化适应,抑郁症和心血管危险因素之间的关系,并确定了预测心脏病风险评分的因素。数据收集在基线和1年后,从218名参与者的纵向研究移民后的健康。主要危险因素为肥胖、血脂异常和抑郁。老年妇女有较低的美国行为文化适应子量表分数,较高的俄罗斯行为文化适应子量表分数,和较高的抑郁症分数。居住时间与美国行为文化适应显著相关,但与俄罗斯行为文化适应无关。基线体重指数、文化适应评分和抑郁评分可预测1年后的精神分裂症风险评分,但血糖不能预测。研究结果表明,与其他移民群体的研究结果相反,来自前苏联的妇女可能会降低患冠心病的风险,因为她们采取了更美国的生活方式。护理干预,以解决高心血管疾病的风险,在这一人群中的建议。
This study examines relationships among acculturation, depression, and cardiovascular risk factors in midlife women from the former Soviet Union and identifies factors predicting Framingham Risk Scores. Data were collected at baseline and 1 year later from 218 participants in a longitudinal study of postimmigration health. The leading risk factors were obesity, dyslipidemia, and depression. Older women had lower American Behavioral Acculturation subscale scores, higher Russian Behavioral Acculturation subscale scores, and higher depression scores. Length of residence was significantly correlated with American behavioral acculturation but not Russian behavioral acculturation. Baseline body mass index, both acculturation scores, and depression scores predicted Framingham Risk Scores after 1 year, but serum glucose did not. The results suggest that contrary to findings in other immigrant groups, women from the former Soviet Union may decrease their risk for coronary heart disease as they assume a more American lifestyle. Nursing interventions to address the high cardiovascular disease risk in this population are suggested.