Egocentric Health Networks and Cardiovascular Risk Factors in the ECHORN Cohort Study.
Egocentric Health Networks and Cardiovascular Risk Factors in the ECHORN Cohort Study.
复制标题
ECHORN 队列研究中的以自我为中心的健康网络和心血管危险因素。
DOI：
10.1007/s11606-019-05550-1
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发表时间：
2020
影响因子：
5.7
通讯作者：
Nunez-Smith,Marcella
中科院分区：
文献类型：
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作者：
Oladele,CarolR;Thompson,Terri-Ann;Wang,Karen;Galusha,Deron;Tran,Emma;Martinez-Brockman,JosefaL;Adams,OswaldP;Maharaj,RohanG;Nazario,CruzM;Nunez,Maxine;Nunez-Smith,Marcella
心血管疾病是加勒比海地区发病率和死亡率的主要原因。目的本研究探索健康网络的概念，关注健康相关事项的关系，并研究与东加勒比海心血管疾病风险因素的关系。设计东加勒比健康结果研究网络队列研究是在美属维尔京群岛、波多黎各、特立尼达和多巴哥以及巴巴多斯岛进行的一项持续的纵向队列研究。参与者(n= )是讲英语或西班牙语的成年人，40岁及以上，在岛上居住至少10年，主要措施采用Logistic回归分析健康网络特征与心血管疾病危险因素：体力活动、高血压和吸烟之间的关系。一项基线调查使用姓名生成器问题询问了有关健康网络的问题，评估了参与者就健康问题与谁交谈，谁对医疗保健的看法很重要，以及他们会信任谁代表他们做出医疗决定。关键结果健康网络主要由家人和朋友组成。医疗保健专业人员占网络的7%，平均网络规模为4个，74%的健康网络接触者被认为健康状况从“良好”到“极好”。健康网络规模较大的人群进行体力活动的几率高于网络规模较小的人群(OR = 为1.07，CI = 为1.01~1.14)。需要进行更多的研究，以检查加勒比地区的卫生网络，并探索与其他心血管疾病风险因素之间的联系。
BackgroundCardiovascular disease (CVD) is the leading cause of morbidity and mortality in the Caribbean region.ObjectiveThis study explored the concept of a health network, relationships focused on health-related matters, and examined associations with CVD risk factors in the Eastern Caribbean.DesignThe Eastern Caribbean Health Outcomes Research Network Cohort Study is an ongoing longitudinal cohort being conducted in the US Virgin Islands, Puerto Rico, Trinidad and Tobago, and Barbados.ParticipantsParticipants (n= 1989) were English or Spanish-speaking adults 40 years and older, who were residents of the island for at least 10 years, and who intended to live on-island for the next 5 years.Main MeasuresLogistic regression was used to examine associations between health network characteristics and CVD risk factors: physical activity, hypertension, and smoking. A baseline survey asked questions about health networks using name generator questions that assessed who participants spoke to about health matters, whose opinions on healthcare mattered, and who they would trust to make healthcare decisions on their behalf.Key ResultsHealth networks were mainly comprised of family members and friends. Healthcare professionals comprised 7% of networks, mean network size was four, and 74% of health network contacts were perceived to be in “good” to “excellent” health. Persons with larger health networks had greater odds of being physically active compared with those with smaller networks (OR = 1.07, CI = 1.01–1.14).ConclusionsHealth networks may be useful to intervention efforts for CVD risk factor reduction. More studies are needed to examine health networks in Caribbean contexts and explore associations with other CVD risk factors.