Is self-rated health associated with ideal cardiovascular health? The Multi-Ethnic Study of Atherosclerosis.
Is self-rated health associated with ideal cardiovascular health? The Multi-Ethnic Study of Atherosclerosis.
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DOI：
10.1002/clc.22995
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发表时间：
2018-09
影响因子：
2.7
通讯作者：
Michos ED
中科院分区：
文献类型：
--
作者：
Osibogun O;Ogunmoroti O;Spatz ES;Burke GL;Michos ED
Self-rated health (SRH) is an indicator of health status. It is a determinant of health-promoting behaviors and predictor of morbidity and mortality. Yet, little is known about the association between SRH and ideal cardiovascular health (CVH) as measured by the American Heart Association Life’s Simple Seven (LS7) metrics, or whether the relation of SRH and CVH differ by race/ethnicity. Favorable SRH is associated with better CVH. We conducted a cross-sectional analysis of 6457 men and women of 4 race/ethnicities who participated in the Multi-Ethnic Study of Atherosclerosis. SRH was measured on a 5-point Likert scale (excellent, very good, good, fair and poor). CVH was assessed using the LS7 metrics, each scored from 0–2, with a total score ranging from 0–14. Scores of 0–8 indicate inadequate, 9–10, average and 11–14, optimal CVH. Odds ratios (OR) and 95% confidence intervals were calculated for the associations between SRH and CVH scores using multinomial logistic regression, adjusted for age, sex, race/ethnicity, education, income, marital status, health insurance, and chronic diseases. Mean age (SD) of participants was 62 (10) years; 53% were women. The odds of ideal CVH increased as SRH improved. Compared with poor-fair SRH, the adjusted ORs for optimal CVH by SRH status were: excellent 4.9 (3.4–7.0); very good 2.2 (1.6–3.1); good 1.5 (1.1–2.1). Results were similar by race/ethnic, sex, and age groups. A more favorable SRH was associated with better CVH irrespective of sex, race/ethnicity or age. Further research could explore whether optimization of SRH predicts CVH.
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影响因子：
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通讯作者：
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