Optimism and cardiovascular health among African Americans in the Jackson Heart Study

Mario Sims, LáShauntá M. Glover, Arnita F. Norwood, Christina Jordan, Yuan I. Min, LaPrincess Brewer, Laura D. Kubzansky

Research output: Contribution to journalArticle

Abstract

Little research has examined associations of positive psychosocial factors with the American Heart Association Life's Simple 7™ (LS7) among African Americans. This study examined the associations between positive optimistic orientation and LS7 among African Americans. Using exam 1 data (2000–2004) from the Jackson Heart Study, we examined cross-sectional associations of optimism (in tertiles) with LS7 components [smoking, physical activity, diet, body mass index, blood pressure, cholesterol, glucose] and a composite LS7 score (classified as poor, intermediate, ideal) among 4734 African Americans free of cardiovascular disease. Multivariable prevalence regression was used to estimate prevalence ratios (PR, 95% confidence interval-CI) of intermediate and ideal (vs. poor) individual LS7 components and composite LS7 score by optimism levels, adjusting for demographics, socioeconomic status, and depressive symptoms. For LS7 components with low prevalence, we estimated odds ratios. A greater percentage of participants with high vs. low optimism were younger, female, high SES, and not depressed. After full covariate adjustment, the prevalence ratio of ideal (vs. poor) composite LS7 score was 1.24 for participants who reported high (vs. low) optimism (95% CI 1.09–1.42) at exam 1. Higher levels of optimism were also associated with greater prevalence of ideal (vs. poor) physical activity and smoking. Promoting positive optimistic orientation may be an important step toward increasing the likelihood of achieving optimal cardiovascular health among African Americans.

Original languageEnglish (US)
Article number105826
JournalPreventive Medicine
Volume129
DOIs
StatePublished - Dec 1 2019

Fingerprint

African Americans
Health
Smoking
Exercise
Social Adjustment
Optimism
Social Class
Body Mass Index
Cardiovascular Diseases
Cross-Sectional Studies
Odds Ratio
Cholesterol
Demography
Confidence Intervals
Depression
Psychology
Diet
Blood Pressure
Glucose
Research

Keywords

  • African Americans
  • Cardiovascular health
  • Jackson Heart Study
  • Life's Simple 7
  • Optimism

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Sims, M., Glover, L. M., Norwood, A. F., Jordan, C., Min, Y. I., Brewer, L., & Kubzansky, L. D. (2019). Optimism and cardiovascular health among African Americans in the Jackson Heart Study. Preventive Medicine, 129, [105826]. https://doi.org/10.1016/j.ypmed.2019.105826

Optimism and cardiovascular health among African Americans in the Jackson Heart Study. / Sims, Mario; Glover, LáShauntá M.; Norwood, Arnita F.; Jordan, Christina; Min, Yuan I.; Brewer, LaPrincess; Kubzansky, Laura D.

In: Preventive Medicine, Vol. 129, 105826, 01.12.2019.

Research output: Contribution to journalArticle

Sims, Mario ; Glover, LáShauntá M. ; Norwood, Arnita F. ; Jordan, Christina ; Min, Yuan I. ; Brewer, LaPrincess ; Kubzansky, Laura D. / Optimism and cardiovascular health among African Americans in the Jackson Heart Study. In: Preventive Medicine. 2019 ; Vol. 129.
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