Alcohol and ideal cardiovascular health: The Multi‐Ethnic Study of Atherosclerosis

Introduction: Self-rated health (SRH) is a commonly used indicator of health status. It has been identified as a determinant of health-promoting behaviors and a predictor of morbidity and mortality. However, little is known about the association between SRH and ideal cardiovascular health (CVH) as measured by the American Heart Association Life’s Simple 7 (LS7) criteria. We examined whether SRH was associated with ideal CVH, for the overall cohort and by sex and race/ethnicity. Methods: We conducted a cross-sectional analysis of 6457 men and women of 4 race/ethnicities, aged 45 to 84 years, 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 determined using the LS7 score with each of the 7 metrics scored from 0-2, and a total score ranging from 0-14. Scores of 0-8 indicate an inadequate score, 9-10, average and 11-14, optimal. Odds ratios (OR) and 95% confidence intervals were calculated for the associations between SRH and LS7 score categories using multinomial logistic regression, adjusted for age, sex, race/ethnicity, education, income, marital status, health insurance status and chronic diseases Results: The mean age (SD) of participants was 62 (10) years; 53% were women. Approximately, 16% of participants rated their health as excellent, 33% very good, 41% good and 9% poor-fair. In this population, 47% had inadequate LS7 scores, 33%, average and 20% optimal. The odds of having a higher LS7 score increased as SRH improved. Using participants who rated their health as poor-fair as the reference group, the adjusted OR for having an optimal LS7 score in the overall cohort was: excellent 3.0 (2.1-4.3); very good 1.6 (1.1-2.1); good 1.2 (0.9-1.7). A similar trend was observed in the stratified analyses by sex and race/ethnicity ( Table ) Conclusion: A more favorable SRH was associated with better CVH irrespective of sex or race/ethnicity. Further research could explore whether optimization of SRH predicts cardiovascular outcomes.

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Abstract MP02: Association Between Acculturation and Ideal Cardiovascular Health Among Adults From the Multi-Ethnic Study of Atherosclerosis

Circulation ◽

10.1161/circ.141.suppl_1.mp02 ◽

2020 ◽

Vol 141 (Suppl_1) ◽

Author(s):

Olatokunbo Osibogun ◽

Oluseye Ogunmoroti ◽

Lena Mathews ◽

Victor Okunrintemi ◽

Martin Tibuakuu ◽

...

Keyword(s):

Cardiovascular Health ◽

Foreign Born ◽

Linear Regression Models ◽

Prevalence Odds Ratio ◽

Cross Sectional ◽

Ethnic Study ◽

Ideal Cardiovascular Health ◽

Increased Risk ◽

The Us ◽

At Home

Background: Greater acculturation is associated with increased risk of cardiovascular disease (CVD). However, little is known about the association between acculturation and ideal cardiovascular health (CVH) as measured by the American Heart Association’s Life’s Simple 7 (LS7) metric. We investigated the association between acculturation and ideal CVH among a multi-ethnic cohort of United States (US) adults free of clinical CVD at baseline. Methods: This is a cross-sectional analysis of 6,506 adults aged 45-84 years from the Multi-Ethnic Study of Atherosclerosis. The independent variables were measures of acculturation [birthplace, language spoken at home and years lived in the US (foreign-born participants)]. The primary dependent variable was the CVH score derived from the LS7 metrics and the total CVH score ranged from 0-14 points. Scores of 0-8 indicate inadequate, 9-10 average and 11-14 optimal CVH. We used multivariable logistic and multiple linear regression models to examine the association between acculturation and CVH, adjusting for age, sex, race/ethnicity, education, income and health insurance. Results: The mean age (SD) was 62 (10) years and 53% were women. US-born participants had lower odds of having optimal CVH scores [prevalence odds ratio (POR) 0.63 (0.50-0.79), Table ] compared to foreign-born participants. Participants who spoke Chinese and other foreign languages at home had higher odds of having optimal CVH compared to those who spoke English [POR 1.91 (1.08-3.36) & 1.65 (1.04-2.63), respectively]. Among foreign-born participants, years lived in the US was associated with a decrease in CVH score [β coefficient -0.01 (-0.02, -0.01)]. Conclusion: Greater US acculturation was associated with poorer CVH. This finding suggests that promotion of ideal CVH should be encouraged among immigrant populations since more years lived in the US is associated with a decline in CVH score.

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