杰克逊心脏研究》中非裔美国妇女的活产与心血管疾病之间的关系

IF 2.5 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Elizabeth A.K. Jones MPH, Dr. Keith Norris MD, PhD, Dr. Brenda Jenkins PhD, Dr. Clifton Addison PhD, Dr. Marinelle Payton MD, PhD, MS, MPH
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引用次数: 0

摘要

背景以前的研究报告显示,非裔美国女性活产与心血管疾病之间的关系结果不一,很少有研究控制了主要心血管疾病(CVD)风险因素和/或包括大量非裔美国女性参与者。心肌梗死(MI)、自我报告的心脏手术史、冠心病状况/病史、自我报告的颈动脉血管成形术史、心血管疾病史和心力衰竭史均来自 2000 年至 2004 年的访谈。活产情况为自报。卡方检验(Chi-square test)表明,活产与是否患有心血管疾病之间存在显著关联(p =.000)。结果在调整了高血压状况、当前吸烟状况、胆固醇状况、糖尿病状况、心脏病家族史(母亲)、心脏病家族史(父亲)、年龄、过去 12 个月中饮酒频率以及过去 12 个月中每周平均饮酒次数后,活产与心血管疾病风险之间不再存在显著关系(AOR 1.012,95% CI,1.009-1.015,p=.895)。结论在调整主要心血管疾病风险因素后,活产与心血管疾病事件之间未经调整的显著关系消失了,这表明活产与心血管疾病之间的关系是间接的,并且是基于心血管疾病风险因素的分布。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The relationship between Live Births and CVD among African American Women in Jackson Heart Study

Background

Previous studies have reported mixed results on the relationship between live births and cardiovascular disease among African American females, with few controlling for an inclusive list of major cardiovascular disease (CVD) risk factors and/or including a large population of African American female participants.

Methods

Data was from 3367 African American women, 21 and older, in the Jackson Heart Study. Myocardial Infraction (MI), Self-reported history of cardiac procedures, Coronary Heart Disease Status/History, Self-reported history of Carotid Angioplasty, Cardiovascular Disease history, and Heart Failure History were obtained from 2000 to 2004 interviews. Live births were self-reported. Chi-square test indicated a significant association between live births and the presence of CVD (p =.000). Logistic regression estimated the relationship between live births and cardiovascular events, adjusting for major cardiovascular risk factors.

Results

After adjusting for hypertension status, current smoking status, cholesterol status, diabetes status, family history of heart diseases (mother), family history of heart disease (father), age, frequency of alcohol use in the past 12 months, and the average number of drinks per week in the past 12 months, there was no longer a significant relationship between live births and the risk of CVD (AOR 1.012, 95% CI, 1.009-1.015, p=.895).

Conclusion

The unadjusted significant relationship between live births and CVD events disappeared after adjusting for major CVD risk factors, which suggests that an association between live births and CVD is indirect and based on the distribution of CVD risk factors.

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来源期刊
CiteScore
4.80
自引率
3.00%
发文量
139
审稿时长
98 days
期刊介绍: Journal of the National Medical Association, the official journal of the National Medical Association, is a peer-reviewed publication whose purpose is to address medical care disparities of persons of African descent. The Journal of the National Medical Association is focused on specialized clinical research activities related to the health problems of African Americans and other minority groups. Special emphasis is placed on the application of medical science to improve the healthcare of underserved populations both in the United States and abroad. The Journal has the following objectives: (1) to expand the base of original peer-reviewed literature and the quality of that research on the topic of minority health; (2) to provide greater dissemination of this research; (3) to offer appropriate and timely recognition of the significant contributions of physicians who serve these populations; and (4) to promote engagement by member and non-member physicians in the overall goals and objectives of the National Medical Association.
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