TY - JOUR
T1 - Association of dispositional optimism with Life's Simple 7's Cardiovascular Health Index
T2 - Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study (SCAS)
AU - Hernandez, Rosalba
AU - González, Hector M.
AU - Tarraf, Wassim
AU - Moskowitz, Judith T.
AU - Carnethon, Mercedes R.
AU - Gallo, Linda C.
AU - Penedo, Frank J.
AU - Isasi, Carmen R.
AU - Ruiz, John Manuel
AU - Arguelles, William
AU - Buelna, Christina
AU - Davis, Sonia
AU - Gonzalez, Franklyn
AU - McCurley, Jessica L.
AU - Wu, Donghong
AU - Daviglus, Martha L.
N1 - Funding Information:
Funding This study was funded by National Heart, Lung, and Blood Institute (1K01HL130712, N01-HC65233, N01-HC65234, N01-HC65235, N01-HC65236, N01-HC65237). Competing interests None declared. Patient consent Obtained. ethics approval IRB at each collaborating institution. Provenance and peer review Not commissioned, externally peer reviewed. Data sharing statement The data and computer code used for this analysis reside at UNC Chapel Hill. The HCHS/SOL fully supports data sharing with outside investigators through processes internal to the study, based on a Data and Materials Distribution Agreement (DMDA) to protect the confidentiality and privacy of the HCHS/SOL participants and their families. Alternatively, deidentified HCHS/ SOL data are publically available at BioLINCC and dbGaP for the subset of the study cohort that authorised general use of their data at the time of informed consent.
Funding Information:
1School of Social Work, University of Illinois at Urbana Champaign, Urbana, Illinois, USA 2Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, Michigan, USA 3Department of Healthcare Sciences, Institute of Gerontology, Wayne State University, Detroit, Michigan, USA 4Department of Medical Social Sciences, Northwestern University, Chicago, Illinois, USA 5Department of Preventive Medicine, Northwestern University, Chicago, Illinois, USA 6Department of Psychology, San Diego State University, San Diego, California, USA 7Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA 8Department of Psychology, University of Arizona, Tucson, Arizona, USA 9Center for Research, Baptist Health South Florida, Coral Gables, Florida, USA 10Department of Psychology, University of Miami, Coral Gables, Florida, USA 11Office of Institutional Effectiveness, Southwestern College, Chula Vista, California, USA 12Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA 13Department of Clinical Psychology, San Diego State University/University of California, San Diego, California, USA 14Institute for Minority Health Research, University of Illinois at Chicago, Chicago, Illinois, USA Acknowledgements RH is funded by the National Heart, Lung, and Blood Institute (NHLBI) through award number 1K01HL130712-01A1. The Hispanic Community Health Study/Study of Latinos was carried out as a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234), Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236) and San Diego State University (N01-HC65237). The following Institutes/Centers/Offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke and the Office of Dietary Supplements. The authors thank the staff and participants of HCHS/SOL for their important contributions. A complete list of staff and investigators has been provided by Sorlie et al in Ann Epidemiol. 2010; 20: 642–649 and is also available on the study website .
Publisher Copyright:
© 2018 Article author(s).
PY - 2018/3/1
Y1 - 2018/3/1
N2 - Objectives Mounting evidence links positive psychological functioning to restorative health processes and favourable medical outcomes. However, very little is known about the relationship between optimism, an indicator of psychological functioning and the American Heart Association (AHA)-defined concept of cardiovascular health (CVH), particularly in Hispanics/Latinos of diverse backgrounds. To address limitations of existing literature, this study investigated the association between dispositional optimism and CVH in a heterogeneous sample of Hispanics/Latinos residing in the USA. Design Cross-sectional study. Participants and setting Data were analysed from 4919 adults ages 18-75 of the Hispanic Community Health Study/Study of Latinos parent study and the Sociocultural Ancillary Study. Main outcome measures Optimism was assessed using the 6-item Life Orientation Test-Revised (range from 6 to 30). AHA classification standards were used to derive an additive CVH score with operationalisation of indicators as Ideal, Intermediate and Poor. The overall CVH score included indicators of diet, body mass index, physical activity, cholesterol, blood pressure, fasting glucose and smoking status. Multivariate linear and logistic regressions were used to examine associations of optimism with CVH (Life's Simple 7), after adjusting for sociodemographic factors and depressive symptoms. Results Each increase in the optimism total score was associated with a greater CVH score (β=0.03 per unit increase, 95% CI 0.01 to 0.05). When modelling tertiles of optimism, participants with moderate (β=0.24 to 95% CI 0.06 to 0.42) and high (β=0.12, 95% CI 0.01 to 0.24) levels of optimism displayed greater CVH scores when compared with their least optimistic peers. Conclusion This study offers preliminary evidence for an association between optimism and CVH in a large heterogeneous group of Hispanic/Latino adults. Our study adds scientific knowledge of psychological assets that may promote CVH and suggests a novel therapeutic target for consideration. Future studies are needed to explore causality and potential mechanism underlying the relationship between positive emotion and heart health.
AB - Objectives Mounting evidence links positive psychological functioning to restorative health processes and favourable medical outcomes. However, very little is known about the relationship between optimism, an indicator of psychological functioning and the American Heart Association (AHA)-defined concept of cardiovascular health (CVH), particularly in Hispanics/Latinos of diverse backgrounds. To address limitations of existing literature, this study investigated the association between dispositional optimism and CVH in a heterogeneous sample of Hispanics/Latinos residing in the USA. Design Cross-sectional study. Participants and setting Data were analysed from 4919 adults ages 18-75 of the Hispanic Community Health Study/Study of Latinos parent study and the Sociocultural Ancillary Study. Main outcome measures Optimism was assessed using the 6-item Life Orientation Test-Revised (range from 6 to 30). AHA classification standards were used to derive an additive CVH score with operationalisation of indicators as Ideal, Intermediate and Poor. The overall CVH score included indicators of diet, body mass index, physical activity, cholesterol, blood pressure, fasting glucose and smoking status. Multivariate linear and logistic regressions were used to examine associations of optimism with CVH (Life's Simple 7), after adjusting for sociodemographic factors and depressive symptoms. Results Each increase in the optimism total score was associated with a greater CVH score (β=0.03 per unit increase, 95% CI 0.01 to 0.05). When modelling tertiles of optimism, participants with moderate (β=0.24 to 95% CI 0.06 to 0.42) and high (β=0.12, 95% CI 0.01 to 0.24) levels of optimism displayed greater CVH scores when compared with their least optimistic peers. Conclusion This study offers preliminary evidence for an association between optimism and CVH in a large heterogeneous group of Hispanic/Latino adults. Our study adds scientific knowledge of psychological assets that may promote CVH and suggests a novel therapeutic target for consideration. Future studies are needed to explore causality and potential mechanism underlying the relationship between positive emotion and heart health.
KW - coronary heart disease
KW - epidemiology
KW - mental health
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U2 - 10.1136/bmjopen-2017-019434
DO - 10.1136/bmjopen-2017-019434
M3 - Article
C2 - 29567845
AN - SCOPUS:85053047693
SN - 2044-6055
VL - 8
JO - BMJ Open
JF - BMJ Open
IS - 3
M1 - e019434
ER -