Financial strain and ideal cardiovascular health in middle-aged and older women: Data from the Women's health study.
Aged
Cardiovascular Diseases
/ economics
Cost of Illness
Cross-Sectional Studies
Female
Follow-Up Studies
Humans
Income
Morbidity
/ trends
Retrospective Studies
Risk Factors
Social Determinants of Health
Socioeconomic Factors
Stress, Psychological
/ complications
Surveys and Questionnaires
United States
/ epidemiology
Women's Health
/ economics
Journal
American heart journal
ISSN: 1097-6744
Titre abrégé: Am Heart J
Pays: United States
ID NLM: 0370465
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
10
09
2018
accepted:
01
06
2019
pubmed:
20
7
2019
medline:
7
3
2020
entrez:
20
7
2019
Statut:
ppublish
Résumé
Financial strain is a prevalent form of psychosocial stress in the United States; however, information about the relationship between financial strain and cardiovascular health remains sparse, particularly in older women. The cross-sectional association between financial strain and ideal cardiovascular health were examined in the Women's Health Study follow-up cohort (N = 22,048; mean age = 72± 6.0 years).Six self-reported measures of financial strain were summed together to create a financial strain index and categorized into 4 groups: No financial strain, 1 stressor, 2 stressors, and 3+ stressors. Ideal cardiovascular health was based on the American Heart Association strategic 2020 goals metric, including tobacco use, body mass index, physical activity, diet, blood pressure, total cholesterol and diabetes mellitus. Cardiovascular health was examined as continuous and a categorical outcome (ideal, intermediate, and poor). Statistical analyses adjusted for age, race/ethnicity, education and income. At least one indicator of financial strain was reported by 16% of participants. Number of financial stressors was associated with lower ideal cardiovascular health, and this association persisted after adjustment for potential confounders (1 financial stressor (FS): B = -0.10, 95% Confidence Intervals (CI) = -0.13, -0.07; 2 FS: B = -0.20, 95% CI = -0.26, -0.15; 3+ FS: B = -0.44, 95% CI = -0.50, -0.38). Financial strain was associated with lower ideal cardiovascular health in middle aged and older female health professional women. The results of this study have implications for the potential cardiovascular health benefit of financial protections for older individuals.
Identifiants
pubmed: 31323455
pii: S0002-8703(19)30147-4
doi: 10.1016/j.ahj.2019.06.002
pmc: PMC6698388
mid: NIHMS1534868
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
129-138Subventions
Organisme : NHLBI NIH HHS
ID : R01 HL043851
Pays : United States
Organisme : NCI NIH HHS
ID : UM1 CA182913
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA047988
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL080467
Pays : United States
Organisme : NHLBI NIH HHS
ID : RC1 HL099355
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG038492
Pays : United States
Organisme : NICHD NIH HHS
ID : P2C HD041041
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.
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