灵性和心血管健康在HANDLS研究:种族差异的证据
Jason J Ashe1, Shari R Waldstein2,3, Rupsha Singh1
1Laboratory of Epidemiology and Population Sciences, National Institute on Aging, Baltimore, MD, US.
Biopsychosocial science and medicine
|February 13, 2025
概括
精神超越 (ST) 在不同种族和社会经济群体中显示出与心血管健康 (CVH) 的不同关联. 定制的精神干预可以改善特定人群的CVH结果.
科学领域:
- 心血管健康 心血管健康
- 心理社会因素 心理社会因素
- 健康差异 在健康上的差异
背景情况:
- 精神超越 (ST),包括祈祷/冥想,连接性和普遍性,被探索其与心血管健康的联系.
- 美国心脏协会的Life's Simple 7 (LS7) 为评估心血管健康 (CVH) 提供了一个指标.
- 了解跨不同种族和社会经济群体的ST-CVH关联的差异对于有针对性的健康战略至关重要.
研究的目的:
- 通过生命的简单7 (LS7) 测量精神超越 (ST) 和心血管健康 (CVH) 之间的关联.
- 检查这些关联在种族 (非洲裔美国人和白人) 和社会经济 (贫困和教育) 层面上有何差异.
- 确定ST,种族和社会经济地位在CVH之间潜在的相互作用效应.
主要方法:
- 一项采用1110名中年和老年非洲裔美国人和白人成年人的数据进行的横截面研究.
- 精神超越 (ST) 通过自我报告进行评估;心血管健康 (CVH) 通过生命的简单7 (LS7) 组件进行测量.
- 分析了多重线性回归与三向相互作用术语 (ST,种族,社会经济地位),控制性别和年龄.
主要成果:
- 观察到ST,种族和贫困状况之间存在显著的三向相互作用,表明存在差异性影响.
- 只有生活在贫困线以上的白人成年人才发现ST和LS7之间的积极关联.
- 探索性分析揭示了与年龄的非线性 (U 形) 相互作用;较低和较高的ST都与老年非洲裔美国人的更好的LS7有关.
结论:
- 灵性与整体心血管健康 (CVH) 的关联在所有个人和人口群体中并不统一.
- 精神超越 (ST) 对心血管健康 (CVH) 的好处取决于种族和社会经济地位.
- 对精神护理实践的个性化整合有可能提高心血管健康 (CVH) 的结果.
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