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Relationship between self‐rated health and 10‐year coronary heart disease risk among African Americans participating in a life‐style intervention: HUB City Steps
Author(s) -
Connell Carol,
Landry Alicia,
Mohn Rich,
Molaison Elaine,
Yadrick Kathy
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.617.18
Subject(s) - medicine , demography , coronary heart disease , ethnic group , psychological intervention , likert scale , gerontology , intervention (counseling) , population , framingham risk score , disease , environmental health , psychology , developmental psychology , psychiatry , sociology , anthropology
Coronary heart disease (CHD) continues to be a leading cause of morbidity and mortality in the U.S. with African Americans ranking second in CHD prevalence among racial/ethnic groups. Morbidity and mortality have likewise been associated with self‐rated health (SRH). Previous studies have utilized SRH as a predictor of coronary events and/or death. We evaluated the associations between 10 year risk scores for CHD and SRH among a sample of African Americans participating in a lifestyle intervention. CHD risk was calculated for each participant with complete data at baseline (n=267), 3‐(n=223), 6‐(n=190) and 18‐ months (n=167) using sex‐specific algorithms developed by Wilson et al. (1998). A single 5‐point Likert scale item measured SRH (1=excellent). Pearson correlations for SRH and 10‐yr CHD risk score increased at each time point (baseline r=.039; 3‐months r=.092; 6‐months r=.139), but were not significant until 18‐months (r=.194, p=.012). Establishing this relationship in a health disparate population provides opportunity to identify moderators of risk. Further analysis may also help establish SRH as an inexpensive screening tool in community based lifestyle interventions such as HUB City Steps.