Optimism and cardiovascular health among African Americans in the Jackson Heart Study
Open accessAbstract
Little research has examined associations of positive psychosocial factors with the American Heart Association Life's Simple 7™ (LS7) among African Americans. This study examined the associations between positive optimistic orientation and LS7 among African Americans. Using exam 1 data (2000-2004) from the Jackson Heart Study, we examined cross-sectional associations of optimism (in tertiles) with LS7 components [smoking, physical activity, diet, body mass index, blood pressure, cholesterol, glucose] and a composite LS7 score (classified as poor, intermediate, ideal) among 4734 African Americans free of cardiovascular disease. Multivariable prevalence regression was used to estimate prevalence ratios (PR, 95% confidence interval-CI) of intermediate and ideal (vs. poor) individual LS7 components and composite LS7 score by optimism levels, adjusting for demographics, socioeconomic status, and depressive symptoms. For LS7 components with low prevalence, we estimated odds ratios. A greater percentage of participants with high vs. low optimism were younger, female, high SES, and not depressed. After full covariate adjustment, the prevalence ratio of ideal (vs. poor) composite LS7 score was 1.24 for participants who reported high (vs. low) optimism (95% CI 1.09-1.42) at exam 1. Higher levels of optimism were also associated with greater prevalence of ideal (vs. poor) physical activity and smoking. Promoting positive optimistic orientation may be an important step toward increasing the likelihood of achieving optimal cardiovascular health among African Americans.
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Optimism is associated with healthier behaviors such as more physical activity, not smoking, healthy diet score, better sleep quality, and higher composite cardiovascular health scores.
“Multiple studies have found that optimism is associated with healthier behaviors such as more physical activity, not smoking, 55 healthy diet score, 56 better sleep quality, 57 and higher composite cardiovascular health scores. 57-59”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [57]
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Self-citation
- Authors
- Sims, M., Glover, L. M., Norwood, A. F., Jordan, C., Min, Y.-I., Brewer, L. C., & Kubzansky, L. D.
- Affiliations
- University of Mississippi Medical Center (US)
- University of North Carolina at Chapel Hill (US)
- Mayo Clinic (US)
- Harvard University (US)
- Corresponding author
- Sims, Mario
- ORCID
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2019-12
- Volume
- 129
- Pages
- 105826
- ISSN
- 0091-7435 (ISSN-L)
- PMC
- PMC6985922
- OpenAlex
- W2970870203
- Cited by
- 35
- References
- 8
- Citations by year
- 2025: 6 · 2024: 2 · 2023: 9 · 2022: 7 · 2021: 6 · 2020: 5
- FWCI
- 5.08
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- Jackson State University (HHSN268201800013I)
- Tougaloo College (HHSN268201800014I)
- Mississippi State Department of Health (HHSN268201800015I, HHSN26800001)
- University of Mississippi Medical Center (HHSN268201800010I, HHSN268201800011I, HHSN268201800012I)
- National Heart, Lung, and Blood Institute
- NIMHD (P60MD002249, U54MD008176)
- Topics
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- optimism, cardiovascular health, African Americans, Life's Essential 8, psychosocial factors, physical activity, smoking, body mass index, blood pressure, cholesterol, glycemic control, depressive symptoms, socioeconomic status, Jackson Heart Study
- MeSH terms
- Optimism, Age Factors, Black or African American, Cardiovascular Diseases, Cholesterol, Female, Humans, Longitudinal Studies, Male, Middle Aged, Risk Factors, Sex Factors, Smoking, Social Class, Exercise, Body Mass Index, Prevalence
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