Psychosocial profiles and longitudinal achievement of optimal cardiovascular risk factor levels: the Coronary Artery Risk Development in Young Adults (CARDIA) study
Authors
Vargas, Emily A.Chirinos, Diana A.
Wong, Mandy
Carnethon, Mercedes R.
Carroll, Allison J.
Kiefe, Catarina I.
Carson, April P.
Kershaw, Kiarri N.
UMass Chan Affiliations
Department of Population and Quantitative Health ServicesDocument Type
Journal ArticlePublication Date
2021-04-01Keywords
Chronic disease managementDiabetes mellitus
Hypercholesterolemia
Hypertension
Psychosocial factors
Behavioral Medicine
Cardiology
Cardiovascular Diseases
Epidemiology
Metadata
Show full item recordAbstract
Psychosocial factors are associated with the achievement of optimal cardiovascular disease risk factor (CVDRF) levels. To date, little research has examined multiple psychosocial factors simultaneously to identify distinguishing psychosocial profiles among individuals with CVDRF. Further, it is unknown whether profiles are associated with achievement of CVDRF levels longitudinally. Therefore, we characterized psychosocial profiles of individuals with CVDRF and assessed whether they are associated with achievement of optimal CVDRF levels over 15 years. We included 1148 CARDIA participants with prevalent hypertension, hypercholesterolemia and/or diabetes mellitus in 2000-2001. Eleven psychosocial variables reflecting psychological health, personality traits, and social factors were included. Optimal levels were deemed achieved if: Hemoglobin A1c (HbA1c) < 7.0%, low-density lipoprotein (LDL) cholesterol < 100 mg/dl, and systolic blood pressure (SBP) < 140 mm Hg. Latent profile analysis revealed three psychosocial profile groups "Healthy", "Distressed and Disadvantaged" and "Discriminated Against". There were no significant differences in achievement of CVDRF levels of the 3 targets combined across profiles. Participants in the "Distressed and Disadvantaged" profile were less likely to meet optimal HbA1c levels compared to individuals in the "Healthy" profile after demographic adjustment. Associations were attenuated after full covariate adjustment. Distinct psychosocial profiles exist among individuals with CVDRF, representing meaningful differences. Implications for CVDRF management are discussed.Source
Vargas EA, Chirinos DA, Wong M, Carnethon MR, Carroll AJ, Kiefe CI, Carson AP, Kershaw KN. Psychosocial profiles and longitudinal achievement of optimal cardiovascular risk factor levels: the Coronary Artery Risk Development in Young Adults (CARDIA) study. J Behav Med. 2022 Apr;45(2):172-185. doi: 10.1007/s10865-021-00259-1. Epub 2021 Oct 20. PMID: 34671896. Link to article on publisher's site
DOI
10.1007/s10865-021-00259-1Permanent Link to this Item
http://hdl.handle.net/20.500.14038/47002PubMed ID
34671896Related Resources
ae974a485f413a2113503eed53cd6c53
10.1007/s10865-021-00259-1