Does education modify the association between depression and cardiovascular health? (from the National Health and Nutritional Examination Survey, 2013–14 and 2015–16)

Autor: Brent S. Medoff, Brandon M. Herbert, Andrew S. Baird, Jared W. Magnani
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: American Heart Journal Plus, Vol 11, Iss , Pp 100062- (2021)
Druh dokumentu: article
ISSN: 2666-6022
DOI: 10.1016/j.ahjo.2021.100062
Popis: Study objective: Depression and education have associations with cardiovascular health. We hypothesized educational attainment would modify the association between depression and cardiovascular health. Design: We used the Patient Health Questionnaire (PHQ), a validated instrument to categorize individuals as having minimal (0–4), moderate (5–9) or severe (≥10) depression. We employed the American Heart Association's Life's Simple 7 (LS7) comprised of known cardiovascular risk factors. In multivariable-adjusted analyses we related PHQ to cardiovascular health measured by LS7. We then evaluated the modification of the association between depression and cardiovascular health by educational attainment. Participants: Individuals age ≥18 years participating in the National Health and Nutrition Examination Survey 2013–214 and 2015–16 cycles. Main outcome measures: LS7, continuous (0–14) and categorized as poor (0–4), intermediate (5–9) or ideal (10–14). Results: In total 8727 individuals (age 48 ± 17 years; 51% female sex; 70% white race; 14%
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