MPC Member Publications

This database contains a listing of population studies publications written by MPC Members. Anyone can add a publication by an MPC student, faculty, or staff member to this database; new citations will be reviewed and approved by MPC administrators.

Full Citation

Title: Older Adults’ Perceptions of Their Risk and Its Correlation With Coronary Atherosclerosis Burden

Citation Type: Journal Article

Publication Year: 2024

ISSN: 19425546

DOI: 10.1016/j.mayocp.2023.12.004

Abstract: Self-rated health (SRH) is an in-dividual's self-evaluation of well-being, as influenced by social and biological factors, that correlates with cardiovascular risk factors, car-diovascular disease (CVD), and cardiac and all-cause mortality. 1,2 Coronary artery calcium (CAC) scoring, which quantifies the burden of calcified coronary athero-sclerosis by cardiac computed to-mography, serves as a more exact and personalized measure of CVD risk than traditional 10-year athero-sclerotic CVD risk scores by capturing lifetime exposure to traditional risk factors, additional risk enhancers, and genetic predisposition. A study in middle-aged adults found that a general self-assessment rating of overall health correlated poorly with CAC 3 ; however , it is not clear whether these results would apply to older adults. Therefore, in a community-based sample of adults 73 to 95 years old without known CVD, we studied whether SRH including overall life satisfaction, perceived heart attack risk, and attitude toward CVD prevention is correlated with individual CAC burden. Methods The Atherosclerosis Risk in Communities Study (ARIC) is a large prospective cohort study of adults across 4 US communities. 4 Our cross-sectional analysis included a total of 2290 ARIC participants without coronary heart disease at visit 7 (years 2018 to 2019), aged 73 to 95 (female, 61%; Black, 22%); 92% of these participants had survey data reporting both their perceived cardiovascular health and their overall satisfaction with life. Data were analyzed in 2022. Three queries that were included as part of the ARIC CAC study questionnaire were investigated. The first question stated "Overall, how satisfied are you with life these days?" and was rated on a scale of 0 to 10, with 0 noted as not at all satisfied and 10 noted as completely satisfied. The second question stated "Compared to other people your age and sex, how would you rate your risk of a heart attack?" and was scored on a 5-point scale for which the options were much higher than average, higher than average, about average, lower than average, and much lower than average. The final question stated "Please rate how strongly you agree or disagree with the following statement: Taking medication helps prevent a heart attack in people your age" and was scored on a 5-point scale for which the options were strongly agree, agree, neither agree nor disagree, disagree, and strongly disagree. Data were stratified by sex. Mean CAC scores in Agatston units and standard deviation as well as median with interquartile interval were calculated for each category. Spearman rank correlation coefficients were calculated for the variables of SRH responses to each topic and CAC. A 2-tailed P value of .05 was set as the threshold for statistical significance. All analyses were conducted using Stata software , version 15 (StataCorp LLC).

Url: http://www.mayoclinicproceedings.org/article/S0025619623006055/fulltext

Url: http://www.mayoclinicproceedings.org/article/S0025619623006055/abstract

Url: https://www.mayoclinicproceedings.org/article/S0025-6196(23)00605-5/abstract

User Submitted?: No

Authors: Soroosh, Garshasb; Dardari, Zeina; Howard-Claudio, Candace; Lutsey, Pamela; Matsushita, Kunihiro; Blaha, Michael

Periodical (Full): Mayo Clinic Proceedings

Issue: 3

Volume: 99

Pages: 508-510

Countries:

IPUMS NHGIS NAPP IHIS ATUS Terrapop