UNASSIGNED: The study sample included men from Multi-Ethnic Study of Atherosclerosis, prospective cohort study that enrolled adults aged 45-84 years without known cardiovascular disease at baseline. Cardiovascular health was defined using the American Heart Association\'s Life\'s Essential 8 scores (0-100), excluding sleep (cardiovascular health score).
UNASSIGNED: In this sample of 2,814 men, mean age at cardiovascular health assessment was 62.2 years, 82% were fathers, 24% self-identified as Black, 13% self-identified Chinese, 22% self-identified Hispanic, and 41% self-identified White. Fathers who were aged <20 years and 20-24 years at their oldest child\'s birth had worse overall cardiovascular health than fathers who were aged >35 years (adjusted mean score of 61.1 vs 64.7 [p=0.01] and 61.0 vs 64.7 [p<0.001], respectively). Fathers had worse overall cardiovascular health (adjusted mean score of 63.2 vs 64.7, p=0.03) and more nicotine exposure (63.1 vs 66.6, p=0.04) than nonfathers. In age-adjusted models, fathers overall (hazard ratio=0.82; 95% CI=0.69, 0.98) and Black fathers (hazard ratio=0.73; 95% CI=0.53, 0.999) had a lower rate of all-cause mortality rate than nonfathers, but these associations were no longer significant in fully adjusted models.
UNASSIGNED: Fatherhood is a social determinant of health, and understanding its influence may provide opportunities to improve men\'s health, particularly among men of color.
■研究样本包括来自多种族动脉粥样硬化研究的男性,前瞻性队列研究,纳入45-84岁的成年人,在基线无已知心血管疾病。心血管健康是使用美国心脏协会的生活基本8评分(0-100)来定义的,不包括睡眠(心血管健康评分)。
■在这个2,814名男性的样本中,心血管健康评估的平均年龄为62.2岁,82%是父亲,24%的人自称是黑人,13%自我认同的中国人,22%的自我认同的西班牙裔,41%的人是白人。年龄<20岁和年龄最大的孩子出生时20-24岁的父亲的总体心血管健康状况比年龄>35岁的父亲差(调整后的平均得分为61.1vs64.7[p=0.01]和61.0vs64.7[p<0.001],分别)。父亲的总体心血管健康状况较差(调整后的平均得分为63.2vs64.7,p=0.03)和更多的尼古丁暴露(63.1vs66.6,p=0.04)。在年龄调整模型中,父亲总体(风险比=0.82;95%CI=0.69,0.98)和黑人父亲(风险比=0.73;95%CI=0.53,0.999)的全因死亡率低于非父亲,但这些关联在完全调整模型中不再显著.
■父亲是健康的社会决定因素,了解其影响可能为改善男性健康提供机会,尤其是有色人种。