PDF(Pubmed)
Abstract：
UNASSIGNED: Emerging literature links fatherhood to men\'s health but lacks comprehensive assessment of health outcomes, especially among multiethnic populations. This study\'s objective was to evaluate the associations of fatherhood (age at onset and status) with cardiovascular health scores, incident cardiovascular disease, cardiovascular disease death, and all-cause mortality, examining differences by race/ethnicity.
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.
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.
摘要：
新兴文献将父亲身份与男性健康联系起来，但缺乏对健康结果的全面评估，尤其是在多民族人群中。这项研究的目的是评估父亲（发病年龄和状态）与心血管健康评分的关联，意外心血管疾病，心血管疾病死亡，和全因死亡率，按种族/族裔检查差异。
■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。
■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。
