Search

Background: Unhealthy dietary habits are an important risk factor for cardiovascular disease (CVD) and adopting a healthy diet is a central recommendation in CVD prevention. This study assessed the dietary habits of patients with established CVD, their compliance to dietary guidelines, and the relationship between guideline-compliance and recurrent cardiovascular event risk. Methods: 2656 patients with established CVD from the Utrecht Cardiovascular Cohort-Secondary Manifestations of ARTerial disease (UCC-SMART) prospective cohort study, were included between 1996 and 2022. Data on dietary intake was retrospectively collected for all participants in December 2022 using a 160-item food frequency questionnaire. Compliance with dietary guidelines was quantified using an amended version of the Dutch Healthy Diet 2015 (DHD-15) index (range: 0–135). Cox proportional hazard models were used to quantify the relationship with cardiovascular events (stroke and myocardial infarction). Results: Among 2656 CVD patients (77% male, mean age 59 ± 9 years), median energy intake was 1922 [IQR: 1536–2351] kcal/day. The median DHD-15 index was 81.7 [IQR 71.2–92.0], with high compliance scores for recommendations on legumes and fish, and low scores for recommendations on whole grains, red meat, processed meat, and dairy. A higher DHD-15 score was associated with lower stroke risk (HR 0.78, 95% CI 0.66–0.92 per 10-point increase) but not with myocardial infarction. Conclusion: Compliance with dietary guidelines was suboptimal in patients with established CVD. High compliance was associated with a clinically significant reduction in stroke risk in patients with established CVD, emphasizing the importance of dietary counseling. [ABSTRACT FROM AUTHOR]

Background and purpose: Risk factors for stroke differ between women and men in general populations. However, little is known about sex differences in secondary prevention. We investigated if sex interacted with modifiable risk factors for stroke in a large arterial disease cohort. Methods: Within the prospective UCC-SMART study, 13,898 patients (35% women) with atherosclerotic disease or high-risk factor profile were followed up to 23 years for stroke incidence or recurrence. Hypertension, smoking, diabetes, overweight, dyslipidemia, high alcohol use, and physical inactivity were studied as risk factors. Association between these factors and ischemic and hemorrhagic stroke incidence or recurrence was studied in women and men using Cox proportional hazard models and Poisson regression models. Women-to-men relative hazard ratios (RHR) and rate differences (RD) were estimated for each risk factor. Left-truncated age was used as timescale. Results: The age-adjusted stroke incidence rate was lower in women than men (3.9 vs 4.4 per 1000 person-years), as was the age-adjusted stroke recurrence rate (10.0 vs 11.7). Hypertension and smoking were associated with stroke risk in both sexes. HDL cholesterol was associated with lower stroke incidence in women but not in men (RHR 0.49; CI 0.27–0.88; and RD 1.39; CI − 1.31 to 4.10). Overweight was associated with a lower stroke recurrence in women but not in men (RHR 0.42; CI 0.23–0.80; and RD 9.05; CI 2.78–15.32). Conclusions: In high-risk population, sex modifies the association of HDL cholesterol on stroke incidence, and the association of overweight on stroke recurrence. Our findings highlight the importance of sex-specific secondary prevention. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this research is to provide an initial validation of a revision of the Transracial Adoption Parenting Scale-Revised (TAPS-R) with international transracial adoptive parents. Method: This study employed a cross-sectional, online survey design to recruit transracial adoptive parents from a parent support group, "Families for Chinese Children." Results: Exploratory factor analysis reveals that the 47-item TAPS-R is a valid scale, which includes four factors: racial awareness, multicultural planning, integration, and coping skills. The analysis results of Cronbach's a coefficient revealed that the scale as a whole and subscales have good or excellent reliability. Using correlational analyses, construct validity was established. Discussion: The TAPS-R proved to have sound reliability and validity to measure racial awareness and cultural and racial socialization practices and thus can be useful in transracial adoption parenting.

This study explored the attitudes of MSW students ("N"?=?147) toward transracial adoption and included an investigation of the students' personal experiences that may affect their attitudes. Statistical analyses revealed that although the majority of students supported the practice of transracial adoption, a number of students gave neutral responses to several items related to transracially adopted children's ethnic identity, likely indicating a lack of awareness of the consequences of transracial adoption. White students were more likely than students of other racial groups to support the practice of transracial adoption. Personal experiences, such as dating interracially and supporting interracial dating, appeared to affect students' attitudes toward transracial adoption. Limitations and implications for social work education and research are discussed. (Contains 4 tables.)

The present study demonstrates the development and initial examination of psychometric properties of the Intimate Violence Responsibility Scale (IVRS) in a community-based sample (N = 527). The underlying factor structure of the IVRS was tested by the exploratory factor analysis (Principal Axis Factoring), which identifies the four factors: "partner blame", "distal blame", "minimization", and "violence recognition". The internal consistency of the four subscales of the 20-item IVRS had an acceptable-to-good coefficient alpha ranging from 0.75 to 0.83. Evidence for the convergent and discriminant validity was established through correlational analyses. The initial findings of this study support that the IVRS is a reliable and valid self-reporting instrument that measures attitudes related to responsibility for violent behavior toward the intimate partner. Implications for practice and future research are specified. (Contains 2 notes, 3 tables and 1 figure.)