Cardiovascular Disease Risk Predicts Health Perception in Prison Inmates

Zyad T. Saleh, Alison Connell, Terry A. Lennie, Alison L. Bailey, Rami A. Elshatarat, Khalil Yousef, Debra K. Moser

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


We hypothesized that risk factors for cardiovascular disease (CVD) would be associated with worse health perceptions in prison inmates. This study included 362 inmates recruited from four medium security prisons in Kentucky. Framingham Risk Score was used to estimate the risk of developing CVD within the next 10 years. A single item on self-rated health from the Medical Outcomes Survey–Short Form 36 was used to measure health perception. Multinomial logistic regression showed that for every 1-unit increase in Framingham Risk Score, inmates were 23% more likely to have rated their health as fair/poor and 11% more likely to rate their health as good rather than very good/excellent. These findings demonstrate that worse health perceptions may serve as a starting point for discussing cardiovascular risk factors and prevention with inmates.

Original languageEnglish
Pages (from-to)235-251
Number of pages17
JournalClinical Nursing Research
Issue number2
StatePublished - Feb 1 2019

Bibliographical note

Publisher Copyright:
© The Author(s) 2017.


  • cardiovascular disease
  • health perception
  • prevention
  • risk factors
  • self-rated health

ASJC Scopus subject areas

  • General Nursing


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