eng Science and Education Publishing American Journal of Public Health Research 2327-6703 2023-11-13 11 6 174 182 10.12691/ajphr-11-6-1 AJPHR20231161 article Obinna Ivoke obbirvhokey@yahoo.com 1 Azad R. Bhuiyan 1 Daniel Sarpong 2 Rodolfo Vargas 3 Mario Azevedo 4 Mario Sims 5 Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Jackson State University, Jackson, MS Department of General Internal Medicine, Yale University School of Medicine, New Haven, Connecticut Office of Health Data and Research, Mississippi State Department of Health, Jackson, MS College of Liberal Arts, Jackson State University, Jackson MS Department of Social Medicine, Population and Public Health, University of California, Riverside, CA Objectives: To examine the cross-sectional associations of dispositional optimism (DO) with multiple measures of adiposity among African Americans (AA). Methods: Using the Jackson Heart Study (JHS) data, we analyzed baseline data (2000-2004) for 4624 African-American adults. Multivariable Poisson regression analysis with robust standard error was used to estimate the prevalence ratios (PRs; 95% confidence intervals-CI) of DO by adiposity measures, adjusting for demographics, socioeconomic status (SES), behavioral factors and depressive symptoms. Results: After full adjustment, high (vs. low) optimism was significantly associated with a 5% reduced prevalence of WHtR ¡Ý 0.05 (PR=0.95; 95% CI = 0.91, 0.99; P = .008) in the total sample. High (vs. low) DO was also protective of WC ¡Ý 102 cm (male), ¡Ý 88cm (female) after adjusting for demographics, SES and behavioral risk factors (PR= 0.94; 95% CI = 0.89, 0.99; P = .028). The association between high (vs. low) optimism and BMI ¡Ý30 kg/m2 was significant (PR= 0.93; 95% CI = 0.87, 0.99; P = .034) after adjustment for demographic factors. Conclusion: High levels of DO could be protective against high abdominal adiposity phenotype among AA. http://pubs.sciepub.com/ajphr/11/6/1/ajphr-11-6-1.pdf cardiovascular disease obesity measures dispositional optimism jackson heart study