National study of women's awareness, preventive action, and barriers to cardiovascular health
National study of women's awareness, preventive action, and barriers to cardiovascular health
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DOI：
10.1161/circulationaha.105.588103
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发表时间：
2006-01-31
期刊：
影响因子：
37.8
通讯作者：
Simpson, SL
中科院分区：
文献类型：
--
作者：
Mosca, L;Mochari, H;Simpson, SL
背景-有越来越多的意识心血管疾病（CVD）作为妇女死亡的主要原因，但这种更大的意识是否与妇女增加行动，以降低其个人或家庭的风险是unknowed.Methods和结果-一个全国代表性的样本1008名妇女通过随机数字拨号选择了一个标准化的问卷调查历史的CVD/危险因素，对主要死因的认识，对CVD风险因素的健康和个人水平的了解，自我报告的降低风险的行动，以及心脏健康的障碍。自1997年以来，对心血管疾病作为主要死亡原因的认识率几乎翻了一番（55%对30%），白人显著高于黑人和西班牙裔（分别为62%对38%和34%），并与增加体力活动独立相关Logistic回归模型显示，前一年的体重下降（比值比，1.35; 95%CI，1.00至1.83）和体重减轻（比值比，1.47; 95%CI，1.14至2.02）。不到一半的受访者知道健康水平的风险因素。意识到个人水平不健康与行动呈正相关。大多数妇女采取措施降低家庭成员和自己的风险。最常提到的障碍，心脏健康的混乱，在媒体（49%），认为健康是由更高的权力（44%），和照顾责任（36%）。结论-一般意识到女性心血管疾病的风险与预防措施。教育干预措施必须针对少数种族/族裔妇女。
Background - There is growing awareness of cardiovascular disease (CVD) as the leading cause of death in women, but whether this greater awareness is associated with increased action by women to lower their personal or family's risk is unknown.Methods and Results - A nationally representative sample of 1008 women selected through random-digit dialing were given a standardized questionnaire about history of CVD/ risk factors, awareness of leading cause of death, knowledge of healthy and personal levels of CVD risk factors, self-reported actions taken to reduce risk, and barriers to heart health. The rate of awareness of CVD as the leading cause of death has nearly doubled since 1997 (55% versus 30%) was significantly greater for whites compared with blacks and Hispanics (62% versus 38% and 34%, respectively) and was independently correlated with increased physical activity ( odds ratio, 1.35; 95% CI, 1.00 to 1.83) and weight loss ( odds ratio, 1.47; 95% CI, 1.14 to 2.02) in the previous year in logistic regression models. Fewer than half of the respondents were aware of healthy levels of risk factors. Awareness that personal level was not healthy was positively associated with action. Most women took steps to lower risk in family members and themselves. The most frequently cited barriers for heart health were confusion in the media (49%), the belief that health is determined by a higher power (44%), and caretaking responsibilities (36%).Conclusions - General awareness of CVD risk among women is associated with preventive action. Educational interventions need to be targeted at racial/ethnic minority women.