Knowledge, Attitudes, and Beliefs Regarding Cardiovascular Disease in Women The Women's Heart Alliance
Knowledge, Attitudes, and Beliefs Regarding Cardiovascular Disease in Women The Women's Heart Alliance
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DOI：
10.1016/j.jacc.2017.05.024
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发表时间：
2017-07-11
影响因子：
24
通讯作者：
Robinson, British
中科院分区：
文献类型：
--
作者：
Merz, C. Noel Bairey;Andersen, Holly;Robinson, British
背景：心血管疾病（CVD）是美国女性的头号杀手，但很少有年轻女性意识到这一事实。心血管疾病运动很少关注医生及其在评估风险中的作用。2014年，妇女心脏联盟（WHA）进行了一项全国性调查，以确定妇女和医生在心血管疾病方面的障碍和机会。方法2014年9月18日至26日，使用GfK（“Gesellschaft fur Konsumforschung”知识小组）对1011名美国女性（25至60岁）进行了访谈。2014年5月6日至12日，e-Rewards Inc.医生和医疗保健专业小组调查了200名初级保健医生（pcp）和100名心脏病专家。结果：总体而言，45%的女性不知道心血管疾病是女性的头号杀手；只有11%的人知道有女性死于心血管疾病。总体而言，45%的女性表示，在减肥之前取消或推迟与医生的预约是很常见的。心血管疾病是只有39%的pcp最关心的问题，排在体重和乳房健康之后。一小部分医生（22%的pcp和42%的心脏病专家）在评估女性心血管疾病风险时感觉准备充分，很少使用指南。结论：女性心血管疾病并不是女性或医生最关心的问题。社会歧视，特别是关于体重的歧视似乎是一个障碍。医生报告了有限的培训和指南评估的使用，而大多数人支持运动和改进医生教育。竞选活动应该让心血管疾病对美国女性来说是“真实的”，用事实和经过验证的评估来对抗刻板印象。社区妇女和医生都支持对女性心血管疾病研究和医生教育的投资。(C) 2017年由美国心脏病学会基金会发布。
BACKGROUND Cardiovascular disease (CVD) is the number 1 killer of women in the United States, yet few younger women are aware of this fact. CVD campaigns focus little attention on physicians and their roles in assessing risk.OBJECTIVES In 2014, the Women's Heart Alliance (WHA) conducted a nationwide survey to determine barriers and opportunities for women and physicians with regard to CVD.METHODS From September 18 to 26, 2014, a total of 1,011 U.S. women (age 25 to 60 years) were interviewed using the GfK ("Gesellschaft fur Konsumforschung" Knowledge Panel). From May 6 to 12, 2014, the e-Rewards Inc. Physician and Healthcare Professional Panel surveyed 200 primary care physicians (PCPs) and 100 cardiologists.RESULTS Overall, 45% of women were unaware that CVD is the number 1 killer of women; only 11% knew a woman who died from CVD. Overall, 45% of women reported it was common to cancel or postpone a physician appointment until losing weight. CVD was a top concern for only 39% of PCPs, after weight and breast health. A minority of physicians (22% of PCPs and 42% of cardiologists) felt well prepared to assess women's CVD risk and used guidelines infrequently.CONCLUSIONS CVD in women was not the top concern for women or physicians. Social stigma particularly regarding body weight appeared to be a barrier. Physicians reported limited training and use of guideline assessment, whereas most supported a campaign and improved physician education. Campaigns should make CVD "real" to U.S. women, countering stereotypes with facts and validated assessments. Both community women and physicians endorsed investment in women's CVD research andphysician education. (C) 2017 by the American College of Cardiology Foundation.