Post-9/11 veterans' heart disease knowledge, self-perceived risk, and prevention beliefs and behaviors.

Post-9/11 veterans' heart disease knowledge, self-perceived risk, and prevention beliefs and behaviors.
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DOI:
10.1037/hea0001110
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发表时间:
2021-11
期刊:
影响因子:
4.2
通讯作者:
Burg, Matthew M.
Burg, Matthew M.
中科院分区:
心理学2区
文献类型:
--
作者:
Gaffey, Allison E.;Haskell, Sally G.;Brandt, Cynthia A.;Bastian, Lori A.;Meadows, Judith L.;Burg, Matthew M.

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退伍军人,包括越来越多的女退伍军人,比非退伍军人患心脏病的风险更大,最近参加9·11军事冲突的退伍军人心脏病的发病率也在增加。调查这些退伍军人的心脏病相关知识、自我感知风险以及预防信念和行为,并确定男性和女性在知识、风险、信念和行为方面的潜在差异,可能会指导预防策略。对1,141名(53%的女性)9/11后退伍军人进行的全国性调查的横断面数据被用来检查心脏病意识和信息寻求、心脏病危险因素的感知风险和重要性、对传统因素(如体重、血压)和非传统因素(如压力、睡眠)的信念,以及对预防行为的投入。此外,还使用t检验、卡方检验和费舍尔精确检验检验了男性和女性之间的差异。只有三分之一的人表示,他们感到非常了解情况,或寻求有关心脏病的信息,或者他们的提供者曾与他们讨论过心脏病。尽管退伍军人普遍认为,解决传统和非传统因素可以降低他们患心脏病的风险,但支持心理健康治疗在预防中的价值的人要少得多。总体而言,女性对心脏病风险以及可以降低这种风险的行为的知识略有增加,但对于男性和女性来说,这些知识并不能转化为从事同等的预防行为。9/11事件后的退伍军人,以及他们的潜在提供者,都可能受益于关于他们心脏病风险的更好的教育。退伍军人还可能需要更好、更个性化的预防方法。
Veterans, including the growing number of women veterans, have a greater risk of heart disease than non-veterans, and the incidence of heart disease is increasing among the most recent veterans who participated in post-9/11 military conflicts. Investigating heart disease-related knowledge, self-perceived risk, and prevention beliefs and behavior among these veterans and identifying potential differences in knowledge, risk, beliefs and behavior between men and women, may guide prevention strategies. Cross-sectional data from a nationwide survey of 1,141 (53% women) post-9/11 veterans were used to examine heart disease awareness and information-seeking, perceived risk and importance of heart disease risk factors, beliefs about traditional (e.g., weight, blood pressure) and nontraditional (e.g., stress, sleep) factors, and engagement in prevention behaviors. Differences between men and women were also tested, using t-tests, chi-square and Fisher’s exact tests. Only one third reported they felt very informed or sought information about heart disease, or that their providers had discussed heart disease with them. Although veterans generally believe that addressing traditional and nontraditional factors can reduce their risk of heart disease, far fewer endorsed the value of mental health treatment in prevention. Overall, women were slightly more knowledgeable about heart disease risk, and of behaviors that can lower this risk, but for both men and women, this knowledge did not translate to engaging in equivalent prevention behaviors. Post-9/11 veterans, and potentially their providers, may each benefit from improved education regarding their risk of heart disease. Veterans may also require better, more personalized approaches to prevention.
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