Nine-year trends and racial and ethnic disparities in women's awareness of heart disease and stroke: An American Heart Association national study
Nine-year trends and racial and ethnic disparities in women's awareness of heart disease and stroke: An American Heart Association national study
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DOI：
10.1089/jwh.2006.m072
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发表时间：
2007-01-01
影响因子：
3.5
通讯作者：
Mosca, Lori
中科院分区：
文献类型：
--
作者：
Christian, Allison H.;Rosamond, Wayne;Mosca, Lori
背景：本研究的目的是评估自1997年以来女性对心血管疾病（CVD）的意识、知识和认知的趋势，当时美国心脏协会发起了一项全国性的女性运动。方法与结果：2006年对1005名妇女（平均年龄50岁，71%为白人）进行了全国代表性抽样调查，并与2003年、2000年和1997年进行的类似调查结果进行了比较。使用标准化的采访者辅助问卷评估与心血管疾病相关的意识、知识和感知。2006年，57%的妇女认识到心脏病是导致死亡的主要原因；显著高于之前的调查（p < 0.001）。与白人妇女相比，黑人和西班牙裔妇女的意识较低（31%和29%对68%，p < 0.05），种族/民族差异没有明显改变。与2006年的心脏病患者相比，有超过两倍的女性对中风不知情（23%对11%，p < 0.05）。西班牙裔女性比白人女性更有可能报告说，她们无法阻止自己患心血管疾病（22%对11%，p < 0.05）。大多数受访者（>= 50%）报告了与基本心血管疾病预防策略相关的困惑。结论：自1997年以来，女性对心血管疾病的认知显著增加，但意识的种族/民族差异并未缩小。提高心脏病和中风意识的教育工作应该针对种族/少数民族，特别是西班牙裔。需要加强心血管疾病的基本预防策略。
Background: The purpose of this study was to evaluate trends in women's awareness, knowledge, and perceptions related to cardiovascular disease (CVD) since 1997, when the American Heart Association initiated a national campaign for women.Methods and Results: A nationally representative sample of 1,005 women identified through random digit dialing (mean age 50 years, 71% white) was surveyed in 2006, and results were compared with results of similar surveys conducted in 2003, 2000, and 1997. Awareness, knowledge, and perceptions related to CVD were evaluated using a standardized interviewer-assisted questionnaire. In 2006, awareness of heart disease as the leading cause of death among women was 57%; significantly higher than in prior surveys (p < 0.001). Awareness was lower among black and Hispanic women compared with white women (31% and 29% vs. 68%, p < 0.05), and the racial/ethnic difference has not appreciably changed over time. More than twice as many women felt uninformed about stroke compared to heart disease in 2006 (23% vs. 11%, p < 0.05). Hispanic women were more likely than white women to report that there is nothing they can do to keep themselves from getting CVD (22% vs. 11%, p < 0.05). The majority of respondents (>= 50%) reported confusion related to basic CVD prevention strategies.Conclusions: CVD awareness has increased significantly among women since 1997, yet the racial/ethnic gap in awareness has not narrowed. Educational efforts to increase heart disease and stroke awareness should be targeted to racial/ethnic minorities, especially Hispanics. Methods to reinforce basic CVD prevention strategies are needed.