Awareness, perception, and knowledge of heart disease risk and prevention among women in the United States

Awareness, perception, and knowledge of heart disease risk and prevention among women in the United States
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DOI:
10.1001/archfami.9.6.506
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发表时间:
2000-06-01
期刊:
ARCHIVES OF FAMILY MEDICINE
影响因子:
--
通讯作者:
Hill, MN
Hill, MN
中科院分区:
其他
文献类型:
--
作者:
Mosca, L;Jones, WK;Hill, MN

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内容:在美国,每两名妇女中就有一名死于心脏病或中风,但妇女对这些疾病及其危险因素的诊断和治疗不足。预防心脏病和中风的明智决策取决于对危险因素的认识和预防或检测这些疾病的行为知识。目的:评估美国妇女对心脏病和中风风险的认识和对心脏病及其预防的看法。设计和设置:1997年对美国家庭进行的电话调查,包括非裔美国人和西班牙裔妇女的过度抽样。参与者:1000名25岁或以上的受访者;白色占65.8%,非洲裔美国人占13.0%,西班牙裔占12.6%。主要结果测量:心脏病和中风风险的知识,对心脏病的看法,症状和预防措施的知识。不到33%的人认为心脏病是导致死亡的主要原因。25至44岁的妇女比65岁或65岁以上的妇女更多地认为乳腺癌是主要死亡原因。25至44岁的女性表示,她们对心脏病和中风的了解不多。虽然90%的妇女报告说,他们想讨论心脏病或风险降低与他们的医生,超过70%的报告说,他们没有.Conclusions:大多数妇女不认为心脏病是一个重大的健康问题,并报告说,他们没有很好地了解他们的风险。年龄对知识的影响比种族更大。需要针对年轻妇女的方案,解决生活方式行为对长期健康的影响。医生和患者之间的沟通也是必要的。
Context: One of 2 women in the United States dies of heart disease or stroke, yet women are underdiagnosed and undertreated for these diseases and their risk factors. Informed decisions to prevent heart disease and stroke depend on awareness of risk factors and knowledge of behaviors to prevent or detect these diseases.Objective: Assess (1) knowledge of risks of heart disease and stroke and (2) perceptions of heart disease and its prevention among women in the United States.Design and Setting: Telephone survey conducted in 1997 of US households, including an oversample of African American and Hispanic women.Participants: One thousand respondents 25 years or older; 65.8% white, 13.0% African American, and 12.6% Hispanic.Main Outcome Measures: Knowledge of heart disease and stroke risks, perceptions of heart disease, and knowledge of symptoms and preventive measures.Results: Only 8% of the respondents identified heart disease and stroke as their greatest health concerns; less than 33% identified heart disease as the leading cause of death. More women aged 25 to 44 years identified breast cancer as the leading cause of death than women 65 years or older. Women aged 25 to 44 years indicated they were not well informed about heart disease and stroke. Although 90% of the women reported that they would like to discuss heart disease or risk reduction with their physicians, more than 70% reported that they had not.Conclusions: Most women do not perceive that heart disease is a substantial health concern and report that they are not well informed about their risk. Age influenced knowledge to a greater extent than ethnicity. Programs directed at young women that address the effects of life-style behaviors on long-term health are needed. Better communication between physicians and patients is also warranted.