Racial/Ethnic Disparities in Screening for and Awareness of High Cholesterol Among Pregnant Women Receiving Prenatal Care.
Racial/Ethnic Disparities in Screening for and Awareness of High Cholesterol Among Pregnant Women Receiving Prenatal Care.
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DOI：
10.1161/jaha.120.017415
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发表时间：
2021-01-05
影响因子：
5.4
通讯作者：
Lewey J
中科院分区：
文献类型：
--
作者：
Mszar R;Gopal DJ;Chowdary R;Smith CL;Dolin CD;Irwin ML;Soffer D;Nemiroff R;Lewey J
动脉粥样硬化性心血管疾病仍然是妇女发病和死亡的主要原因，年轻妇女受到血脂异常等传统心血管危险因素的影响尤为严重。尽管建议在成年早期进行脂质筛查，并且在怀孕期间与母亲血脂异常相关的风险，但许多年轻女性缺乏获得和利用早期筛查的机会。因此，我们的目的是评估在接受产前护理的孕妇中，脂质筛查和高胆固醇作为动脉粥样硬化性心血管疾病危险因素的认识的流行程度和差异。我们邀请了234名孕妇在宾夕法尼亚大学卫生系统附属的3家诊所中的1家接受产前护理来完成我们的调查。共有200名孕妇（86%的应答率）完成了调查。总体而言，59%的孕妇（平均年龄32.2[±5.7]岁）自我报告了先前的脂质筛查，79%的女性意识到高胆固醇是动脉粥样硬化性心血管疾病的危险因素。按种族/民族亚组分层，与非西班牙裔白人妇女相比，非西班牙裔黑人妇女报告先前筛查的可能性较小（43%对67%，P=0.022），并且意识水平较低（66%对92%，P<0.001）。与非西班牙裔白人妇女相比，非西班牙裔黑人妇女更有可能去产科医生/妇科医生那里寻求他们通常的非妊娠护理（18%对5%，P=0.043）。与那些看初级保健医生的人相比，那些看产科医生/妇科医生进行常规护理的人更不可能报告先前的脂质筛查（29%对63%，P=0.007）。孕妇在脂质筛查和危险因素意识方面存在显著的种族/民族差异。产前护理可能是一个机会，可以提高年轻妇女获得和接受筛查的机会，并减少在获得预防性保健服务方面的差异。
Atherosclerotic cardiovascular disease remains a leading cause of morbidity and mortality among women, with younger women being disproportionately affected by traditional cardiovascular risk factors such as dyslipidemia. Despite recommendations for lipid screening in early adulthood and the risks associated with maternal dyslipidemia during pregnancy, many younger women lack access to and utilization of early screening. Accordingly, our objective was to assess the prevalence of and disparities in lipid screening and awareness of high cholesterol as an atherosclerotic cardiovascular disease risk factor among pregnant women receiving prenatal care. We invited 234 pregnant women receiving prenatal care at 1 of 3 clinics affiliated with the University of Pennsylvania Health System to complete our survey. A total of 200 pregnant women (86% response rate) completed the survey. Overall, 59% of pregnant women (mean age 32.2 [±5.7] years) self‐reported a previous lipid screening and 79% of women were aware of high cholesterol as an atherosclerotic cardiovascular disease risk factor. Stratified by racial/ethnic subgroups, non‐Hispanic Black women were less likely to report a prior screening (43% versus 67%, P=0.022) and had lower levels of awareness (66% versus 92%, P<0.001) compared with non‐Hispanic White women. Non‐Hispanic Black women were more likely to see an obstetrician/gynecologist for their usual source of non‐pregnancy care compared with non‐Hispanic White women (18% versus 5%, P=0.043). Those seeing an obstetrician/gynecologist for usual care were less likely to report a prior lipid screening compared with those seeing a primary care physician (29% versus 63%, P=0.007). Significant racial/ethnic disparities persist in lipid screening and risk factor awareness among pregnant women. Prenatal care may represent an opportunity to enhance access to and uptake of screening among younger women and reduce variations in accessing preventive care services.
女性自我报告胆固醇的认知度、准确性和预测有效性。
影响因子：
5.7
作者：
Huang, Peng-yun A.;Buring, Julie E.;Ridker, Paul M.;Glynn, Robert J.
通讯作者：
Glynn, Robert J.