Coronary heart disease in ethnically diverse women: Risk perception and communication
Coronary heart disease in ethnically diverse women: Risk perception and communication
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DOI：
10.4065/80.12.1593
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发表时间：
2005-12-01
影响因子：
8.9
通讯作者：
Mosca, LJ
中科院分区：
文献类型：
--
作者：
Christian, AH;Mochari, HY;Mosca, LJ
目的：评估冠心病（CHD）的感知风险与计算风险、沟通风险的首选方法以及简短教育干预对提高个人风险准确感知的影响。在2003年4月至9月期间在纽约纽约的哥伦比亚大学医学中心接受筛查性乳房X光检查的1858名妇女中，我们评估了125名无心血管病史的妇女，她们参加了危险因素筛查和教育项目。人口统计学变量进行了评估，访谈辅助标准化问卷。使用FRADIOR全球风险评估计算10年CHO绝对风险。感知10年的风险和首选的方法进行了评估systemic.RESULTS：在110名研究参与者谁是合格的风险估计，59%的10年的风险小于10%。然而，只有一半的女性准确地认为自己的风险很低。经过简短的教育干预后，妇女正确分类其个人冠心病风险的能力显着提高。受教育程度和年龄不同，人们更喜欢的风险沟通方式也不同。老年妇女（>= 65岁）和那些高中或以下学历的人更倾向于简单的方法，与他们的同行相比，有冠心病的风险沟通。这些数据强调需要确定提供风险信息的偏好，并测试传达CHD风险的各种格式，以提高对CHO风险因素的认识和管理，特别是在不同年龄组和教育水平的妇女中。
OBJECTIVES: To assess perceived vs calculated risk of coronary heart disease (CHD), preferred methods of communicating risk, and the effect of brief educational Intervention to Improve accurate perceptions of personal risk.SUBJECTS AND METHODS: Of 1858 women who underwent screening mammography between April and September 2003 at the Columbia University Medical Center in New York, NY, we assessed 125 women with no history of cardiovascular disease who participated In a risk factor screening and education program. Demographic variables were evaluated by Interviewer-assisted standardized questionnaires. Absolute 10-year CHO risk was calculated using the Framingham global risk assessment. Perceived 10-year risk and preferred method of communicating risk were evaluated systematically.RESULTS: Among 110 research participants who were eligible for risk estimation, 59% had a 10-year risk of less than 10%. However, only half of those women accurately perceived their risk as low. After a brief educational Intervention, the women's ability to correctly categorize their personal CHD risk Improved significantly. Preferred methods to communicate risk varied by level of education and age. Older women (>= 65 years) and those with a high school education or less were more likely to prefer simple methods of having CHD risk communicated compared with their counterparts.CONCLUSIONS: These data underscore the need to determine preferences for providing risk information and to test various formats for communicating CHD risk to Improve awareness and management of CHO risk factors, especially among women of different age groups and education levels.