Ten-Year Differences in Women's Awareness Related to Coronary Heart Disease: Results of the 2019 American Heart Association National Survey: A Special Report From the American Heart Association
Ten-Year Differences in Women's Awareness Related to Coronary Heart Disease: Results of the 2019 American Heart Association National Survey: A Special Report From the American Heart Association
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DOI：
10.1161/cir.0000000000000907
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发表时间：
2021-02-16
期刊：
影响因子：
37.8
通讯作者：
Mosca, Lori J.
中科院分区：
文献类型：
--
作者：
Cushman, Mary;Shay, Christina M.;Mosca, Lori J.
背景：高度认识到心血管疾病是妇女死亡的主要原因（LCOD）对预防至关重要。这项研究评估了妇女在这方面认识的纵向趋势。方法与结果：于2009年1月和2019年1月对25岁的美国女性进行在线调查。数据加权到美国人口分布的社会人口学特征。采用多变量logistic回归对LCOD知识进行评价。2009年，将心脏病作为LCOD的知晓率为65%，2019年降至44%。2019年，随着年龄的增长和受教育程度的提高，人们对高血压的认识更高，而非白人女性和高血压女性的认识则更低。除了65岁以上的女性外，所有种族/民族和年龄的人都观察到10年的意识下降。下降幅度最大的是西班牙裔女性（2019年与2009年相比，意识的优势比为0.14 [95% CI, 0.07-0.28]）、非西班牙裔黑人女性（优势比为0.31 [95% CI, 0.19-0.49]）和25至34岁的女性（优势比为0.19 [95% CI, 0.10-0.34]）。2019年，女性比2009年更有可能错误地将乳腺癌识别为LCOD（优势比2.59 [95% CI, 1.86-3.67]），这种关联在年轻女性中更大。对心脏病发作症状的认识也有所下降。结论：从2009年到2019年，女性对心脏病是LCOD的认识有所下降，尤其是西班牙裔和非西班牙裔黑人女性以及年轻女性（在这些女性中，原始/初级预防可能最有效）。关心妇女健康的组织迫切需要加倍努力扭转这些趋势。
Background:High awareness that cardiovascular disease is the leading cause of death (LCOD) among women is critical to prevention. This study evaluated longitudinal trends in this awareness among women.Methods and Results:Online surveys of US women (>= 25 years of age) were conducted in January 2009 and January 2019. Data were weighted to the US population distribution of sociodemographic characteristics. Multivariable logistic regression was used to evaluate knowledge of the LCOD. In 2009, awareness of heart disease as the LCOD was 65%, decreasing to 44% in 2019. In 2019, awareness was greater with older age and increasing education and lower among non-White women and women with hypertension. The 10-year awareness decline was observed in all races/ethnicities and ages except women >= 65 years of age. The greatest declines were among Hispanic women (odds ratio of awareness comparing 2019 to 2009, 0.14 [95% CI, 0.07-0.28]), non-Hispanic Black women (odds ratio, 0.31 [95% CI, 0.19-0.49]), and 25- to 34-year-olds (odds ratio, 0.19 [95% CI, 0.10-0.34]). In 2019, women were more likely than in 2009 to incorrectly identify breast cancer as the LCOD (odds ratio, 2.59 [95% CI, 1.86-3.67]), an association that was greater in younger women. Awareness of heart attack symptoms also declined.Conclusions:Awareness that heart disease is the LCOD among women declined from 2009 to 2019, particularly among Hispanic and non-Hispanic Black women and in younger women (in whom primordial/primary prevention may be most effective). An urgent redoubling of efforts by organizations interested in women's health is required to reverse these trends.