Racial/ethnic and age differences in women's awareness of heart disease.

Racial/ethnic and age differences in women's awareness of heart disease.
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女性对心脏病认识的种族/民族和年龄差异。

DOI:
10.1089/jwh.2011.3428
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发表时间:
2012
期刊:
Journal of women's health (2002)
影响因子:
--
通讯作者:
Mosca,Lori
Mosca,Lori
中科院分区:
--
文献类型:
--
作者:
Mochari-Greenberger,Heidi;Miller,KerriL;Mosca,Lori

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背景:本研究的目的是检查不同年龄组的女性对心脏病的认知差异,并调整混杂因素。方法:美国心脏协会 (AHA) 于 2006 年 (n=1005) 和 2009 年 (n=1142) 进行的全国调查使用共同变量 (n=2147) 进行汇总,并重新加权以反映 2010 年美国人口普查。调查包括标准化、访谈员协助的人口统计和意识问题。通过加权卡方统计评估种族/族裔群体与按年龄分层的心脏病意识之间的关联;使用逻辑回归进行多变量调整。结果:在对显着混杂因素进行多变量调整后,黑人和西班牙裔女性意识到心脏病是女性死亡主要原因的可能性比白人女性低 66%(比值比 [OR] 0.34,95% 置信区间 [CI] 0.23–0.50)。白人女性的知晓率为 65%;黑人和西班牙裔女性的认知度没有差异(37% 比 38%)。其他显着的多变量预测因素包括<高中教育程度(OR 0.37,95% CI 0.22-0.62)和收入<35,000美元/年(OR 0.56,95% CI 0.41-0.77)。与老年女性(年龄≥55岁)相比,年轻女性(年龄<55岁)不太可能意识到心脏病是女性死亡的主要原因(OR 0.66,95% CI 0.50–0.87),并且不太可能报告对心脏病非常了解/充分了解(OR 0.53,95% CI 0.41–0.68)。所有女性对心脏病发作症状的认知度较低,例如呼吸短促 (34%)、恶心 (15%) 和疲劳 (7%)。结论:种族/族裔少数群体身份和年龄<55 岁是女性心脏病认知度较低的重要危险因素,表明这些群体应成为教育计划的目标。所有女性亚群体对心脏病发作症状的认知度都很低。
Background:The purpose of this study was to examine differences in awareness of heart disease among women according to race/ethnicity by age group, adjusted for confounders.Methods:American Heart Association (AHA) National Surveys conducted in 2006 (n=1005) and 2009 (n=1142) were pooled using common variables (n=2147) and reweighted to reflect the 2010 United States Census. Surveys comprised standardized, interviewer-assisted demographic and awareness questions. Associations between racial/ethnic group and heart disease awareness stratified by age were assessed by weighted chi-square statistics; logistic regression was used for multivariable adjustment.Results:Black and Hispanic women were 66% less likely than white women to be aware that heart disease is the leading cause of death in women (odds ratio [OR] 0.34, 95% confidence interval [CI] 0.23–0.50) after multivariable adjustment for significant confounders. The percent aware among white women was 65%; awareness did not differ between black and Hispanic women (37% vs. 38%). Other significant multivariable predictors included <high school education (OR 0.37, 95% CI 0.22–0.62) and income <$35,000/year (OR 0.56, 95% CI 0.41–0.77). Younger women (age<55 years) were less likely to be aware that heart disease is the leading cause of death in women (OR 0.66, 95% CI 0.50–0.87) and were less likely to report being very well/well informed about heart disease (OR 0.53, 95% CI 0.41–0.68) compared to older women (age≥55 years). Awareness of heart attack signs, such as shortness of breath (34%), nausea (15%), and fatigue (7%), was low among all women.Conclusions:Racial/ethnic minority status and age<55 years were significant risk factors for lower heart disease awareness among women, suggesting these groups should be targeted for educational programs. Awareness of heart attack signs was low among all subgroups of women.
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