Knowledge and perception of cardiovascular disease risk in women of reproductive age
Objective: Women who experience adverse pregnancy outcomes (APO) are at increased risk for cardiovascular disease (CVD); however, their knowledge of CVD risk is not well characterized. We aimed to evaluate knowledge and perception of CVD risk in young women and to determine whether these factors dif...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-09-01
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| Series: | American Journal of Preventive Cardiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666667722000484 |
| _version_ | 1811273698813935616 |
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| author | Lauren Beussink-Nelson Abigail S. Baldridge Elizabeth Hibler Natalie A. Bello Kelly Epps Kenzie A. Cameron Donald M. Lloyd-Jones Holly C. Gooding Janet M. Catov Janet W. Rich-Edwards Lynn M. Yee Paloma Toledo Jennifer M. Banayan Sadiya S. Khan |
| author_facet | Lauren Beussink-Nelson Abigail S. Baldridge Elizabeth Hibler Natalie A. Bello Kelly Epps Kenzie A. Cameron Donald M. Lloyd-Jones Holly C. Gooding Janet M. Catov Janet W. Rich-Edwards Lynn M. Yee Paloma Toledo Jennifer M. Banayan Sadiya S. Khan |
| author_sort | Lauren Beussink-Nelson |
| collection | DOAJ |
| description | Objective: Women who experience adverse pregnancy outcomes (APO) are at increased risk for cardiovascular disease (CVD); however, their knowledge of CVD risk is not well characterized. We aimed to evaluate knowledge and perception of CVD risk in young women and to determine whether these factors differ based on experience of an APO. Methods: We conducted a cross-sectional study among women with a recent live birth at an urban medical center. Knowledge and perception of CVD risk were assessed through a self-administered online survey adapted from the American Heart Association Survey of Women's CVD Awareness. Results: Of 5612 individuals contacted between 3/1/21 and 4/18/21, 714 completed the survey; the mean (SD) age was 34 (4) years and 25% reported an APO. While 62% of respondents identified CVD as the leading cause of death in women, there was no significant difference in CVD knowledge scores between participants who reported experiencing an APO and those who did not (6.9 vs 6.8 out of 10; p = 0.51). Participants who reported experiencing an APO had higher perception of personal risk for CVD (adjusted odds ratio, 2.64 [95% CI 1.83-3.80]) compared with participants who did not. Half of participants who experienced an APO reported perceiving average, or below average, risk for CVD and only 41 (22.5%) reported speaking with a healthcare professional about CVD within the past year. Conclusions: Gaps remain in knowledge of CVD risk among young women, particularly after an APO. The peripartum period may represent a unique opportunity for targeted education when healthcare engagement is high. |
| first_indexed | 2024-04-12T23:05:13Z |
| format | Article |
| id | doaj.art-e7aa885fac824d04ade64207984c7347 |
| institution | Directory Open Access Journal |
| issn | 2666-6677 |
| language | English |
| last_indexed | 2024-04-12T23:05:13Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Preventive Cardiology |
| spelling | doaj.art-e7aa885fac824d04ade64207984c73472022-12-22T03:12:57ZengElsevierAmerican Journal of Preventive Cardiology2666-66772022-09-0111100364Knowledge and perception of cardiovascular disease risk in women of reproductive ageLauren Beussink-Nelson0Abigail S. Baldridge1Elizabeth Hibler2Natalie A. Bello3Kelly Epps4Kenzie A. Cameron5Donald M. Lloyd-Jones6Holly C. Gooding7Janet M. Catov8Janet W. Rich-Edwards9Lynn M. Yee10Paloma Toledo11Jennifer M. Banayan12Sadiya S. Khan13Northwestern University Feinberg School of Medicine, Department of Medicine, United StatesNorthwestern University Feinberg School of Medicine, Department of Medicine, United StatesNorthwestern University Feinberg School of Medicine, Department of Preventive Medicine, 680 N Lakeshore Drive, Suite 1400, Chicago, IL 60611, United StatesCedars-Sinai Medical Center, Department of Cardiology, United StatesInova Heart and Vascular Institute, Falls Church, VA, United StatesNorthwestern University Feinberg School of Medicine, Department of Medicine, United States; Northwestern University Feinberg School of Medicine, Department of Preventive Medicine, 680 N Lakeshore Drive, Suite 1400, Chicago, IL 60611, United States; Northwestern University Feinberg School of Medicine, Center for Health Services and Outcomes Research, United StatesNorthwestern University Feinberg School of Medicine, Department of Medicine, United States; Northwestern University Feinberg School of Medicine, Department of Preventive Medicine, 680 N Lakeshore Drive, Suite 1400, Chicago, IL 60611, United StatesEmory University School of Medicine, Department of Pediatrics, United StatesUniversity of Pittsburgh Department of Obstetrics, Gynecology and Reproductive Sciences, United States; Magee-Womens Research Institute, Pittsburgh, PA, United StatesBrigham and Women's Hospital, Department of Medicine, Division of Women's Health, United States; Harvard Medical School, United States; Harvard T.H. Chan School of Public Health, United StatesNorthwestern University Feinberg School of Medicine, Department of Obstetrics and Gynecology, United StatesNorthwestern University Feinberg School of Medicine, Center for Health Services and Outcomes Research, United States; Northwestern University Feinberg School of Medicine, Department of Anesthesiology, United StatesNorthwestern University Feinberg School of Medicine, Department of Anesthesiology, United StatesNorthwestern University Feinberg School of Medicine, Department of Preventive Medicine, 680 N Lakeshore Drive, Suite 1400, Chicago, IL 60611, United States; Corresponding author.Objective: Women who experience adverse pregnancy outcomes (APO) are at increased risk for cardiovascular disease (CVD); however, their knowledge of CVD risk is not well characterized. We aimed to evaluate knowledge and perception of CVD risk in young women and to determine whether these factors differ based on experience of an APO. Methods: We conducted a cross-sectional study among women with a recent live birth at an urban medical center. Knowledge and perception of CVD risk were assessed through a self-administered online survey adapted from the American Heart Association Survey of Women's CVD Awareness. Results: Of 5612 individuals contacted between 3/1/21 and 4/18/21, 714 completed the survey; the mean (SD) age was 34 (4) years and 25% reported an APO. While 62% of respondents identified CVD as the leading cause of death in women, there was no significant difference in CVD knowledge scores between participants who reported experiencing an APO and those who did not (6.9 vs 6.8 out of 10; p = 0.51). Participants who reported experiencing an APO had higher perception of personal risk for CVD (adjusted odds ratio, 2.64 [95% CI 1.83-3.80]) compared with participants who did not. Half of participants who experienced an APO reported perceiving average, or below average, risk for CVD and only 41 (22.5%) reported speaking with a healthcare professional about CVD within the past year. Conclusions: Gaps remain in knowledge of CVD risk among young women, particularly after an APO. The peripartum period may represent a unique opportunity for targeted education when healthcare engagement is high.http://www.sciencedirect.com/science/article/pii/S2666667722000484Cardiovascular diseasePregnancyRisk factorsPrevention |
| spellingShingle | Lauren Beussink-Nelson Abigail S. Baldridge Elizabeth Hibler Natalie A. Bello Kelly Epps Kenzie A. Cameron Donald M. Lloyd-Jones Holly C. Gooding Janet M. Catov Janet W. Rich-Edwards Lynn M. Yee Paloma Toledo Jennifer M. Banayan Sadiya S. Khan Knowledge and perception of cardiovascular disease risk in women of reproductive age American Journal of Preventive Cardiology Cardiovascular disease Pregnancy Risk factors Prevention |
| title | Knowledge and perception of cardiovascular disease risk in women of reproductive age |
| title_full | Knowledge and perception of cardiovascular disease risk in women of reproductive age |
| title_fullStr | Knowledge and perception of cardiovascular disease risk in women of reproductive age |
| title_full_unstemmed | Knowledge and perception of cardiovascular disease risk in women of reproductive age |
| title_short | Knowledge and perception of cardiovascular disease risk in women of reproductive age |
| title_sort | knowledge and perception of cardiovascular disease risk in women of reproductive age |
| topic | Cardiovascular disease Pregnancy Risk factors Prevention |
| url | http://www.sciencedirect.com/science/article/pii/S2666667722000484 |
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