TITLE

Coronary Heart Disease in Ethnically Diverse Women: Risk Perception and Communication

AUTHOR(S)
Christian, Allison H.; Mochari, Heidi Y.; Mosca, Lori J.
PUB. DATE
December 2005
SOURCE
Mayo Clinic Proceedings;Dec2005, Vol. 80 Issue 12, p1593
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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 CHD 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 (⩾5 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 CHD risk factors, especially among women of different age groups and education levels
ACCESSION #
19168674

 

Related Articles

  • Heart Disease.  // RN;Jan2004, Vol. 67 Issue 1, p32 

    Investigates heart disease in women. Attempt to dispel the myth that coronary heart disease (CHD) is a man's disease; Prevalence of CHD among women in the U.S.; Factors that carry more risk for women; Atypical symptoms that make diagnosis difficult; Strategies to control the risk factors.

  • CAD in Women. Abrams, Jonathan // Clinical Cardiology Alert;Jun2007, Vol. 26 Issue 6, p44 

    THIS STUDY ASKS THE QUESTION AS TO WHETHER women have less obstructive coronary disease (CAD) than men. It remains unclear if the absolute burden of atherosclerotic plaque differs between men and women. The study combined 3 intravascular ultrasound (IVUS) trials to assess atheroma burden in 44...

  • Migraine, vascular risk, and cardiovascular events in women: prospective cohort study. Kurth, Tobias; Schürks, Markus; Logroscino, Giancarlo; Gaziano, J. Michael; Buring, Julie E. // BMJ: British Medical Journal (International Edition);8/16/2008, Vol. 337 Issue 7666, p383 

    Objectives To evaluate whether the association between migraine with aura and increased risk of cardiovascular disease is modified by vascular risk groups as measured by the Framingham risk score for coronary heart disease. Design Prospective cohort study. Setting Women's health study, United...

  • Spontaneous loss of early pregnancy and risk of ischaemic heart disease in later life: retrospective cohort study. Smith, Gordon C S; Pell, Jill P; Walsh, David // BMJ: British Medical Journal (International Edition);2/22/2003, Vol. 326 Issue 7386, p423 

    Examines whether spontaneous losses of early pregnancy are associated with maternal risk of ischaemic heart disease (IHD) in later life. Participants, methods, and results; Conclusion that this study shows a specific association between spontaneous abortion and maternal risk of IHD in Scotland...

  • Angina With "Normal" Coronary Arteries: A Changing Philosophy. Bugiardini, Raffaele; Bairey Merz, C. Noel // JAMA: Journal of the American Medical Association;1/26/2005, Vol. 293 Issue 4, p477 

    Context Many women with angina are told that they have no significant heart disease following demonstration of normal or near-normal coronary arteries and are offered no specific treatment beyond reassurance. Evidence Acquisition MEDLINE and the Cochrane Database of Systematic Reviews were...

  • Dietary Fat Intake and Risk of Coronary Heart Disease in Women: 20 Years of Follow-up of the Nurses' Health Study. Oh, Kyungwon; Hu, Frank B.; Manson, JoAnn E.; Stampfer, Meir J.; Willett, Walter C. // American Journal of Epidemiology;Apr2005, Vol. 161 Issue 7, p672 

    The authors examined the associations of dietary fat and specific types of fat with risk of coronary heart disease (CHD) among 78,778 US women initially free of cardiovascular disease and diabetes in 1980. They documented 1,766 incident CHD cases (including 1,241 nonfatal myocardial infarctions...

  • Feminine HEARTS. Nakazawa, Liz // American Fitness;Jul/Aug2004, Vol. 22 Issue 4, p62 

    Discusses the prevalence of heart diseases in women. Symptoms of heart disease in woman; Risk factors of coronary heart disease; Ways to control heart disease risk factors.

  • Modulation of coronary artery disease risk factors by menopausal status: A population based study among Iranian women (KERCADRStudy). Yousefzadeh, Gholamreza; Mahdavi-Jafari, Fatemeh; Shokoohi, Mostafa; Najafipour, Hamid; Haghdoost, Ali-Akbar; Modares-Nejad, Vida // ARYA Atherosclerosis;Nov2013, Vol. 9 Issue 6, p332 

    BACKGROUND: Menopause is now viewed as a risk factor for coronary heart diseases (CHD). There is a scarcity of evidence concerning the effects of menopause on coronary artery disease (CAD) risk factors. The present study aimed to evaluate the effects of menopausal status on CAD risk factors....

  • Elevated Risk Profile of Women in Secondary Prevention of Coronary Artery Disease: A 6-Year Survey of 117,913 Patients. Reibis, Rona K.; Bestehorn, Kurt; Pittrow, David; Jannowitz, Christina; Wegscheider, Karl; Völler, Heinz // Journal of Women's Health (15409996);Aug2009, Vol. 18 Issue 8, p1123 

    Background and Aims: The prognosis of female patients after acute coronary syndrome (ACS) has been shown to be inferior to that of male patients. Little is known about gender differences during the secondary prevention phase. Methods: After ACS, 117,913 patients (30.7% female) were enrolled in...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics