Geographic variance of cardiovascular risk factors among community women: the national Sister to Sister campaign
| Autor: | Jennifer L, Jarvie, Caitlin E, Johnson, Yun, Wang, Yun, Wan, Farhan, Aslam, Leonidas V, Athanasopoulos, Irene, Pollin, JoAnne M, Foody |
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| Rok vydání: | 2010 |
| Předmět: |
Gerontology
Adult Health Knowledge Attitudes Practice Cardiovascular risk factors Geographic variation Health Promotion Sister Body Mass Index Risk Factors Preventive Health Services medicine Prevalence Health Status Indicators Humans Mass Screening Obesity Risk factor Cities Lipoprotein cholesterol business.industry Mean age General Medicine Middle Aged medicine.disease United States Outcome and Process Assessment Health Care Cardiovascular Diseases Hypertension Women's Health Female business Body mass index Demography |
| Zdroj: | Journal of women's health (2002). 20(1) |
| ISSN: | 1931-843X |
| Popis: | There are substantial variations in cardiovascular disease (CVD) risk and outcomes among women. We sought to determine geographic variation in risk factor prevalence in a contemporary sample of U.S. women.Using 2008-2009 Sister to Sister (STS) free heart screening data from 17 U.S. cities, we compared rates of obesity (body mass index [BMI] ≥30 kg/m(2)), hypertension (HTN ≥140/90 mm Hg), low high-density lipoprotein cholesterol (HDL-C40 mg/dL), and hyperglycemia (≥126 mg/dL) with national rates.In 18,892 women (mean age 49.8 ± 14.3 years, 37% black, 32% white, 14% Hispanic), compared to overall STS rates, significantly higher rates were observed for obesity in Baltimore (42.4%), Atlanta (40.0%), Dallas (37.9%), and Jacksonville (36.0%); for HTN in Atlanta (43.9%), Baltimore (42.5%), and New York (39.1%); for hyperglycemia in Jacksonville (20.3%), Philadelphia (18.1%), and Tampa (17.8%); and for HDL-C40 mg/dL in Phoenix (37.4%), Dallas (26.5%), and Jacksonville (18.1%). Compared to national American Heart Association (AHA) 2010 update rates, most STS cities had higher rates of hyperglycemia and low HDL-C.In a large, community-based sample of women nationwide, this comprehensive analysis shows remarkable geographic variation in risk factors, which provides opportunities to improve and reduce a woman's CVD risk. Further investigation is required to understand the reasons behind such variation, which will provide insight toward tailoring preventive interventions to narrow gaps in CVD risk reduction in women. |
| Databáze: | OpenAIRE |
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