Australian adults' behaviours, knowledge and perceptions of risk factors for heart disease: A cross-sectional study

Hoare, Erin; Stavreski, Bill; Kingwell, Bronwyn A.; Jennings, Garry

doi:10.1016/j.pmedr.2017.10.007

Cited by 15 publications

(14 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interestingly, even in those women with typical symptoms, there was a longer delay in seeking care and less concern for potential cardiac issues, in both the women themselves, and their health care providers [31]. The misperception that only men suffer heart attacks remains strong in our society leading women to under-estimate their risk [34]. Research has demonstrated that women are more likely to have lower socioeconomic status compared to men and this is associated with poorer MI awareness and emergency presentation [31].…”

Section: Presentation and Timingmentioning

confidence: 99%

Sex Disparities in Myocardial Infarction: Biology or Bias?

Stehli¹,

Duffy

Burgess

et al. 2021

Heart, Lung and Circulation

View full text Add to dashboard Cite

Women have generally worse outcomes after myocardial infarction (MI) compared to men. The reasons for these disparities are multifactorial. At the beginning is the notion-widespread in the community and health care providers-that women are at low risk for MI. This can impact on primary prevention of cardiovascular disease in women, with lower use of preventative therapies and lifestyle counselling. It can also lead to delays in presentation in the event of an acute MI, both at the patient and health care provider level. This is of particular concern in the case of ST elevation MI (STEMI), where "time is muscle". Even after first medical contact, women with acute MI experience delays to diagnosis with less timely reperfusion and percutaneous coronary intervention (PCI). Compared to men, women are less likely to undergo invasive diagnostic testing or PCI. After being diagnosed with a STEMI, women receive less guidelinedirected medical therapy and potent antiplatelets than men. The consequences of these discrepancies are significant-with higher mortality, major cardiovascular events and bleeding after MI in women compared to men. We review the sex disparities in pathophysiology, risk factors, presentation, diagnosis, treatment, and outcomes for acute MI, to answer the question: are they due to biology or bias, or both? KeywordsSex discrepancies Myocardial infarction Women Gender discrepancies dramatically reduced over the past decade [2]. Despite this improvement, there remain two important negative trends. First, recent data shows this decline has decelerated, particularly in younger females [3]. Second, women throughout all age groups and ethnicities have worse outcomes after MI compared to men [4][5][6]. The reasons for these disparities are multifactorial (displayed in Figure 1), but the question remains: Are these disparities due to sex (biology) or disparities in care (bias)?

show abstract

Section: Presentation and Timingmentioning

confidence: 99%

Sex Disparities in Myocardial Infarction: Biology or Bias?

Stehli¹,

Duffy

Burgess

et al. 2021

Heart, Lung and Circulation

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…A lack of knowledge of CV risk factors (CVRF) among women has been demonstrated by the majority of published studies [ 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 ]. The knowledge that CVD is the leading cause of death proved to be suboptimal among Australian and US women [ 19 , 21 , 22 ]. A nationwide survey conducted by the Women’s Heart Alliance in 2014 to determine barriers and opportunities for women and physicians with regard to CVD showed that almost half of 1011 interviewed women did not recognize CVD as the number one killer of women in the US [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular Risk Perception and Knowledge among Italian Women: Lessons from IGENDA Protocol

Maffei

Meloni

Deidda

et al. 2022

JCM

View full text Add to dashboard Cite

A multicenter, cross-sectional observational study (Italian GENder Differences in Awareness of Cardiovascular risk, IGENDA study) was carried out to evaluate the perception and knowledge of cardiovascular risk among Italian women. An anonymous questionnaire was completed by 4454 women (44.3 ± 14.1 years). The 70% of respondents correctly identified cardiovascular disease (CVD) as the leading cause of death. More than half of respondents quoted cancer as the greatest current and future health problem of women of same age. Sixty percent of interviewed women considered CVD as an almost exclusively male condition. Although respondents showed a good knowledge of the major cardiovascular risk factors, the presence of cardiovascular risk factors was not associated with higher odds of identifying CVD as the biggest cause of death. Less than 10% of respondents perceived themselves as being at high CVD risk, and the increased CVD risk perception was associated with ageing, higher frequency of cardiovascular risk factors and disease, and a poorer self-rated health status. The findings of this study highlight the low perception of cardiovascular risk in Italian women and suggest an urgent need to enhance knowledge and perception of CVD risk in women as a real health problem and not just as a as a life-threatening threat.

show abstract

“…In a national survey, 71% of the population with blood pressure levels ≥ 140/90 mmHg, our present threshold, were not aware they had hypertension 11 . We recently found that community awareness of high blood pressure as a forerunner of heart disease and stroke is very low in Australia 18 . Without better community awareness and engagement, we are unlikely to make progress.…”

mentioning

confidence: 99%