Patient perspectives on priorities for research on conventional and sex- and gender-related cardiovascular risk factors

Bolijn, Renee; Schalkers, Inge; Tan, Hanno L.; Kunst, Anton E.; Valkengoed, Irene G. M. van

doi:10.1007/s12471-020-01497-9

Cited by 5 publications

(2 citation statements)

References 26 publications

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“…Although there was no specific patient or public involvement, the current study was supported by our previous findings showing that more research on sex and gender differences in CVD was perceived as relevant by people with CVD or at increased CVD risk, and next of kin 19…”

Section: Methodssupporting

confidence: 79%

Prospective analysis of gender-related characteristics in relation to cardiovascular disease

Bolijn

Kunst

Appelman

et al. 2022

Heart

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ObjectiveDifferences in cardiovascular disease (CVD) incidence between men and women have been widely reported. Next to sex-related (biological) characteristics, gender-related (sociocultural) characteristics may partly explain how these differences arise. In this exploratory study, we examined the associations between selected gender-related characteristics and CVD incidence.MethodsWe linked baseline data of 18 058 participants without CVD from the population-based, multiethnic HEalthy LIfe in an Urban Setting study (Amsterdam, the Netherlands) to CVD incidence data, based on hospital admission and death records from Statistics Netherlands in 2013–2018. Using Cox regression analyses, we studied associations of time spent on household work, doing home repairs, primary earner status, type of employment, working in a male-dominated or female-dominated occupation and desire for emotional support with CVD incidence, stratified by sex. Analyses were adjusted for age, ethnicity and socioeconomic status.ResultsIn men, gender-related characteristics were not associated with higher CVD incidence. In women, homemakers had a higher hazard for CVD compared with full-time workers (HR 2.34, 95% CI 1.35 to 4.04), whereas those spending a moderate amount of time on household work had a lower hazard for CVD than those spending little time (HR 0.56, 95% CI 0.34 to 0.95).ConclusionAlthough we found no evidence for associations between gender-related characteristics and CVD incidence in men, being the homemaker and moderate time spent on household work appeared to be associated with CVD incidence in women. Thus, attention to gender-related characteristics might in future help to identify subgroups that may benefit from additional prevention strategies.

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Section: Methodssupporting

confidence: 79%

Prospective analysis of gender-related characteristics in relation to cardiovascular disease

Bolijn

Kunst

Appelman

et al. 2022

Heart

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“…The survey sample consisted of Dutch patients with CVD, who were representatives from the panel of Harteraad. In total, the panel included 2600 members [14], of whom 739 responded and 710 completed the survey (response rate of 28.42%).…”

Section: Participant Characteristicsmentioning

confidence: 99%

Values of Importance to Patients With Cardiovascular Disease as a Foundation for eHealth Design and Evaluation: Mixed Methods Study

et al. 2021

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Background eHealth interventions are developed to support and facilitate patients with lifestyle changes and self-care tasks after being diagnosed with a cardiovascular disease (CVD). Creating long-lasting effects on lifestyle change and health outcomes with eHealth interventions is challenging and requires good understanding of patient values. Objective The aim of the study was to identify values of importance to patients with CVD to aid in designing a technological lifestyle platform. Methods A mixed method design was applied, combining data from usability testing with an additional online survey study, to validate the outcomes of the usability tests. Results A total of 11 relevant patient values were identified, including the need for security, support, not wanting to feel anxious, tailoring of treatment, and personalized, accessible care. The validation survey shows that all values but one (value 9: To have extrinsic motivation to accomplish goals or activities [related to health/lifestyle]) were regarded as important/very important. A rating of very unimportant or unimportant was given by less than 2% of the respondents (value 1: 4/641, 0.6%; value 2: 10/641, 1.6%; value 3: 9/641, 1.4%; value 4: 5/641, 0.8%; value 5: 10/641, 1.6%; value 6: 4/641, 0.6%; value 7: 10/639, 1.6%; value 8: 4/639, 0.6%; value 10: 3/636, 0.5%; value 11: 4/636, 0.6%) to all values except but one (value 9: 56/636, 8.8%). Conclusions There is a high consensus among patients regarding the identified values reflecting goals and themes central to their lives, while living with or managing their CVD. The identified values can serve as a foundation for future research to translate and integrate these values into the design of the eHealth technology. This may call for prioritization of values, as not all values can be met equally.

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Older LGBT+ Adults and Physical Activity: A Systematic Review of Qualitative and Quantitative Data

Pistella,

Baiocco,

Antoniucci

et al. 2024

Sex Res Soc Policy

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Introduction The present study represents the first systematic review summarizing existing publications on older sexual and gender minority (LGBT+) people's engagement with physical activity (PA) aged 65 and over. Methods Relevant articles were systematically searched in four scientific databases (i.e., PsychArticles, PsychInfo, Pubmed, and Web of Science) in March 2023. We included original articles published after 1968 with relevant keywords associated with “PA”, “older adults”, and “LGBT+ identity”. Of the 887 records identified, 53 articles were included in the systematic review. Results Studies were critically reviewed according to participants’ subjectivity considered in the publications: (a) sexual minority (LGB+) identities; (b) sexual and gender minority (LGBT+) identities; (c) transgender and gender-diverse identities; (d) gay and bisexual male identities; and (e) lesbian and bisexual female identities. The most frequent research areas, taking together all the five identity categories considered in the present review, were the differences between LGBT+ people and cis-heterosexual people, the discrimination and homophobia/transphobia in sport-related contexts, and the competent interventions and aging well in LGBT+ older adults. Conclusions Findings suggest a lack of information regarding PA in older LGBT+ aged 65 and over. Future research should investigate the barriers and enablers of PA in older LGBT+ people. Policy Implications It is mandatory to promote regular exercise to reduce health disparities between older LGBT+ individuals and their cis-heterosexual counterparts. The policy and environmental implications of the findings for older LGBT+ people are discussed.

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Patient perspectives on priorities for research on conventional and sex- and gender-related cardiovascular risk factors

Cited by 5 publications

References 26 publications

Prospective analysis of gender-related characteristics in relation to cardiovascular disease

Prospective analysis of gender-related characteristics in relation to cardiovascular disease

Values of Importance to Patients With Cardiovascular Disease as a Foundation for eHealth Design and Evaluation: Mixed Methods Study

Older LGBT+ Adults and Physical Activity: A Systematic Review of Qualitative and Quantitative Data

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