The heart of a woman: addressing the gender gap in cardiovascular disease

King, Alexandra

doi:10.1038/nrcardio.2011.49

Cited by 5 publications

(4 citation statements)

References 36 publications

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“…It explained 32% of deaths in women and 27% of deaths in men. 34–36 Cardiovascular diseases include IHD, cerebrovascular disease (stroke), rheumatic heart disease, and other vascular conditions. In 2019, stroke and IHD accounted for four of five CVD fatalities, with one-third of these deaths occurring before the age of 70.…”

Section: Current Evidencementioning

confidence: 99%

Bridging the “Know-Do” Gaps in Five Non-Communicable Diseases Using a Common Framework Driven by Implementation Science

F¹,

Elborn²,

Lansberg³

et al. 2023

JHL

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According to the United Nations High-Level Meeting 2018, five non-communicable diseases (NCDs) including cardiovascular diseases, chronic respiratory diseases, diabetes mellitus, cancer, and mental health conditions accounted for two-thirds of global deaths. These five NCDs share five common risk factors including tobacco use, unhealthy diets, physical inactivity, alcohol use, and air pollution. Low- and middle-income countries (LMICs) face larger burden of NCDs than high-income countries (HICs), due to differences in ecological, technological, socioeconomic and health system development. Based on high-level evidence albeit mainly from HICs, the burden caused by NCDs can be reduced by affordable medicines and best practices. However, “know-do” gaps, ie, gaps between what we know in science and what we do in practice, has limited the impact of these strategies, especially in LMICs. Implementation science advocates the use of robust methodologies to evaluate sustainable solutions in health, education and social care aimed at informing practice and policies. In this article, physician researchers with expertise in NCDs reviewed the common challenges shared by these five NCDs with different clinical courses. They explained the principles of implementation science and advocated the use of an evidence-based framework to implement solutions focusing on early detection, prevention and empowerment, supplemented by best practices in HICs and LMICs. These successful stories can be used to motivate policymakers, payors, providers, patients and public to co-design frameworks and implement context-relevant, multi-component, evidence-based practices. In pursuit of this goal, we propose partnership, leadership, and access to continuing care as the three pillars in developing roadmaps for addressing the multiple needs during the journey of a person with or at risk of these five NCDs. By transforming the ecosystem, raising awareness and aligning context-relevant practices and policies with ongoing evaluation, it is possible to make healthcare accessible, affordable and sustainable to reduce the burden of these five NCDs.

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Section: Current Evidencementioning

confidence: 99%

Bridging the “Know-Do” Gaps in Five Non-Communicable Diseases Using a Common Framework Driven by Implementation Science

F¹,

Elborn²,

Lansberg³

et al. 2023

JHL

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show abstract

“…6 Current research indicates the need for sound practices, for example elements of the screening process to identify a woman's needed resources in recovery from a CV event such as myocardial infarction or a coronary artery bypass graft surgery. 7,8 At one month following acute myocardial infarction, women are less likely to participate in cardiac rehabilitation. 9 Women are less likely to undergo coronary artery bypass graft surgery and when they do, they have a higher prevalence for all comorbidities with the exception of cancer.…”

Section: Introductionmentioning

confidence: 99%

“…Approximately 81% of all CV deaths among women occur in low‐ and middle‐income countries . Current research indicates the need for sound practices, for example elements of the screening process to identify a woman's needed resources in recovery from a CV event such as myocardial infarction or a coronary artery bypass graft surgery . At one month following acute myocardial infarction, women are less likely to participate in cardiac rehabilitation .…”

Section: Introductionmentioning

confidence: 99%

Caring for women globally: Psychometric testing of two instruments translated into five languages for use in cardiovascular recovery

Gonzales

Koci

Gee

et al. 2015

Int J of Nursing Practice

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Among women, cardiovascular disease is the leading cause of mortality worldwide. After experiencing an acute cardiovascular event, a woman's physical health, the prevalence of morbidities, likelihood of being treated with coronary artery bypass graft surgery, likelihood for referral for cardiac rehabilitation are less favourable than men. The social support resources of marginality and religiousness are associated with physical and mental health outcomes following cardiovascular crises. This study aimed to evaluate the reliability and validity of the translated versions (Japanese, Ukrainian, Tagalog, Hispanic and Arabic) of the Koci Marginality Index and the Duke University Religion Index among 282 women (aged 35-92 years) representing seven cultures. Results showed that reliability and validity were strong (coefficient alpha of 0.79 and 0.84). Understanding a woman's social isolation and whether she has a connection to religious groups assists health-care professionals to identify a woman's social support resources during recovery following acute cardiovascular episodes.

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“…A gender gap in CVD management and prevention is documented, prompting National “calls to action” to promote heart health for women. 8 The postpartum period has been identified as a window of opportunity to address female-specific cardiovascular risk factors. 9 However, physicians and patients are often unaware of the link between HDPs and future CVD, and tailored evidence-based preventative interventions are lacking.…”

mentioning

confidence: 99%

Patient Perspectives on a Pilot Virtual Follow-up Program After Hypertensive Disorders of Pregnancy: A Qualitative Study

Dubrofsky¹,

Gundy²,

Boesch³

et al. 2023

CJC Open

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The heart of a woman: addressing the gender gap in cardiovascular disease

Cited by 5 publications

References 36 publications

Bridging the “Know-Do” Gaps in Five Non-Communicable Diseases Using a Common Framework Driven by Implementation Science

Bridging the “Know-Do” Gaps in Five Non-Communicable Diseases Using a Common Framework Driven by Implementation Science

Caring for women globally: Psychometric testing of two instruments translated into five languages for use in cardiovascular recovery

Patient Perspectives on a Pilot Virtual Follow-up Program After Hypertensive Disorders of Pregnancy: A Qualitative Study

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