Sawatzky Jo-Ann V, Naimark Barbara J
Faculty of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada R3T 2N2.
Public Health Nurs. 2005 Sep-Oct;22(5):379-88. doi: 10.1111/j.0737-1209.2005.220502.x.
Although cardiovascular disease is the leading cause of death in North American women, most cardiovascular research has focused on men. In addition, while there has been a recent trend toward population health promotion (PHP) and a consequent focus on the broad determinants of health, there is still a dearth of research evidence related to the promotion of cardiovascular health within this context. The purpose of this study was to explore and describe the interrelationships between the determinants of health and individual cardiovascular health/risk behaviors in healthy women, within the context of a framework for PHP.
A comprehensive inventory of factors affecting the cardiovascular health of women was operationalized in a survey questionnaire, the Cardiovascular Health Promotion Profile. Physical measures were also taken on each participant (n = 206).
The multivariate analyses support significant interrelationships between the population health determinants and multiple individual cardiovascular health/risk behaviors in this cohort (p < 0.05).
The evidence from this study provides foundational validation for a population health approach and population-based strategies for cardiovascular health promotion in women. Further research, within the context of a PHP framework, is central to building on the body of knowledge in this area.
尽管心血管疾病是北美女性的主要死因，但大多数心血管研究都集中在男性身上。此外，虽然最近有向人群健康促进（PHP）发展的趋势，因此关注健康的广泛决定因素，但在这种背景下，与促进心血管健康相关的研究证据仍然匮乏。本研究的目的是在PHP框架内，探讨和描述健康女性健康决定因素与个体心血管健康/风险行为之间的相互关系。
在一份调查问卷《心血管健康促进概况》中实施了一份影响女性心血管健康的因素综合清单。还对每位参与者（n = 206）进行了身体测量。
多变量分析支持了该队列中人群健康决定因素与多种个体心血管健康/风险行为之间的显著相互关系（p < 0.05）。
本研究的证据为女性心血管健康促进的人群健康方法和基于人群的策略提供了基础验证。在PHP框架内进行进一步研究对于在该领域的知识体系基础上进行拓展至关重要。
