1 Division of Adolescent/Young Adult Medicine Boston Children's Hospital Boston MA.
2 Department of Pediatrics Harvard Medical School Boston MA.
J Am Heart Assoc. 2019 Mar 19;8(6):e011195. doi: 10.1161/JAHA.118.011195.
Background The American Heart Association Go Red for Women campaign has improved awareness of cardiovascular disease ( CVD ) among adult women aged 25 years and older. Little is known about awareness among younger women. Methods and Results We assessed awareness of CVD and prevention efforts among 331 young women aged 15 to 24 years using the American Heart Association National Women's Health Study survey. We compared responses from this cohort to the 2012 American Heart Association online survey of 1227 women aged 25 years and older. Only 33 (10.0%) young women correctly identified CVD as the leading cause of death in women. This was significantly lower than awareness among all adult women in 2012 (785 [64.0%]) and among women aged 25 to 34 years (90 of 168 [53.6%]) ( P<0.01 for both). Many young women in the current study (144 [43.5%]) said they were not at all informed about CVD ; most worried little (130 [39.2%]) or not at all (126 [38%]) about CVD . Young women did report engaging in behaviors known to reduce risk of CVD , although not considering oneself at risk was cited as the number one barrier to engaging in prevention behaviors. Conclusions Young women are largely unaware of CVD as the leading cause of death for women. Given that most young women are not worried about CVD and their 10-year risk for CVD events is low, campaigns to promote heart-healthy behaviors among younger women should underscore the benefits of these preventive behaviors to current health in addition to reductions in lifetime risk of CVD .
背景 美国心脏协会“为女性红起来”活动提高了成年女性(年龄≥25 岁)对心血管疾病(CVD)的认识。但对于年轻女性的认知情况了解甚少。
方法和结果 我们采用美国心脏协会全国女性健康研究调查,评估了 331 名年龄在 15 至 24 岁的年轻女性对 CVD 及预防措施的认知。我们比较了该队列与 2012 年美国心脏协会对 1227 名年龄≥25 岁女性的在线调查的应答情况。仅有 33 名(10.0%)年轻女性正确识别 CVD 是女性的首要死因。这显著低于 2012 年所有成年女性(785 名[64.0%])和年龄在 25 至 34 岁女性(90 名[53.6%])的认知率(两者均 P<0.01)。当前研究中许多年轻女性(144 名[43.5%])表示她们对 CVD 一无所知;大多数(130 名[39.2%])或根本不担心(126 名[38%])CVD。年轻女性确实报告了她们知晓一些已知的降低 CVD 风险的行为,但将自己视为高危人群被认为是采取预防行为的最大障碍。
结论 年轻女性对 CVD 是女性的首要死因普遍认识不足。鉴于大多数年轻女性不担心 CVD,且她们 10 年 CVD 发病风险较低,在年轻女性中开展促进心脏健康行为的活动时,应强调这些预防行为对当前健康的益处,除了降低 CVD 的终生风险。