Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
J Womens Health (Larchmt). 2022 Jul;31(7):911-916. doi: 10.1089/jwh.2022.0125.
Smoking is a preventable risk factor for cardiovascular disease (CVD), indicating the importance of smoking cessation. The Centers for Disease Control and Prevention's Well-Integrated Screening and Evaluation for WOMen Across the Nation (WISEWOMAN) Program funded 21 recipients to provide preventative health services, including healthy behavior support services, to low-income, uninsured, or underinsured women, between 40 to 64 years of age, aimed at lowering CVD risk for women from January 2014 to June 2018. This article explores WISEWOMAN's smoking prevalence and smoking cessation efforts. Analyses were conducted to assess smoking status and other CVD risk factors among 71,671 unique women from all 21 WISEWOMAN funded recipients. Information on CVD risk factors, including smoking status, were collected. Women who were identified as currently smoking during their initial visit were referred to smoking cessation services and their smoking status was revisited during their rescreening. The overall smoking cessation prevalence was 16.9% during the funding cycle. This small increase from the previous iteration of WISEWOMAN (14.9%), supports WISEWOMAN's continued emphasis on smoking cessation through community-clinical linkages. The distribution of smoking cessation did vary by race and ethnicity ( < 0.001). Hispanic women had a higher smoking cessation (38.1%) compared to non-Hispanic American Indian/Alaska Native, non-Hispanic Black, and non-Hispanic White women (17.4%, 15.1%, and 13.7% respectively). In the next iteration of the WISEWOMAN Program, it is anticipated that continued emphasis will be placed on achieving health equity among women who smoke, to reduce CVD risk.
吸烟是心血管疾病(CVD)的可预防风险因素,这表明戒烟的重要性。疾病控制与预防中心的全国家庭妇女综合健康筛查与评估(WISEWOMAN)计划资助了 21 个受助人,为 40 至 64 岁的低收入、无保险或保险不足的妇女提供预防保健服务,包括健康行为支持服务,旨在降低女性的 CVD 风险,从 2014 年 1 月到 2018 年 6 月。本文探讨了 WISEWOMAN 的吸烟流行率和戒烟工作。分析旨在评估所有 21 个 WISEWOMAN 受助人的 71671 名独特女性的吸烟状况和其他 CVD 风险因素。收集了有关 CVD 风险因素的信息,包括吸烟状况。在最初就诊时被确定为当前吸烟者的妇女被转介到戒烟服务机构,并在重新筛查时再次检查其吸烟状况。在资助周期内,总体戒烟率为 16.9%。与之前的 WISEWOMAN 迭代相比(14.9%),这一微小的增长支持了 WISEWOMAN 通过社区-临床联系继续强调戒烟。戒烟的分布确实因种族和族裔而异( < 0.001)。与非西班牙裔美国印第安人/阿拉斯加原住民、非西班牙裔黑人以及非西班牙裔白人女性相比,西班牙裔女性的戒烟率更高(38.1%)(17.4%、15.1%和 13.7%)。在下一个 WISEWOMAN 计划迭代中,预计将继续强调实现吸烟妇女的健康公平,以降低 CVD 风险。