Conners Katherine M, Hashemian Maryam, Kinzy Claire, Hall Jennifer L, Herr Christine, Sharma Reeti, Mallya Pratheek, Zhao Juan, Ibrahim Nasrien E, Shearer Joseph J, Hong Haoyun, Roger Véronique L
Heart Disease Phenomics Laboratory, Epidemiology and Community Health Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
American Heart Association, Dallas, TX, USA.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241306807. doi: 10.1177/17455057241306807.
Heart failure (HF) is increasing in the United States, and awareness is needed for prevention. Hypertension is the leading cause of HF, and adherence to antihypertensive medication is critical for reducing HF risk. Self-efficacy positively influences health-promoting behaviors.
Assess HF awareness, test associations with antihypertensive medication adherence, and self-efficacy for managing chronic conditions.
We conducted a cross-sectional, observational survey research study.
We leveraged data from participants enrolled in the American Heart Association's Research Goes Red™ registry, an online platform powered by Verily. Three surveys ascertained HF awareness, blood pressure management, and self-efficacy. Chi-squared and Wilcoxon rank sum determined associations between survey domains and participant characteristics.
Two thousand three hundred twenty women took the HF awareness survey, 678 the blood pressure management survey, and 755 the self-efficacy survey (response rates: 12%, 78%, and 76%, respectively). Participants were predominantly non-Hispanic White (78%), with a median age of 51 (interquartile range (IQR): 39, 62). Median HF awareness score was 4/5 (IQR: 4, 5). Participants with high HF awareness versus low were more likely to be older ( < 0.001), non-Hispanic White ( < 0.001), and less likely to smoke ( < 0.001) or have depression ( = 0.004). Nearly 90% of hypertensive participants reported medication adherence, which was not associated with HF awareness or self-efficacy. Participants with greater self-efficacy versus less were more likely to have higher HF awareness ( = 0.01), be older ( = 0.01), and less likely to have depression ( < 0.001).
Women's awareness of HF and adherence to antihypertensive medication in this cohort was high. Depression and younger age may be important factors affecting women's HF awareness and confidence in managing chronic disease medication plans.
心力衰竭（HF）在美国呈上升趋势，预防方面需要提高认知。高血压是HF的主要病因，坚持服用抗高血压药物对于降低HF风险至关重要。自我效能对促进健康的行为有积极影响。
评估HF认知、测试与抗高血压药物依从性的关联以及管理慢性病的自我效能。
我们开展了一项横断面观察性调查研究。
我们利用了参与美国心脏协会“研究为红颜”™注册研究的参与者数据，该研究是一个由Verily提供支持的在线平台。三项调查确定了HF认知、血压管理和自我效能。卡方检验和威尔科克森秩和检验确定了调查领域与参与者特征之间的关联。
2320名女性参加了HF认知调查，678名参加了血压管理调查，755名参加了自我效能调查（回复率分别为12%、78%和76%）。参与者主要为非西班牙裔白人（78%），中位年龄为51岁（四分位间距（IQR）：39，62）。HF认知得分中位数为4/5（IQR：4，5）。HF认知高的参与者与认知低的相比，年龄更大（<0.001）、更可能是非西班牙裔白人（<0.001），吸烟或患抑郁症的可能性更小（<0.001）或（=0.004）。近90%的高血压参与者报告坚持服药，这与HF认知或自我效能无关。自我效能高的参与者与自我效能低的相比，更可能有更高的HF认知（=0.01）、年龄更大（=0.01），患抑郁症的可能性更小（<0.001）。
该队列中女性对HF的认知和抗高血压药物的依从性较高。抑郁症和年轻可能是影响女性HF认知以及对慢性病药物治疗计划信心的重要因素。
