Slater Kaylee, Taylor Rachael, Collins Clare E, Hutchesson Melinda
School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, NSW, 2308, Australia.
Food and Nutrition Research Program, Hunter Medical Research Institute, Lot 1, Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.
BMC Pregnancy Childbirth. 2025 Jan 8;25(1):15. doi: 10.1186/s12884-024-07018-5.
Women with a history of hypertensive disorders of pregnancy (HDP), including chronic hypertension, gestational hypertension, and preeclampsia have an increased risk of cardiovascular disease (CVD). Current research suggests that general practitioners are unaware of women's HDP history, and although ideally placed to follow-up with these women, there is limited understanding of current CVD prevention practices in women after HDP. Additionally, preeclampsia confers a higher CVD risk compared to other types of HDP, and Australian research suggests that lower socioeconomic status (SES) is associated with a higher incidence of both HDP and CVD. Therefore, the aim of the analysis was to investigate awareness of CVD risk and care received from health professionals among women with a history of HDP and examine differences between type of HDP and SES.
Analysis of a cross-sectional survey of 293 Australian women with a history of HDP (from 2017 onwards). Data were analysed using basic descriptive statistics. To assess differences in HDP type and SES, one-way ANOVA was used to assess continuous variables and χ2 tests for categorical variables, with P < 0.05 considered statistically significant.
Most women with a history of HDP were unaware of their increased CVD risk (68%). Women with a history of preeclampsia, gestational hypertension or preeclampsia were more aware of CVD risk compared to those with chronic hypertension (p = 0.02). Regardless of HDP type or SES, women post-HDP were less likely to receive assessment and management of lifestyle CVD risk factors compared to blood pressure. Most women felt supported in managing stress and mental health, but not for managing body weight, smoking and sleep.
Women with a history of HDP are unaware of their increased CVD risk and are not receiving recommended CVD preventative care, irrespective of HDP type and/or SES. Findings should be used to inform development of tailored CVD prevention interventions in the primary care setting for women following HDP.
有妊娠高血压疾病（HDP）病史的女性，包括慢性高血压、妊娠期高血压和先兆子痫患者，患心血管疾病（CVD）的风险增加。目前的研究表明，全科医生并不了解女性的HDP病史，尽管他们处于跟踪这些女性的理想位置，但对于HDP后女性当前的CVD预防措施了解有限。此外，与其他类型的HDP相比，先兆子痫导致的CVD风险更高，澳大利亚的研究表明，较低的社会经济地位（SES）与HDP和CVD的较高发病率相关。因此，本分析的目的是调查有HDP病史的女性对CVD风险的认知以及从健康专业人员那里获得的护理，并检查HDP类型和SES之间的差异。
对293名有HDP病史的澳大利亚女性（自2017年起）进行的横断面调查分析。使用基本描述性统计分析数据。为了评估HDP类型和SES的差异，采用单因素方差分析评估连续变量，采用χ2检验评估分类变量，P < 0.05被认为具有统计学意义。
大多数有HDP病史的女性没有意识到自己患CVD的风险增加（68%）。有先兆子痫、妊娠期高血压或子痫前期病史的女性比有慢性高血压的女性更了解CVD风险（p = 0.02）。无论HDP类型或SES如何，与血压相比，HDP后的女性接受生活方式CVD风险因素评估和管理的可能性较小。大多数女性在管理压力和心理健康方面感到得到支持，但在管理体重、吸烟和睡眠方面则不然。
有HDP病史的女性没有意识到自己患CVD的风险增加，也没有接受推荐的CVD预防护理，无论HDP类型和/或SES如何。研究结果应用于为HDP后的女性制定初级保健环境中量身定制的CVD预防干预措施。
