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Journal Article Epublish 4 citations

PubMed: 38487073 DOI: 10.1016/j.cjco.2023.11.003

Prevalence of Sex-Specific Cardiovascular Disease Risk Factors, Medical Risk, and Engagement in Health-Promoting Behaviours in Premenopausal Females.

CJC Open 6(2Part B):301-313

Authors: Natalie Szakun, Sarah Liva, Michael E Bodner, Angela Wolff, Mi-Yeon Kim, Anita T Cote

Affiliations

  • School of Human Kinetics, Trinity Western University, Langley, British Columbia, Canada.
  • School of Nursing, Trinity Western University, Langley, British Columbia, Canada.
  • Faculty of Medicine, Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.

Abstract

Background

Several sex-specific risk factors (SS-RFs) increase a women's risk for cardiovascular disease (CVD) but are often overlooked during risk assessment. The purpose of this study was to identify the prevalence of SS-RFs and assess CVD risk, knowledge, perceptions and behaviours in premenopausal Canadian women.

Methods

An online survey was distributed across Canada to premenopausal biological females (19-49 years of age). The survey gathered demographics, medical history, engagement in health-promoting behaviours, and knowledge and perceptions of CVD risk. CVD risk was calculated using medical risk and SS-RFs were tabulated from medical history.

Results

A total of 2559 participants (33 ± 8 years) completed the survey. The majority of our sample (82%) was classified as low medical risk. Of those classified as low risk, 35% had at least 1 SS-RF. Of high-risk individuals, 70% underestimated their risk, 21% of whom perceived themselves as low risk. Engagement in health behaviours was suboptimal. Knowledge of traditional CVD risk factors and prevention was relatively high; however, less than one-half were aware of SS-RFs such as early menopause (39.4%).

Conclusions

Considering both traditional and SS-RFs, 47% of premenopausal Canadian women may be at risk for developing CVD. Of those deemed low medical risk for developing CVD, more than one-third reported having at least 1 SS-RF. Canadian women have poor knowledge of the risks associated with SS-RFs, lack sufficient awareness of the need for prevention of CVD, and are not engaging in sufficient health-promoting behaviours to mitigate future CVD risk.

MeSH

Cardiovascular Diseases, Perception, Prevalence, Sex, Risk Factors, History

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