Details:

Alternative Title:
Prev Chronic Dis
Publisher's site:
http://dx.doi.org/10.5888/pcd11.130338
Personal Author:
Homan, Sherri G. ; McBride, David G. ; Yun, Shumei
Homan, Sherri G. ; McBride, David G. ; Yun, Shumei Less -
Description:
Introduction

The Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) public health program is designed to reduce the risk of heart disease and stroke among low-income, underinsured or uninsured women through clinical screenings, risk factor assessment, and lifestyle interventions. We assessed the effect of the Missouri WISEWOMAN program on the control of high blood pressure, total cholesterol, and blood glucose levels.

Methods

We calculated the proportion of participants (N = 1,130) with abnormal blood pressure, total cholesterol, or blood glucose levels at an initial screening visit who gained control at a follow-up visit 11 to 18 months later during a 7-year period from June 30, 2005, to June 29, 2012. We used logistic regression to identify sociodemographic characteristics and other factors associated with achieving control.

Results

Many WISEWOMAN participants gained control of their blood pressure (41.2%), total cholesterol (24.7%), or blood glucose levels (50.0%). After controlling for sociodemographic factors, smoking status, weight status, medication use, and number of lifestyle interventions, nondiabetic women with stage II hypertension (adjusted odds ratio [AOR] = 0.36, 95% confidence interval [CI] = 0.21–0.60) and diabetic women with stage I (AOR = 0.54, 95% CI = 0.32–0.92) and stage II (AOR = 0.23, 95% CI = 0.07–0.77) hypertension were less likely to achieve control of their blood pressure than nondiabetic women with stage I hypertension. Women aged 45 to 64, women with less than a high school education, women who were obese in the initial visit, women who gained 7% or more of their weight, and women who did not participate in any lifestyle intervention sessions were significantly less likely to achieve total cholesterol control than their counterparts.

Conclusion

The Missouri WISEWOMAN program helps many participants achieve control of blood pressure, total cholesterol, and blood glucose levels; the lifestyle intervention is likely to help participants control total cholesterol. More efforts are needed for women with diabetes and stage II hypertension to achieve blood pressure control.


Subject:
[+]
Adult
Blood Glucose
Female
Health Education
Health Promotion
Humans
Hypercholesterolemia
Hypertension
Middle Aged
Odds Ratio
Original Research
Poverty
Preventive Health Services
Risk Factors
Women's Health
Women's Health Services

Source:
Prev Chronic Dis. 11.
Pubmed ID:
24784910
Pubmed Central ID:
PMC4008953
Document Type:
Journal Article
Funding:
3U50DP000750-05S1/DP/NCCDPHP CDC HHS/United States ; 5U58DP001431-05/DP/NCCDPHP CDC HHS/United States
3U50DP000750-05S1/DP/NCCDPHP CDC HHS/United States ; 5U58DP001431-05/DP/NCCDPHP CDC HHS/United States Less -
Place as Subject:
Missouri
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:ffe9a35dd4f7bd39313973bb141cab1ba380b457960ee329c6714b5a30a5950e
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-11-E74.nxml	txt
  	PCD-11-E74s01.gif	gif
  	PCD-11-E74s01.jpg	jpeg

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