Determinants of Major Cardiovascular Risk Factors Among Participants of the South Carolina WISEWOMAN Program, 2009–2012

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Nahhas, Georges Joseph ; Daguise, Virginie ; Ortaglia, Andrew ; Merchant, Anwar T.
• Description:
  Introduction ; Cardiovascular disease (CVD) is the leading cause of death among US women, accounting for 25% of all deaths in this population. Approximately 65% of these deaths occur in asymptomatic women. Hypertension, hypercholesterolemia, and diabetes mellitus (diabetes) are major risk factors for CVD and can be treated effectively if identified at an early stage. ; Methods ; Data were available from 3,572 uninsured first-time female participants aged 40 to 65 years, referred by their health professional to the South Carolina Well-Integrated Screening and Evaluation for Women Across the Nation (SC WISEWOMAN), 2009–2012. All women completed a structured health-risk and behavior questionnaire. Anthropometric measures were recorded and data on clinical risk-factors were collected. Prevalence-ratios (PRs) were obtained by predictive multivariable log-linear modeling. ; Results ; The prevalence of risk factors was 34.7% for uncontrolled hypertension, 9.3% for hypercholesterolemia, and 21% for diabetes. Prevalence of untreated hypertension was 15.6%; hypercholesterolemia, 8%; and diabetes, 4%. The greatest significant predictor of hypercholesterolemia was hypertension (PR = 4.37) and vice versa (PR = 2.39). The greatest significant predictors of diabetes were obesity (PR = 2.23), family history of diabetes (PR = 2.02), and hypercholesterolemia (PR = 1.85). Being obese (PR = 1.36), overweight (PR = 1.23), aged 60 years or more (PR = 1.26), and black (PR = 1.14) were significant predictors of having at least one CVD risk factor. Being black (PR = 1.09) was the only significant predictor of having comorbid conditions. ; Conclusion ; Prevalence of uncontrolled CVD risk factors was high among participants in the SC WISEWOMAN program. These findings confirm that the program is reaching high-risk women who are in need of interventions to reduce their risk for CVD through lifestyle changes.
• Subjects:
  • Original Research
• Source:
  Prev Chronic Dis. 11.
• DOI:
  http://dx.doi.org/10.5888/pcd11.140044
• ISSN:
  1545-1151
• Pubmed ID:
  25188278
• Pubmed Central ID:
  PMC4157556
• Document Type:
  Journal Article
• Funding:
  5U58DP001436/DP/NCCDPHP CDC HHS/United States
• Volume:
  11
• Download URL:
  https://stacks.cdc.gov/view/cdc/24890/cdc_24890_DS1.pdf
• File Type:
  [PDF - 321.59 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:a09f278c38b6e12c6a1ca21f3120b11e8dec32429e0126bf95275a2a723991e1f57337c0de084b4d245d4f1314530b485227142031014d14009ae20c8e032ac7