Affiliation:
1. Department of Epidemiology College of Public Health and Health Professions and College of Medicine University of Florida Gainesville FL
2. Department of Health Outcomes and Biomedical Informatics College of Medicine University of Florida Gainesville FL
3. Department of Obstetrics, Gynecology, and Reproductive Sciences School of Medicine Yale University New Haven CT
Abstract
Background
In the United States, large disparities in cardiovascular health (CVH) exist in the general population, but little is known about the CVH status and its disparities among women of childbearing age (ie, 18–49 years).
Methods and Results
In this cross‐sectional study, we examined racial, ethnic, and geographic disparities in CVH among all women of childbearing age in the United States, using the 2011 to 2019 Behavioral Risk Factor Surveillance System. Life's Simple 7 (ie, blood pressure, glucose, total cholesterol, smoking, body mass index, physical activity, and diet) was used to examine CVH. Women with 7 ideal CVH metrics were determined to have ideal CVH. Among the 269 564 women of childbearing age, 13 800 (4.84%) had ideal CVH. After adjusting for potential confounders, non‐Hispanic Black women were less likely to have ideal CVH (odds ratio, 0.54; 95% CI, 0.46–0.63) compared with non‐Hispanic White women, and with significantly lower odds of having ideal metrics of blood pressure, blood glucose, body mass index, and physical activity. No significant difference in CVH was found between non‐Hispanic White and Hispanic women. Large geographic disparities with temporal variations were observed, with the age‐ and race‐adjusted ideal CVH prevalence ranging from 4.05% in the District of Columbia (2011) to 5.55% in Maine and Montana (2019). States with low ideal CVH prevalence and average CVH score were mostly clustered in the southern United States.
Conclusions
Large racial, ethnic, and geographic disparities in CVH exist among women of childbearing age. More efforts are warranted to understand and address these disparities.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Cardiology and Cardiovascular Medicine
Reference41 articles.
1. Centers for Disease Control and Prevention
. Underlying cause of death. 1999‐2017 on CDC wonder online database released December 2018. Data are from the multiple cause of death files 1999‐2017 as compiled from data provided by the 57 vital statistics jurisdictions through the vital statistics cooperative program. 2019. Available at: http://wonder.cdc.gov/ucd‐icd10.html. View in Article. Accessed February 15 2019.
2. Defining and Setting National Goals for Cardiovascular Health Promotion and Disease Reduction
3. Trends in Cardiovascular Health Metrics and Associations With All-Cause and CVD Mortality Among US Adults
4. Life’s Simple 7 and Risk of Incident Stroke
5. Association Between Life's Simple 7 and Noncardiovascular Disease: The Multi‐Ethnic Study of Atherosclerosis
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