Abstract 10213: Cardiovascular Risk Factors in Community Women Vary Geographically--An Initiative of Sister to Sister: Women's Heart Health Foundation
Background: Substantial variation in CVD risk and outcomes among women remain. We sought to determine variation in risk factor prevalence in a contemporary sample of US women.
Methods: Using 2008-2009 Sister to Sister (STS) free heart screening data from 17 US cities, we compared rates of obesity (BMI ≥30 kg/m2), HTN (≥140/90 mmHg), low HDL-C (<40 mg/dl) and hyperglycemia (≥126 mg/dl) to national rates.
Results: In 18,892 women (mean age 49.8 ± 14.3 years, 37% black, 32% white, 14% Hispanic), compared to overall STS rates, significantly higher rates were observed for obesity (overall rate 32.7%) in Baltimore (42.4%), Atlanta (40.0%), Dallas (37.9%), and Jacksonville (36.0%); for HTN (overall rate 28.5%) in Atlanta (43.9%), Baltimore (42.5%), and New York (39.1%); for hyperglycemia (overall rate 13.4%) in Jacksonville (20.3%), Philadelphia (18.1%), and Tampa (17.8%); and for HDL-C <40 mg/dl (overall rate 15.1%) in Phoenix (37.4%), Dallas (26.5%), and Jacksonville (18.1%). Compared to national rates from the AHA 2010 Update, most STS cities had higher rates of hyperglycemia and low HDL-C. Black race was most predictive of obesity (OR 2.16; 95% CI 1.79–2.60) and HTN (OR 1.66; 95% CI 1.48–1.85). Smoking and Hispanic origin were most predictive of HDL <40 (OR 1.55; 95% CI 1.29–1.85 and OR 1.35; 95% CI 1.14–1.59, respectively).
Conclusion: In a large, community-based sample of women nationwide, this comprehensive analysis shows remarkable geographic variation in risk factors exists. This geographic variation provides opportunities to improve and reduce a woman's CVD risk. Further investigation is required to understand the reasons behind variation, which will provide insight towards tailoring preventive interventions to narrow gaps in CVD risk reduction in women.
- © 2010 by American Heart Association, Inc.