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Characteristics and Health Care Preferences Associated with Cardiovascular Disease Risk among Women Veterans.
- Source :
-
Women's health issues : official publication of the Jacobs Institute of Women's Health [Womens Health Issues] 2017 Nov - Dec; Vol. 27 (6), pp. 700-706. Date of Electronic Publication: 2017 Sep 08. - Publication Year :
- 2017
-
Abstract
- Background: Women veterans are at increased risk for cardiovascular disease (CVD), but little is known about comorbidities and healthcare preferences associated with CVD risk in this population.<br />Methods: We describe the prevalence of CVD-relevant health behaviors, mental health symptoms, and health care use characteristics and preferences among participants of the National Survey of Women Veterans (conducted 2008-2009).<br />Findings: Fifty-four percent of respondents were at risk for CVD (defined as a diagnosis of hypertension, diabetes, current tobacco use, or obesity without CVD). In unadjusted analysis, ORs for being at risk for CVD were greater among those interested in gender-specific clinical settings (OR, 2.0; 95% CI, 1.2-3.4) and gender-specific weight loss programs (OR, 1.8; 95% CI, 1.1-2.9). ORs were also greater for women who were physically inactive (OR, 1.9; 95% CI, 1.1-3.3), with current symptoms of depression (OR, 2.5; 95% CI, 1.1-6.1), anxiety (OR, 2.1; 95% CI, 1.2-3.6), and posttraumatic stress disorder (OR, 2.4; 95% CI, 1.2-4.8). Adjusting for age, race/ethnicity, marital status, education level, employment, and source of health care use, the ORs for CVD risk were higher for women with current posttraumatic stress disorder symptoms (2.5; 95% CI, 1.1-5.3) and gender-specific health care preferences (2.0; 95% CI, 1.1-3.4), and gender-specific weight loss programs (1.9; 95% CI, 1.1-3.2).<br />Conclusions: Risk for CVD was common and preferences for gender-specific care and posttraumatic stress disorder were associated with being at risk for CVD. Women's health clinics may be a good location for targeted CVD prevention interventions for women veterans both in and outside the Veterans Health Administration.<br /> (Published by Elsevier Inc.)
- Subjects :
- Adult
Aged
Cardiovascular Diseases diagnosis
Choice Behavior
Female
Humans
Male
Middle Aged
Prevalence
Risk Factors
United States epidemiology
Cardiovascular Diseases epidemiology
Cardiovascular Diseases ethnology
Health Services statistics & numerical data
Racial Groups statistics & numerical data
Stress Disorders, Post-Traumatic epidemiology
Veterans psychology
Veterans Health ethnology
Women's Health ethnology
Subjects
Details
- Language :
- English
- ISSN :
- 1878-4321
- Volume :
- 27
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Women's health issues : official publication of the Jacobs Institute of Women's Health
- Publication Type :
- Academic Journal
- Accession number :
- 28890128
- Full Text :
- https://doi.org/10.1016/j.whi.2017.08.002