Evidence map›Paper›PMID 32954796›Full record

ReviewCirculation2021

Ten-Year Differences in Women's Awareness Related to Coronary Heart Disease: Results of the 2019 American Heart Association National Survey: A Special Report From the American Heart Association.

Mary Cushman, Christina M Shay, Virginia J Howard, Monik C Jiménez, Jennifer Lewey, Jean C McSweeney, L Kristin Newby, Ram Poudel, Harmony R Reynolds, Kathryn M Rexrode and 3 more

Registry-linked trialOpen access · bronzeAbstract readHistorical ArticleReview
In one paragraph

Review in Circulation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05372237 (Women's Cardiovascular Health Awareness in Lombardy), which is not on this map. Cited by 128 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 1 pooled it
18.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05372237 completednot on this mapstarted 2022, after this paper: background citation

Women's Cardiovascular Health Awareness in Lombardy: a Call for Urgent Appraisal Starting From a Population-based Web-survey: "A Call for Women" Project

TypeobservationalSponsorIRCCS Policlinico S. DonatoRan2022 to 2023Enrolled4,969ConditionsCardiovascular Diseases
3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 1 synthesis or guideline pooled it, 229 citations in OpenAlex.

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  17. Gender disparities in coronary artery disease: a review of factors influencing clinical outcomes.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2025
    Review
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68 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 3 countries.

Mary Cushman
Christina M Shay
Virginia J Howard
Monik C Jiménez
Jennifer Lewey
Jean C McSweeney
L Kristin Newby
Ram Poudel
Harmony R Reynolds
Kathryn M Rexrode
Mario Sims
Lori J Mosca
American Heart Association
Christ University · INHospital Universitario Fundación Jiménez Díaz · ESReynolds American (United States) · US

Funding

Obesity Prevention in Postpartum Women at High-Risk of Cardiovascular DiseaseK23HL153667 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI LEWEY, JENNIFER · 2020 to 2024
$926k
Examining Racial Disparities in StrokeK01HL124391 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI JIMENEZ, MONIK CARMEN · 2014 to 2018
$761k
NHLBI NIH HHS K01 HL124391NHLBI NIH HHS K23 HL153667
6 · The paper itself

Abstract

backgroundHigh awareness that cardiovascular disease is the leading cause of death (LCOD) among women is critical to prevention. This study evaluated longitudinal trends in this awareness among women. METHODS AND

resultsOnline surveys of US women (≥25 years of age) were conducted in January 2009 and January 2019. Data were weighted to the US population distribution of sociodemographic characteristics. Multivariable logistic regression was used to evaluate knowledge of the LCOD. In 2009, awareness of heart disease as the LCOD was 65%, decreasing to 44% in 2019. In 2019, awareness was greater with older age and increasing education and lower among non-White women and women with hypertension. The 10-year awareness decline was observed in all races/ethnicities and ages except women ≥65 years of age. The greatest declines were among Hispanic women (odds ratio of awareness comparing 2019 to 2009, 0.14 [95% CI, 0.07-0.28]), non-Hispanic Black women (odds ratio, 0.31 [95% CI, 0.19-0.49]), and 25- to 34-year-olds (odds ratio, 0.19 [95% CI, 0.10-0.34]). In 2019, women were more likely than in 2009 to incorrectly identify breast cancer as the LCOD (odds ratio, 2.59 [95% CI, 1.86-3.67]), an association that was greater in younger women. Awareness of heart attack symptoms also declined.

conclusionsAwareness that heart disease is the LCOD among women declined from 2009 to 2019, particularly among Hispanic and non-Hispanic Black women and in younger women (in whom primordial/primary prevention may be most effective). An urgent redoubling of efforts by organizations interested in women's health is required to reverse these trends.

Indexed as

AdultAgedAmerican Heart AssociationFemaleHeart DiseasesHistory, 21st CenturyHumansMiddle AgedRisk FactorsSurveys and QuestionnairesTime FactorsUnited StatesWomen's HealthAHA Scientific Statementscardiovascular diseasescause of deathethnic groupsprimary preventionsurveys and questionnaires

Identifiers

PMID32954796
PMCPMC11181805
OpenAlexW3087175535

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.