WISEWOMAN: addressing the needs of women at high risk for cardiovascular disease
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Isam Vaid1, Charles Wigington, Deborah Borbely
1WISEWOMAN Program, Division of Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. Isam.Vaid@CDC.HHS.gov
Insights
The WISEWOMAN Program addresses cardiovascular disease (CVD) risks in low-income women, including minority groups. It provides screenings and connects women to resources for CVD prevention and management.
Area of Science:
- Public Health
- Preventive Medicine
- Health Disparities
Background:
- Cardiovascular diseases (CVDs) disproportionately affect low-income women and minority ethnic and racial groups in the U.S.
- The Centers for Disease Control and Prevention's (CDC) WISEWOMAN Program was established to address these disparities.
- WISEWOMAN extends preventive health services to participants of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), targeting vulnerable, high-risk populations.
Purpose of the Study:
- To expand preventive health services for cardiovascular health concerns in low-income, uninsured, and underinsured women.
- To address the disparate impact of CVD on minority women and women with low income.
- To connect high-risk women with clinical systems of care and community resources for CVD prevention and management.
Main Methods:
- CDC funds 19 state health departments and 2 tribal organizations to implement the WISEWOMAN Program.
- The program provides preventive health screenings and connects women to resources.
- Data collection on screenings and program reach, particularly among minority women.
Main Results:
- In the first 2 years of the 2008-2013 funding cycle, WISEWOMAN grantees provided nearly 78,000 screenings.
- 46% of screenings were provided to women from minority racial and ethnic groups.
- The program has demonstrated success in impacting clinical systems, provider education, and community outreach.
Conclusions:
- The WISEWOMAN Program effectively reaches and screens high-risk women, including a significant proportion of minority women.
- The program plays a crucial role in connecting vulnerable women to essential cardiovascular health services and resources.
- WISEWOMAN contributes to the prevention, treatment, and management of CVD risk in underserved populations.
Abstract:
In the United States, the cardiovascular health of women is affected by the disparate impact of cardiovascular diseases (CVDs) on many minority ethnic and racial groups. Women with low income also endure a disproportionate impact of the burden of CVD. The Centers for Disease Control and Prevention's (CDC's) Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) Program was authorized by Congress in 1993 to extend the preventive health services offered to participants of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). These are low-income, uninsured, and underinsured women. The intent was to expand services of an existing federal program to address cardiovascular health concerns in this vulnerable, high-risk population. CDC funds 19 state health departments and 2 tribal organizations (both in Alaska) to implement WISEWOMAN. In the first 2 years of the current 5-year funding cycle, which began in June 2008, the WISEWOMAN grantees succeeded in providing almost 78,000 screenings, of which 46% were to women of minority racial and ethnic groups. The individual successes are important, and the WISEWOMAN Program also has achieved success in the broader arenas of healthcare and the communities in which WISEWOMAN is implemented. WISEWOMAN impacts clinical systems of care, provider education, physician extenders, and the broader community and will continue to play an important role in connecting low-income, uninsured, and underinsured women with clinical systems of care and other community resources that will result in the prevention, treatment, and management of their CVD risk.
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