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The Global Burden of Cardiovascular Disease in Women
Shilpa Sharma1, Malissa J Wood2
1Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Insights
Cardiovascular disease (CVD) mortality is rising globally, with women facing unique risks. Addressing these gender disparities is crucial for achieving global health goals and reducing heart disease burden in women.
Area of Science:
- Global health
- Cardiovascular medicine
- Public health
Background:
- Cardiovascular disease (CVD) is the leading cause of global mortality.
- A concerning trend shows a slowdown in the decline of age-standardized CVD mortality.
- The United Nations established the 25x25 goal to reduce premature non-communicable disease mortality by 25% by 2025.
Purpose of the Study:
- To highlight global cardiovascular disease gender disparities.
- To stimulate awareness and discussion on potential interventions.
- To address the disproportionate CVD risk factors faced by women.
Main Methods:
- Review of global CVD gender disparities.
- Analysis of unique risk factors in women.
- Discussion of healthcare delivery system challenges.
Main Results:
- Women experience specific CVD risk factors, including psychological stressors, pregnancy-related issues, environmental exposures, and limited healthcare access.
- These factors contribute to a disproportionate burden of heart disease in women.
- Existing global health targets may not adequately address these gender-specific challenges.
Conclusions:
- Achieving global CVD reduction goals requires addressing gender disparities.
- Targeted interventions are needed to mitigate unique CVD risks in women.
- Increased awareness and research into women's cardiovascular health are essential.
Purpose Of Review:
Cardiovascular disease (CVD) is the leading cause of mortality worldwide, accounting for one third of all deaths in 2015. Alarmingly, there has been slowing of the decline in age-standardized CVD mortality over the last 5 years compared to the previous 25 years.
Recent Findings:
Given the increasing global CVD burden, in 2011, the United Nations declared the goal to reduce premature mortality from the four main non-communicable diseases by 25% from 2010 to 2025, abbreviated as the 25 × 25 goal. The United Nations has further created nine targets to achieve the 25 × 25 goal. These targets emphasize risk factor modification and strengthening of healthcare delivery systems. Achieving the nine targets and 25 × 25 goal set by the United Nations will undoubtedly benefit the world as a whole. However, women face additional, unacceptable, disproportionate CVD risk factors that need to be addressed, including psychological stressors contributing to ischemic heart disease, pregnancy-related CVD, environmental and infectious exposures in low socioeconomic settings, and limited healthcare access and delivery. This paper highlights global CVD gender disparities in order to stimulate awareness and discussion of potential interventions to address the rapidly growing burden of heart disease in women.
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