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Knowledge and Awareness of Cardiovascular Risk Factors Among Women With a History of Pregnancy Complications in
Farnoosh Asghar Vahedi1, Leila Gholizadeh2, Marjan Khajehei1,3,4,5
1School of Nursing and Midwifery, Western Sydney University, Sydney, Australia.
Insights
Women with pregnancy complications have poor knowledge of cardiovascular disease (CVD) risks. Targeted education is vital to improve health literacy and reduce future CVD incidence in this high-risk group.
Area of Science:
- Obstetrics and Gynecology
- Cardiology
- Public Health
Background:
- Cardiovascular disease (CVD) is a leading global cause of mortality.
- Pregnancy complications like miscarriage, stillbirth, hypertensive disorders, and gestational diabetes significantly elevate future CVD risk in women.
- Enhanced awareness of CVD risk factors is critical for motivating women with a history of pregnancy complications to engage in risk-reduction strategies.
Purpose of the Study:
- To assess the knowledge and awareness of cardiovascular disease (CVD) risks among women with a history of pregnancy complications.
- To identify gaps in understanding CVD risk factors within this specific demographic.
- To inform the development of targeted educational interventions.
Main Methods:
- A descriptive cross-sectional survey was conducted.
- Data were collected from 299 women with a history of pregnancy complications via two Australian tertiary hospitals and social media platforms (February-December 2021).
- Non-probability sampling was employed to recruit participants.
Main Results:
- The average knowledge score regarding CVD risk factors was 14.5 (out of 25), with 50.2% of participants demonstrating poor knowledge.
- Only 24.7% of women possessed good knowledge of CVD and its associated risk factors.
- Significant associations were found between CVD knowledge scores and participants' ethnicity (p=0.009) and education level (p=0.007).
Conclusions:
- A substantial deficit in cardiovascular disease (CVD) knowledge exists among women who have experienced pregnancy complications.
- There is a clear need for tailored educational programs to address this knowledge gap.
- Improving health literacy, especially in high-risk and lower socioeconomic populations, is essential for mitigating future CVD incidence.
Background:
Cardiovascular disease (CVD) is the leading cause of death worldwide, and women who experience complications during pregnancy, such as pregnancy loss (miscarriage and stillbirth), hypertensive disorders of pregnancy and gestational diabetes, have a significantly higher risk of future CVD. Increasing awareness of CVD risk among these women is crucial for effective engagement in risk reduction programs.
Methods:
A descriptive cross-sectional survey using a non-probability sampling method was adopted to explore the CVD knowledge and awareness of women with a history of complications of pregnancy. Distribution occurred from February to December 2021 via two tertiary hospitals in Australia and various groups in social media.
Results:
Of 364 survey responses received, a sample of 299 completed responses were considered for final analysis. The participants' mean knowledge score regarding CVD risk factors was 14.5 (SD ± 4.6; range 0-25). Among them, 50.2% had poor knowledge, 25.1% had moderate knowledge, and only 24.7% had good knowledge of CVD and its risk factors in women. Statistically significant differences in knowledge scores were observed based on ethnicity (p = 0.009) and education level (p = 0.007).
Conclusion:
This study revealed a significant gap in CVD knowledge among women with pregnancy complications, highlighting the need for targeted educational programs. Improving health literacy, particularly among high-risk and lower socioeconomic groups, is crucial for reducing CVD incidence.
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