CardioSource WorldNews July 2015 | Page 23

Of course, the first step is recognizing that one is at risk and, along those lines, progress has been made in convincing women—at least Caucasian women—that their #1 risk is CVD. For roughly the last decade, awareness of CVD as the leading cause of death in women has hovered between 60% and 70% in white women compared to just 33% in 1997. However, awareness is much lower among Black and Hispanic women (about 35%, as of the most recently available data [2012]). What do women perceive as risky? That would include eating food high in saturated fat, a sedentary lifestyle, family history of heart disease, and high blood pressure. Not recognized: obesity, diabetes, and smoking. Once the risk is perceived, studies have shown a correlation between sex and an ability to change lifestyle to reduce the risk of disease. Health behaviors are influenced by factors such as culture and environment. For men, the appraisal of projected harm or loss is very important (cognitive appraisal). Marital status is a factor, too, with married women less adequate in their own self-care. Confidence is important and women tend to be less confident, but they are more willing to take direction than men. Women are significantly more likely to recognize ACS symptoms. For example, women were more likely than men Ѽ