Getting to the Heart of the Matter: LPHA Cardiovascular Disease

Prevention Efforts for Women

Jeanette Guyton-Krishnan, Ph.D. Office of Prevention, Education and Control

National Heart, Lung, and Blood Institute

U.S. Department of Health and Human

Services

National Institutes of Health

National Heart, Lung, and Blood Institute

National CVD Efforts

Cardiovascular Disease vs. Cancer Deaths in Women, United States, 2002

Cardiovascular Disease (All forms) 492,27539Heart Disease 356,29329Stroke 100,2798

Cancer (All forms) 269,26422Breast Cancer 41,6323Lung Cancer 67,7565

Total Death (All Causes) 1,247,310

Cardiovascular Disease (All forms) 492,27539Heart Disease 356,29329Stroke 100,2798

Cancer (All forms) 269,26422Breast Cancer 41,6323Lung Cancer 67,7565

Total Death (All Causes) 1,247,310

Number

Total Percent

Number

Total Percent

Source: Vital and Health Statistics, NCHS, 2004.Source: Vital and Health Statistics, NCHS, 2004.

Cardiovascular Disease Mortality Trends of Females and Males, 1979-2002

400

420

440

460

480

500

520

1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001

Male

Female

Number of Deaths (in thousands)

Source: CDC, NCHS, National Vital Statistics System.Includes all diseases of the circulatory system (ICD-9 codes 490-459.9 and ICD-10 codes, I00-I99.9).

National Goals and ObjectivesNational Goals and Objectives

Healthy People 2010

NHLBI Cardiovascular Health Performance Goals

CVD Enhanced Dissemination and Utilization Centers (EDUCs) CVD Enhanced Dissemination

and Utilization Centers (EDUCs)

• 12 community-based projects in high-risk communities

• Tailored strategies to meet unique needs of communities

• Performance driven – results oriented to meet the Healthy People 2010 objectives

• A network of dissemination partners

• Penrose-St. Francis Women Living Well Project– El Paso County, Colorado– Stroke in women

• Community awareness• Access to

screening/education• Collaborate with PCPs• Tailored case management

• www.nhlbi.nih.gov– Networks and Outreach– CVD Utilization Centers

Women’s Heart Health:Developing a National Health Education Action Plan

Women’s Heart Health:Developing a National Health Education Action Plan

Key Recommendations: Develop a multiyear, national

public awareness and regional/local outreach campaign

Lead the campaign implementation in partnership with a broad range of national, regional, and community organizations

Develop a multiyear, national public awareness and regional/local outreach campaign

Lead the campaign implementation in partnership with a broad range of national, regional, and community organizations

Getting Women to “See Red”: The Heart Truth Campaign

The Facts

One in three American women dies of heart disease.

Most women don’t realize it’s their #1 killer.

Only 9 percent of women say that heart disease is the condition they fear most.

Women can lower their heart disease risk by as much as 82 percent just by leading a healthy lifestyle.

The Heart Truth Campaign Launched by NHLBI in September 2002

Key activity of the NHLBI Women’s Heart Health Education Initiative

Developed with input from more than 70 key experts who have a stake in improving women’s heart health

Founding partners DHHS Office on Woman’s Health American Heart Association WomenHeart: the National Coalition for Women with

Heart Disease

Who is the Primary Audience? Women ages 40-60 who:

Have at least one risk factor Are not taking action

Secondary audience Physicians and other health

professionals Younger and older women

Objectives

Raise awareness that heart disease is the #1 killer of women

Increase awareness of the risk factors leading to heart disease

Urge women to talk to their doctor about their personal risk for heart disease, and take steps to lower that risk

The Red Hot Idea—The Red Dress Project

“Heart disease doesn’t care what you wear.”

National launch of the Red Dress Project during Mercedes-Benz Fashion Week, February 2003

National spotlight on women and heart disease through partnership with the fashion industry

Why a Red Dress?

The Red Dress has proved, through focus group testing, to be a positive image to convey heart disease messages targeted to women.

Red Dress Debut Design—2003

The Red Dress Pin “Women and heart disease

need to come to the attention of the public. I will wear my pin proudly to my job as a nurse at Johns Hopkins Hospital. I hope to get many questions about my red dress pin”!!

“This is a great reminder to take care of our heart and our overall health! Every woman needs one”!

The Red Dress Collection—2003

The Power of Partnerships in Reaching Women

Media 350 million media impressions

since February 2003

First Lady Laura Bush featured on Today, Good Morning America and The Early Show

Cover stories in Time, Prevention and Glamour.

Additional coverage in Parade, People, Newsweek, New York Daily News, Chicago Tribune, New York Times, Boston Globe, and C-SPAN

Non-Profit/Women’s Organizations

WomenHeart Hadassah General Federation of Women’s Clubs Sister to Sister Foundation Alliance for Aging Research Society for Women’s Health Research

Government

DHHS Office on Women’s Health DHHS Regional Offices State support

Health Professional

National Black Nurses Association

American College of Cardiology

Association of Black Cardiologists

Preventive Cardiovascular Nurses Association

Community: Jackson, Mississippi

Harrisburg, Pennsylvania

Celebrating American Heart Month at the White House—February 2

Celebrating in Iraq on February 6

The Heart Truth Road ShowMarch to May, 2004

The Heart Truth Road Show Philadelphia, March 19-21

Plaza King of Prussia Mall

Chicago, March 26-28 River Oaks Mall

San Diego, April 02-04 Westfield Shopping Town

Parkway Plaza Mall

Dallas, April 16-18 Valley View Center Mall

Miami, April 30-May 02 Aventura Mall

Making an Impact AHA National Awareness Survey

1997 – 30% aware heart disease is #1 killer 2000 – 34% 2003 – 46%

Knowledge gap remains – especially in women younger than 45, Hispanic, and African American women

“Disconnect” remains – only 13% say heart disease is their own greatest health risk

Help spread The Heart Truth.

Campaign Materials

www.hearttruth.gov