MA, Kent State University, 2024, College of Arts and Sciences / Department of Psychological Sciences
Heart disease (HD) remains the leading cause of death (LCOD) in America. Despite public health campaigns, awareness of this fact decreased from 65% in 2009 to 44% in 2019 among women over the age of 25 and was only 10% for women aged 15-24. Declines were greater for women younger than 65, Hispanic, and Black. In 2021, the National Heart, Lung, and Blood Institute (NHLBI) issued a notice of special interest in promoting cardiovascular health earlier in life. The current cross-sectional study compared awareness of HD as the leading cause of death (LCOD) and greatest health problem among Black and White women and men aged 20-39. Given that Black women have a higher risk of HD than White women, we were particularly interested in possible race and sex differences in HD awareness among young adults.
We hypothesized that women would be less aware that heart disease is the LCOD and the greatest health problem for people of all ages. We also expected Black women would be less likely to identify heart disease as the LCOD and the greatest health problem and would report lower levels of motivation to improve their CVH and reduce their risk for CVD compared to young White women.
The online survey was conducted using QualtricsXM panels. Respondents (n = 404) included Black women (25.0%, 29.0 ± 6.1 yrs), White women (24.3%, 26.4 ± 4.3 yrs), Black men (24.8%, 30.6 ± 5.2 yrs), and White men (25.9%, 32.8 ± 4.5 yrs). Correct identification of HD as the LCOD was similar for women and men whether choosing from a list (24.1% vs. 26.8%) or by ranking the top 5 LCODs (17.6% vs. 20.0%) [χ2(1, 404), p ≥ .53]. Whereas 31.7% of males correctly identified HD as the LCOD for people whose birth sex is male, only 15.6% of females correctly identified HD as the LCOD death in people whose birth sex is female [χ2(1, 404) = 14.5, p < .001]. Likewise, only 13.6% of females correctly identified HD as the greatest health problem for people whose birth sex is female, compared to 29.3% of males that cor (open full item for complete abstract)
Committee: Joel Hughes (Advisor)
Subjects: Psychology; Public Health; Sociology