Awareness of increased risk for heart disease and cardiovascular risk factors in women with systemic lupus erythematosus
View File(s)
PDF (1.616Mb)
Author Information
- Author(s)
- Details
-
Dr. Patricia Catherine Weinstein, PhD, RN
- Sigma Affiliation
- Theta Epsilon
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Weinstein, Patricia Catherine by View
Title | Page Views |
---|
Popular Works for Weinstein, Patricia Catherine by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
Women with systemic lupus erythematosus (SLE) develop cardiovascular disease (CVD) earlier and at a more accelerated rate compared to women without SLE. Many women with SLE are unaware of their increased risk despite years spent in the health care system, thus giving the atherogenic process time to accrue damage. Research has not explained fully why women with SLE are unaware of their increased risk for CVD or why awareness does not correspond to risk reducing behaviors. Stage theories of behavior like the Precaution Adoption Process Model (PAPM) propose that health behavior change proceeds through qualitatively different stages, and people at one stage face similar barriers before they can progress to the next. The Common Sense Model (CSM), a self-regulatory model of health behavior, explains the emotional and cognitive processes involved in progression from one stage to the next and the formation of a personal risk/illness representation. Combining the PAPM and CSM helps understand the relationship between risk perception and adoption of risk reducing behaviors. The specific aims of this study were to assess in women with SLE: (1) general knowledge of heart disease compared to women without SLE; (2) awareness of increased CVD risk and CVD risk factors; and (3) personal and healthcare system factors that influence awareness of increased CVD risk and adoption of risk reducing behaviors. Sixty women with SLE, 18 years of age or older, were recruited to participate in this descriptive study. Data included demographic information, self-report questionnaires (perceived CVD risk, CVD risk factors, depression, physical activity), body measures (height, weight, waist circumference, blood pressure), and blood samples for physiologic markers of traditional and novel CVD risk factors (glucose, insulin, lipoprotein lipids, creatinine, C-reactive protein, homocysteine, antiphospholipid antibodies). The Beck Depression Inventory-Primary Care and the Physical Activity Disability Survey were used to determine depression and activity level respectively. General knowledge of heart disease was assessed using the American Heart Association (AHA) National Survey on women’s awareness of heart disease. Logistic regression was used to categorize participants into subgroups according to perceived risk and identify important factors that influenced their PAPM stage categorization. Women with SLE in this study were more aware of women’s leading cause of death than United States women who responded to the 2006 AHA survey (73% v 57%), but fewer than 25% perceived themselves at increased CVD risk. Age was a significant predictor (p=0.05) for awareness of increased risk; younger age correlated with increased awareness. Most women received information about heart disease from public media. On average, women had 4 CVD risk factors, but they perceived they had only 2. The number of perceived risk factors predicted adoption of risk reducing behaviors (p=0.03). Women in this study with SLE underestimated their CVD risk factors and did not personalize their increased CVD risk. Healthcare providers’ identification and discussion of CVD risk factors in women with SLE may enhance their risk awareness and the adoption of risk reducing behaviors. This information may contribute to the development of stage-matched interventions, a potentially more effective and efficient approach than a generic program of risk-reduction, especially in individuals with SLE who face the additional burden of a chronic illness.
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3410140; ProQuest document ID: 365414558. The author still retains copyright.
Repository Posting Date
2020-04-15T17:48:52Z
Notes
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type Information
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Descriptive/Correlational |
Research Approach | Qualitative Research |
Keywords | Chronic Illness; Women with Lupus; Heart Disease and Inflammation |
CINAHL Subject(s) | Cardiovascular Risk Factors; Lupus Erythematosus, Systemic; Patient Attitudes; Vascular Diseases--Risk Factors; Lupus Erythematosus, Systemic--Complications; Vascular Diseases |
Degree Information
Grantor | University of Central Florida |
Advisor | Dennis, Karen E. |
Level | PhD |
Year | 2009 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Exploring the lived experiences of rural women with systemic lupus erythematosus
Rennegarbe, Richelle A.The purpose of this exploratory study was to describe the lived experiences of rural women with systemic lupus erythematosus (lupus). A qualitative research design was used, employing a convenience sample of 20 women with ... -
The development and feasibility of a pedometer-based exercise system for women with systemic lupus erythematosus
Tsai, Jen-Chen; Wu, Mei-LingIn this study, a pedometer-based exercise support system on smartphone was proposed for SLE women. Mean daily steps ranged between 1578 and 4050 with the mean of 2669 steps/day. They reported satisfaction for the system ... -
Cardiovascular disease risk factors, physical activity, and high density lipoprotein in rural Ecuadorian women
Hawkins, Kathleen; Westlake, Cheryl A.Non communicable diseases (NCD) such as cardiovascular disease (CVD) and diabetes are the leading causes of death and disability in many communities world-wide and account for 80% of deaths in low- to middle-income countries ... -
Investigating physical activity and exercise motivation in women with systemic lupus erythematosus
Wu, Mei-Ling; Tsai, Jen-Chen (2017-07-18)Purpose: Physical inactivity lifestyles are common among systemic lupus erythematosus (SLE) populations. The purpose of this study was to investigate SLE women’s level of physical activity and the type of motivation ... -
Contraceptive use, counseling given and occurrence of venous thrombus embolism (VTE) in adolescent systemic lupus erythematosus patients (SLE)
Kurkowski, Jennifer; Geyer, Jane; Dietrich, Jennifer; Curry, Martha (2016-11-07)Purpose: The purpose of this study was to determine the contraceptive needs among SLE patients. The secondary aim was to evaluate side effects associated with contraceptive use such as VTE and weight gain. Methodology: ...