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- Title
Prevalence of Cardiovascular Diseases Among Breast Cancer Survivors: Findings From the NHANES 2003-2018.
- Authors
Kim, Youngdeok; Franco, R. Lee; Lucas, Alexander R.; Sutton, Arnethea L.; LaRose, Jessica G.; Kenyon, Jonathan; Via, Jeremy; Cheng, Richard K.; D'Agostino Jr, Ralph, B.; Sheppard, Vanessa B.; Hundley, W. Gregory
- Abstract
Purpose: To examine the prevalence of cardiovascular diseases (CVD) among breast cancer (BC) survivors. Design: Cross-sectional observational study using the data from the National Health and Nutrition Examination Survey (NHANES) 2003–2018. Setting: United States (US). Subjects: A nationally representative sample of US women with a history of BC. Measures: Self-reported CVD status (i.e., coronary artery disease (CAD), heart failure, and stroke) and time of the CVD diagnosis were used to categorize BC survivors into three groups: No CVD, preexisting CVD, and post-acquired CVD after BC diagnosis. Analysis: The prevalence of CVD among BC survivors were estimated by demographic characteristics. Complex sampling design of the NHANES was accounted to estimate the population-level prevalence. Results: A total of 658 BC survivors were identified, representing 3.01% (≈3.4 million) of the US women aged ≥18 years old. Of those, ≈6% (≈.2 million) had preexisting CVD and ≈11% (≈.4 million) had at least one CVD diagnosed after BC diagnosis, with an average time elapsed ranging from ≈5 years for heart failure to ≈9 years for CAD and stroke. The prevalence of CVD among BC survivors differed by demographic characteristics including age, education, marital status, menopausal, and physical activity levels. Conclusion: Our findings suggest that BC survivors are at risk of suffering from CVD and public health strategies for the long-term management of CVD risk factors in this vulnerable population group is recommended.
- Subjects
UNITED States; DISEASE prevalence; HEART failure; HEALTH &; Nutrition Examination Survey; CANCER survivors; BREAST cancer; CARDIOVASCULAR diseases; PHYSICAL activity
- Publication
American Journal of Health Promotion, 2023, Vol 37, Issue 2, p233
- ISSN
0890-1171
- Publication type
Article
- DOI
10.1177/08901171221120910