Background:High awareness that cardiovascular disease is the leading cause of death (LCOD) among women is critical to prevention. This study evaluated longitudinal trends in this awareness among women.Methods and Results:Online surveys of US women (≥25 years of age) were conducted in January 2009 and January 2019. Data were weighted to the US population distribution of sociodemographic characteristics. Multivariable logistic regression was used to evaluate knowledge of the LCOD. In 2009, awareness of heart disease as the LCOD was 65%, decreasing to 44% in 2019. In 2019, awareness was greater with older age and increasing education and lower among non-White women and women with hypertension. The 10-year awareness decline was observed in all races/ethnicities and ages except women ≥65 years of age. The greatest declines were among Hispanic women (odds ratio of awareness comparing 2019 to 2009, 0.14 [95% CI, 0.07–0.28]), non-Hispanic Black women (odds ratio, 0.31 [95% CI, 0.19–0.49]), and 25- to 34-year-olds (odds ratio, 0.19 [95% CI, 0.10–0.34]). In 2019, women were more likely than in 2009 to incorrectly identify breast cancer as the LCOD (odds ratio, 2.59 [95% CI, 1.86–3.67]), an association that was greater in younger women. Awareness of heart attack symptoms also declined.Conclusions:Awareness that heart disease is the LCOD among women declined from 2009 to 2019, particularly among Hispanic and non-Hispanic Black women and in younger women (in whom primordial/primary prevention may be most effective). An urgent redoubling of efforts by organizations interested in women’s health is required to reverse these trends.

中文翻译：

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女性对冠心病相关意识的十年差异：2019 年美国心脏协会全国调查结果：美国心脏协会特别报告

背景：对心血管疾病是女性主要死因 (LCOD) 的高度认识对于预防至关重要。本研究评估了女性这种意识的纵向趋势。方法和结果：在 2009 年 1 月和 2019 年 1 月对美国女性（≥25 岁）进行了在线调查。数据根据社会人口学特征的美国人口分布进行了加权。多变量逻辑回归用于评估对 LCOD 的了解。2009 年，心脏病作为 LCOD 的知晓率为 65%，2019 年降至 44%。2019 年，随着年龄的增长和教育程度的提高，非白人女性和高血压女性的知晓率更高，而更低。除了≥65 岁的女性外，所有种族/民族和年龄都观察到了 10 年的意识下降。降幅最大的是西班牙裔女性（2019 年与 2009 年相比，意识的优势比为 0.14 [95% CI，0.07-0.28]），非西班牙裔黑人女性（优势比，0.31 [95% CI，0.19-0.49]）， 25 至 34 岁（优势比，0.19 [95% CI，0.10–0.34]）。2019 年，女性比 2009 年更有可能将乳腺癌错误地识别为 LCOD（优势比，2.59 [95% CI，1.86-3.67]），这一关联在年轻女性中更大。对心脏病发作症状的认识也有所下降。 结论：从 2009 年到 2019 年，女性对心脏病是 LCOD 的认识有所下降，尤其是在西班牙裔和非西班牙裔黑人女性以及年轻女性中（原始/初级预防可能最有效） . 需要关注妇女健康的组织紧急加倍努力以扭转这些趋势。