Cardiovascular disease prevention for women attending breast and cervical cancer screening programs: The WISEWOMAN projects

Tim Byers, Virginia Bales, Earl Ford, Barbara Massoudi, Ali Mokdad, Gary Myers, Julia Pruden, S. Jay Smith, Julie Will, Becky Bolduc, Linda Jo Doctor, Christina Economos, Cristina Garces, Debbie Katz, Kathleen Lowney, Maria Madison, Ruth Palombo, Anne Stoddard, Kathryn Coe, Karen FlemingJoan Smith, Linda Simpson, James Marshall, Lisa Staten, Kristin Lockwood, Peter Andersen, Deborah Hilgenberg, Joe Holliday, Wayne Rosamond, Alice Ammerman

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Background. The WISEWOMAN projects are examining the feasibility and effectiveness of adding a cardiovascular disease (CVD) prevention component to a nationwide program of early detection for breast and cervical cancer aimed at financially disadvantaged women. This paper describes the rationale and design of the WISEWOMAN projects, the baseline findings of the screenings, and the plans for evaluation. Methods. In selected breast and cervical cancer screening sites throughout Massachusetts, Arizona, and North Carolina, blood pressure, body weight, cholesterol, smoking, diet, and physical activity were assessed at baseline, 6 months, and 12 months. To evaluate the effectiveness of CVD prevention, these sites were assigned to either a minimum or an enhanced intervention group. The enhanced interventions, tailored to the populations served, featured skill building and facilitating activities to improve nutrition and increase physical activity. Results. Baseline screenings of 4,842 women revealed a high prevalence of CVD risk factors. High cholesterol was found among 40% of the women in North Carolina and Massachusetts, hypertension was found among 63% of the women in North Carolina, and overweight was found among 83% of the women in Arizona. Conclusions. It is appropriate to expand breast and cervical cancer screening programs to include screening for CVD.

Original languageEnglish (US)
Pages (from-to)496-502
Number of pages7
JournalPreventive Medicine
Volume28
Issue number5
DOIs
StatePublished - May 1999
Externally publishedYes

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Early Detection of Cancer
Uterine Cervical Neoplasms
Cardiovascular Diseases
Breast Neoplasms
Cholesterol
Exercise
Vulnerable Populations
Smoking
Body Weight
Diet
Blood Pressure
Hypertension
Population

Keywords

  • Cardiovascular disease
  • Cerebrovascular disease
  • Prevention
  • Screening
  • Women

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Cardiovascular disease prevention for women attending breast and cervical cancer screening programs : The WISEWOMAN projects. / Byers, Tim; Bales, Virginia; Ford, Earl; Massoudi, Barbara; Mokdad, Ali; Myers, Gary; Pruden, Julia; Smith, S. Jay; Will, Julie; Bolduc, Becky; Doctor, Linda Jo; Economos, Christina; Garces, Cristina; Katz, Debbie; Lowney, Kathleen; Madison, Maria; Palombo, Ruth; Stoddard, Anne; Coe, Kathryn; Fleming, Karen; Smith, Joan; Simpson, Linda; Marshall, James; Staten, Lisa; Lockwood, Kristin; Andersen, Peter; Hilgenberg, Deborah; Holliday, Joe; Rosamond, Wayne; Ammerman, Alice.

In: Preventive Medicine, Vol. 28, No. 5, 05.1999, p. 496-502.

Research output: Contribution to journalArticle

Byers, T, Bales, V, Ford, E, Massoudi, B, Mokdad, A, Myers, G, Pruden, J, Smith, SJ, Will, J, Bolduc, B, Doctor, LJ, Economos, C, Garces, C, Katz, D, Lowney, K, Madison, M, Palombo, R, Stoddard, A, Coe, K, Fleming, K, Smith, J, Simpson, L, Marshall, J, Staten, L, Lockwood, K, Andersen, P, Hilgenberg, D, Holliday, J, Rosamond, W & Ammerman, A 1999, 'Cardiovascular disease prevention for women attending breast and cervical cancer screening programs: The WISEWOMAN projects', Preventive Medicine, vol. 28, no. 5, pp. 496-502. https://doi.org/10.1006/pmed.1999.0462
Byers, Tim ; Bales, Virginia ; Ford, Earl ; Massoudi, Barbara ; Mokdad, Ali ; Myers, Gary ; Pruden, Julia ; Smith, S. Jay ; Will, Julie ; Bolduc, Becky ; Doctor, Linda Jo ; Economos, Christina ; Garces, Cristina ; Katz, Debbie ; Lowney, Kathleen ; Madison, Maria ; Palombo, Ruth ; Stoddard, Anne ; Coe, Kathryn ; Fleming, Karen ; Smith, Joan ; Simpson, Linda ; Marshall, James ; Staten, Lisa ; Lockwood, Kristin ; Andersen, Peter ; Hilgenberg, Deborah ; Holliday, Joe ; Rosamond, Wayne ; Ammerman, Alice. / Cardiovascular disease prevention for women attending breast and cervical cancer screening programs : The WISEWOMAN projects. In: Preventive Medicine. 1999 ; Vol. 28, No. 5. pp. 496-502.
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abstract = "Background. The WISEWOMAN projects are examining the feasibility and effectiveness of adding a cardiovascular disease (CVD) prevention component to a nationwide program of early detection for breast and cervical cancer aimed at financially disadvantaged women. This paper describes the rationale and design of the WISEWOMAN projects, the baseline findings of the screenings, and the plans for evaluation. Methods. In selected breast and cervical cancer screening sites throughout Massachusetts, Arizona, and North Carolina, blood pressure, body weight, cholesterol, smoking, diet, and physical activity were assessed at baseline, 6 months, and 12 months. To evaluate the effectiveness of CVD prevention, these sites were assigned to either a minimum or an enhanced intervention group. The enhanced interventions, tailored to the populations served, featured skill building and facilitating activities to improve nutrition and increase physical activity. Results. Baseline screenings of 4,842 women revealed a high prevalence of CVD risk factors. High cholesterol was found among 40{\%} of the women in North Carolina and Massachusetts, hypertension was found among 63{\%} of the women in North Carolina, and overweight was found among 83{\%} of the women in Arizona. Conclusions. It is appropriate to expand breast and cervical cancer screening programs to include screening for CVD.",
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