000144604 001__ 144604
000144604 005__ 20250923084425.0
000144604 0247_ $$2doi$$a10.1186/s12939-024-02230-3
000144604 0248_ $$2sideral$$a139400
000144604 037__ $$aART-2024-139400
000144604 041__ $$aeng
000144604 100__ $$aLópez Ferreruela, Irene
000144604 245__ $$aGender inequalities in secondary prevention of cardiovascular disease: a scoping review
000144604 260__ $$c2024
000144604 5060_ $$aAccess copy available to the general public$$fUnrestricted
000144604 5203_ $$aBackground
Despite significant progress in cardiovascular disease (CVD) management, it remains a public health priority and a global challenge. Within the disease process, health care after a cardiovascular event (secondary prevention) is essential to prevent recurrences. Nonetheless, evidence has suggested the existence of gender disparities in CVD management, leaving women in a vulnerable situation. The objective of this study is to identify all available evidence on the existence of gender differences in health care attention after a major adverse cardiovascular event.
Methods
A scoping review following the structure of PRISMA-ScR was conducted. To define the inclusion criteria, we used Joanna Briggs Institute (JBI) population, concept, context framework for scoping reviews. A systematic search was performed in MEDLINE (PubMed), EMBASE and Cochrane. The methods of this review are registered in the International Platform of Registered Systematic Review and Meta-Analysis Protocols (INPLASY) (INPLASY202350084).
Results
The initial search retrieved 3,322 studies. 26 articles were identified manually. After the reviewing process, 93 articles were finally included. The main intervention studied was the pharmacological treatment received (n = 61, 66%), distantly followed by guideline-recommended care (n = 26, 28%) and cardiac rehabilitation (CR) referral (n = 16)”. Literature described gender differences in care and management of secondary prevention of CVD. Women were less frequently treated with guideline-recommended medications and seem more likely to be non-adherent. When analysing guideline recommendations, women were more likely to make dietary changes, however, men were more likely to increase physical activity. Studies also showed that women had lower rates of risk factor testing and cholesterol goals attainment. Female sex was associated with lower rates of cardiac rehabilitation referral and participation.
Conclusions
This review allowed us to compile knowledge on the existence of gender inequalities on the secondary prevention of CVD. Additional research is required to delve into various factors influencing therapeutic disparities, referral and non-participation in CR programs, among other aspects, in order to improve existing knowledge about the management and treatment of CVD in men and women. This approach is crucial to ensure the most equitable and effective attention to this issue.
000144604 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/PI22-01193
000144604 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000144604 590__ $$a4.1$$b2024
000144604 592__ $$a1.707$$b2024
000144604 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b50 / 419 = 0.119$$c2024$$dQ1$$eT1
000144604 593__ $$aPublic Health, Environmental and Occupational Health$$c2024$$dQ1
000144604 593__ $$aHealth Policy$$c2024$$dQ1
000144604 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000144604 700__ $$aObón Azuara, Blanca
000144604 700__ $$0(orcid)0000-0002-7194-8275$$aMalo Fumanal, Sara$$uUniversidad de Zaragoza
000144604 700__ $$0(orcid)0000-0002-6671-5661$$aRabanaque Hernández, María José$$uUniversidad de Zaragoza
000144604 700__ $$0(orcid)0000-0001-7293-701X$$aAguilar-Palacio, Isabel$$uUniversidad de Zaragoza
000144604 7102_ $$11011$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Medic.Prevent.Salud Públ.
000144604 773__ $$g23, 1 (2024), 146 [14 pp.]$$pINTERNATIONAL JOURNAL FOR EQUITY IN HEALTH$$tINTERNATIONAL JOURNAL FOR EQUITY IN HEALTH$$x1475-9276
000144604 8564_ $$s1938018$$uhttps://zaguan.unizar.es/record/144604/files/texto_completo.pdf$$yVersión publicada
000144604 8564_ $$s2334345$$uhttps://zaguan.unizar.es/record/144604/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000144604 909CO $$ooai:zaguan.unizar.es:144604$$particulos$$pdriver
000144604 951__ $$a2025-09-22-14:38:52
000144604 980__ $$aARTICLE