{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:34:35Z","timestamp":1777376075085,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T00:00:00Z","timestamp":1690329600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Health Promot"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate awareness about cardiovascular (CVD) risk among a racially and ethnically diverse cohort of health system employees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Voluntary survey of health system employees during an annual CVD awareness and screening event.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects<\/jats:title>\n                    <jats:p>759 health system employees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measures<\/jats:title>\n                    <jats:p>We performed initial CVD screening measurements (blood pressure, body mass index) and collected patient-reported answers to questions about their own CVD risk factors (hypertension, high cholesterol, diabetes, overweight, smoking, physical inactivity and family history of CVD) and whether or not they believed that CVD is preventable. Subjects were offered in-depth follow-up CVD screening (lipid panel, hs-CRP, hemoglobin A1c), if interested.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Analysis<\/jats:title>\n                    <jats:p>Continuous measures were compared across sex and racial\/ethnic subsets using a t test and analysis of variance technique. Univariable and multivariable logistic regression models were used to estimate the employee\u2019s willingness to undergo further comprehensive screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>African American, Hispanic, and Asian employees were younger than white employees ( P &lt; .0001). More than one-quarter of African Americans reported a history of hypertension, a higher rate than for other subgroups ( P = .001). The rate of self-reported diabetes was highest in African American and Asian employees ( P = .001). African Americans had a 54% reduced odds of electing to pursue follow-up CVD screening (odds ratio: .46, 95% confidence interval = .24\u2212.91, P = .025).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Presence of CVD risk factors and knowledge of their importance differ among racial and ethnic groups of health system employees in our cohort as does interest in pursuing follow-up screening once risk factors are identified. Development of evidence-based customization strategies by racial and ethnic group may improve understanding of and interest in CVD risk factors and advance prevention. The data from this study will inform future research and strategies for employee health promotion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08901171231192484","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T04:13:25Z","timestamp":1690344805000},"page":"1091-1099","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Racial and Ethnic Differences in Awareness and Prevalence of Unidentified Cardiovascular Risk Factors Among Health System Employees"],"prefix":"10.1177","volume":"37","author":[{"given":"Amgad N.","family":"Makaryus","sequence":"first","affiliation":[{"name":"Department of Cardiology, North Shore University Hospital, Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell Health, Manhasset, NY, USA"},{"name":"Department of Cardiology, NuHealth, Nassau University Medical Center, East Meadow, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey E.","family":"Rosen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, North Shore University Hospital, Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell Health, Manhasset, NY, USA"},{"name":"Katz Institute for Women\u2019s Health at Northwell Health, Lake Success, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie","family":"Kang","sequence":"additional","affiliation":[{"name":"Katz Institute for Women\u2019s Health at Northwell Health, Lake Success, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslee J.","family":"Shaw","sequence":"additional","affiliation":[{"name":"Blavatnik Family Women\u2019s Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6169-5278","authenticated-orcid":false,"given":"Beth","family":"Nash","sequence":"additional","affiliation":[{"name":"Katz Institute for Women\u2019s Health at Northwell Health, Lake Success, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reva","family":"Gajer","sequence":"additional","affiliation":[{"name":"Katz Institute for Women\u2019s Health at Northwell Health, Lake Success, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Whitney","family":"Coppolino","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer H.","family":"Mieres","sequence":"additional","affiliation":[{"name":"Department of Cardiology, North Shore University Hospital, Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell Health, Manhasset, NY, USA"},{"name":"Katz Institute for Women\u2019s Health at Northwell Health, Lake Success, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,7,26]]},"reference":[{"key":"bibr1-08901171231192484","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0626"},{"key":"bibr2-08901171231192484","doi-asserted-by":"publisher","DOI":"10.1097\/01.jom.0000052952.59271.a8"},{"key":"bibr3-08901171231192484","first-page":"5","volume":"1","author":"Fielding JE","year":"1984","journal-title":"Bus Health"},{"key":"bibr4-08901171231192484","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.pu.05.050184.001321"},{"key":"bibr5-08901171231192484","doi-asserted-by":"publisher","DOI":"10.1007\/s12170-010-0138-0"},{"key":"bibr6-08901171231192484","volume-title":"Healthy People 2020 and Healthy People","author":"U.S. Department of Health and Human 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