Coronary disease & ACSCross-sectional study

Sex differences in cardiovascular disease knowledge, risk perception, and preventive care prior to first myocardial infarction

Eur Heart J Qual Care Clin OutcomesPublished

  • cross-sectional design
  • web-based solution

Authors' conclusion

Cardiovascular knowledge and risk perception were poor among Norwegian individuals prior to MI, with indication that women had better knowledge but poorer risk perception than men. Substantial gaps in self-reported preventive care were identified, particularly among women. Sex-specific strategies are spoken for to improve cardiovascular awareness at both individual and clinical level.

Study context

Population
Norwegian individuals who experienced a first-ever myocardial infarction (MI) in 2024mean (standard deviation) age 64.1 (10.0) years, of which 25.4% women
Participants
1,628 individuals
Exposure
Sex differences in cardiovascular disease knowledge, risk perception, and preventive care prior to first myocardial infarction (MI)

Main finding

Risk perception (ABCD Risk Questionnaire)

B

−0.50

95% CI −0.87 to −0.13

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Previous MI risk assessment, including smoking status · women less likely than men to report0.54 (0.41–0.71)
Receipt of lifestyle advice to prevent MI · women less likely than men to report (as printed)2.29 (1.71–3.06)
OutcomeB (95% CI)
Healthy eating attitude (ABCD Risk Questionnaire) · women scored higher than men0.68 (0.34–1.02)
Number of MI risk factors identified · women could identify significantly more than men0.52 (0.02–1.01)
Number of MI symptoms identified · women could identify significantly more than men1.20 (0.88–1.51)

MI knowledge (de novo questionnaire)

MI knowledge was low in both women and men

Original publication

Sex differences in cardiovascular disease knowledge, risk perception, and preventive care prior to first myocardial infarction. Eur Heart J Qual Care Clin Outcomes. Published 24 September 2026. doi:10.1093/ehjqcco/qcag146

Summarised from the published abstract; every number is checked against it