Cardio-oncology & otherCross-sectional study
Trends in Cardiovascular Health Counseling Among Postpartum Individuals
- Serial cross-sectional study
- nationally representative, population-based survey
Authors' conclusion
Approximately 60% of individuals with CVD risk factors or APOs reported receiving CVH counseling at their postpartum visit. Prevalence of reporting CVH counseling decreased modestly over 5 years.
Study context
- Population
- Individuals attending a postpartum visit 4 to 6 weeks after delivery, Pregnancy Risk Assessment Monitoring System (PRAMS), 2016–2020weighted N = 8,714,459
- Participants
- 167,705 individuals
- Exposure
- 1 or ≥2 cardiovascular disease (CVD) risk factors vs no CVD risk factors
- Outcome
- Annual, age-adjusted prevalence of self-reported postpartum cardiovascular health (CVH) counseling (healthy eating, exercise, losing pregnancy weight) per 100 individuals; trend by average annual percent change (APC)
- Follow-up
- 2016 through 2020
Main finding
As reported in the abstract
Postpartum CVH counseling prevalence, 2016 to 2020 (per 100 individuals)
0 risk factors
56.2 to 52.8
per 100 individuals
1 risk factor
58.5 to 57.3
per 100 individuals
≥2 risk factors
61.9 to 59.8
per 100 individuals
Each group vs 0 risk factorsRelative risk (95% CI)
1 risk factor
1.05(1.04–1.07)
≥2 risk factors
1.11(1.09–1.13)
Observational data: associations, not effects.
Original publication
Trends in Cardiovascular Health Counseling Among Postpartum Individuals. JAMA. Published 25 July 2023. doi:10.1001/jama.2023.11210
Summarised from the published abstract; every number is checked against it