• Article

Who's addressing the cardiovascular needs of uninsured women? The WISEWOMAN projects

RATIONALE: Uninsured women are an especially vulnerable population

with a host of cardiovascular disease (CVD) risk factors. WISEWOMAN

was developed to address the screening and intervention needs of this special population.

OBJECTIVES: To assess the effect of enhanced interventions on CVD

risk factors.

METHODS: Women receiving free mammography and Pap smear screening

in three states were enrolled in a supplemental CVD risk factor screening

and intervention program involving either a minimum (MI) or enhanced intervention (EI). The EI featured a variety of skill-building exercises and activities to improve diet and increase physical activity. Blood pressure, body mass index, total cholesterol, HDL cholesterol, smoking, diet and physical activity were assessed at baseline, 6 months, and 12 months. We used mixed model regression with adjustment for age, race, and education to compare intervention groups at baseline and 12 month follow-up.

RESULTS: Blood pressure, total cholesterol, and HDL cholesterol profiles

improved in both the MI and EI groups. Body weight was maintained and

smoking declined in both groups. Whereas the EI group was significantly

more likely to increase their daily intake of fruit and vegetables compared to

the MI group (P=0.001), no such differences were found for the other measurements.

CONCLUSIONS: Lifestyle behaviors and physiologic measures were

improved in both groups. Further research is needed to help uninsured

women achieve maximum behavioral and physiologic change.


Will, J., Massoudi, B., Mokdad, A., Ford, E., & Sadler, D. (2000). Who's addressing the cardiovascular needs of uninsured women? The WISEWOMAN projects. Canadian Journal of Cardiology.