National Black Nurses Association, Inc. 38 th Annual Institute and Conference

1. National Black Nurses Association, Inc.38th Annual Institute and Conference Heart Disease Amongst Our Own Fran Roberts, RN, PhD Chair, American Heart Association’s 2010“Go Red For Women” Campaign for Greater Phoenix August 6, 2010

2. In total, of the women who die each year, one in three die fromcardiovascular disease (CVD). • Nearly half (49%) ofall non-Hispanic African American womenhave some form of heart disease, stroke, or CVD.

3. The Facts about Heart Disease and Women • Heart disease is NOT just a man’s disease • More women die of cardiovascular disease than the next five causes of death combined, including cancer • Cardiovascular disease causes almost 460,000 female deaths a year – and approximately one death per minute • 43 million American women are living with cardiovascular disease • 64% of women who die suddenly from coronary heart disease have no previous symptoms of the disease • Cardiovascular disease is largely preventable • Women are reluctant to call 911!

4. African Americans and CVD - Statistics

5. African Americans and CVD - Statistics • Cardiovascular Disease (CVD) • Among non-Hispanic blacks age 20 and older, the following have CVD: • 44.6 percent of men • 46.9 percent of women • In 2006, CVD caused the deaths of • 47,956 black males • 50,798 black females • The 2006 overall death rate from CVD was 262.5. Death rates for blacks were • 422.8 for males • 298.2 for females • Coronary Heart Disease (CHD) • Among non-Hispanic blacks age 20 and older, the following have CVD: • 7.8 percent of men • 8.8 percent of women (NHANES [2003-06], NCHS and NHLBI)

6. Signs of a Heart Attack • Not the same as the hallmark signs for men • Chest discomfort • Discomfort in upper body • Shortness of breath • Cold sweat • Nausea • Lightheadedness • “Flu-like” symptoms • Back or jaw pain

7. What have we Learned? • Heart disease can strikewomen at any age. • Factors leading to heartdisease originate in young women and develop over time. • Lifestyle changes canprevent or at leastpostpone heart disease.

8. Uncontrollable Risk Factors Increasing Age Heredity (family history) Race (members of some races, particularly African Americans, are at higher risks) Controllable Risk Factors High Cholesterol High Blood Pressure Physical Inactivity Obesity and Overweight Type II Diabetes Smoking Am I at Risk? If you have any of these risk factors, you are at risk for heart disease

9. CVD in African American and Hispanic Women • Nearly half (49%) of all non-Hispanic African-American females have some form of heart disease, stroke or other cardio-vascular disease (CVD). • Nearly one-third (32.2%) of all deaths in Hispanic females are caused by diseases of the heart and stroke.

10. Your Risk:High Blood Cholesterol Total Cholesterol Level Desirable = Less than 200 Borderline high = 200 to 239 High = 240 and above About 50% of women have a total cholesterol of 200 mg/dLand above, which puts them at risk for heart disease.

11. Your Risk:High Blood Pressure Normal Blood Pressure Below 120/80 Pre-Hypertension 120-139/80-89 Hypertension Above 140/90 About 39 million women age 20 and older have high blood pressure. 28% of people with high blood pressure don’t know they have it.

12. Your Risk:Physical Inactivity Go Red Heart CheckUp Inactive women: Black females – 52% Hispanic females – 54% Asian females – 41% White females – 38% All healthy adults ages 18-65 should be getting at least 30 minutes of moderate intensity activity five days a week.

13. Your Risk:Obesity & Overweight • Excess Weight: • Strains your heart • Raises blood pressure and cholesterol • Can lead to diabetes About 69million women are overweight and 36.7million are obese, which greatly increases their risk for heart disease.

14. Your Risk:Diabetes Type 2 Diabetes Complications of Diabetes • Stroke, TIA • Blindness • Heart attack, angina • Kidney disease • High blood pressure • Erectile dysfunction • Loss of legs or feet • Nerve disease People with diabetes are two to four times more likelyto develop cardiovascular disease. 7.5 million women 20+ have been diagnosed with type 2 diabetes, 2.3 million go undiagnosed and 24.9 million are pre-diabetic.

15. Your Risk:Smoking Benefits of Quitting • Within 1 to 2 years of quitting, your risk of coronary heart disease is substantially reduced. • Your sense of smell and taste come back. • A smoker’s cough will go away. • You breathe much easier. • It is easier to be physically active. • You are free of “needing” cigarettes. 20.7 million women age 18 and older smoke,increasing their risk for heart disease.

16. African Americans and Stroke - Statistics

17. African Americans and Stroke - Statistics • Stroke • Among non-Hispanic blacks age 20 and older, the followinghave had a stroke: • 3.8 percent of men • 4.3 percent of women • In 2006, stroke caused the deaths of • 7,424 black males • 9,621 black females • The 2006 overall death rate from stroke was 43.6. Death ratesfor blacks were • 67.1 for males • 57.0 for females (NHANES [2003-06], NCHS and NHLBI)

18. For yourself… For your loved ones… Take the Pledge Join the movement to prevent and overcome stroke. Call 1-888-4-STROKE or visit powertoendstroke.org

19. On Power Sunday Learn about the increased risk for stroke and take steps to reduce it. Join your fellow church members…Power Sunday is

21. What Can I Do To Prevent Heart Disease? TakeACTIONto Lower Your Risk • Eat a healthy diet low in saturated fat, trans fat, cholesterol and sodium. • Keep your weight under control. • Be physically active at least 30 minutes on most or all days of the week. • Control your blood pressure and cholesterol levels. • Manage your blood sugar if you have diabetes. • Get regular medical check-ups. • Talk to your doctor about a prevention plan and medicines that may be right for you. • Don’t smoke, and avoid tobacco smoke.

22. Go Red Women Take Action! A woman who Goes Red… … takes action to reduce her risk of heart disease. … exercises more frequently. … has lost weight. … has had her cholesterol checked. … modifies her diet to include healthy food. … encourages others to join Go Red For Women. … has taken the Go Red Heart CheckUp. Join Go Red For Women at www.GoRedForWomen.organd get your free red dress pin.

23. Online tool to educate women about their heart health and encourage patient-physician dialogue Go Red Heart CheckUp www.GoRedForWomen.org

24. Sign up at GoRedForWomen.org Become a part of the Go Red Community Unite with over 800,000 women What else can I do?

25. Locally sponsored by… www.gcu.edu

26. National Wear Red Day – Local Activation Mrs. Massachusetts at Bruins Game Trinity Medical Center Grand Canyon University Memorial Hermann Hospital Houston 13,542 companies participated nationally Raising over $1 million! Phoenix Suns American Heart Association National Center Arizona Department of Health Hawk Electronics University of Houston United States Alliance Deer Valley Unified School District

27. Why did GCU sponsor? • In line with its values-based approach and philosophy of service to the community, Grand Canyon University has agreed to a three-year sponsorship with the American Heart Association’s Go Red for Women campaign. • The power of GCU's reach through its campus students, faculty and staff, as well as its online student population, will take the outreach well beyond the Valley's borders.

28. What is GCU doing? • GCU students take the messageto the streets:see the You Tube video!

29. What is GCU doing? • GCU students take the messageto the streets:see the You Tube video! • GCU Nursing Students provide health screenings at valley events • GCU campus goes Red

30. What is GCU doing? • GCU students take the messageto the streets:see the You Tube video! • GCU Nursing Students provide health screenings at valley events • GCU campus goes Red • Hearts in the Arts competition – an art movement against heart disease • Visit facebook.com/grandcanyonu to learn more about GCU’s stand against heart disease

31. What is GCU doing? • GCU students take the messageto the streets:see the You Tube video! • GCU Nursing Students provide health screenings at valley events • GCU campus goes Red • Hearts in the Arts competition – an art movement against heart disease • Visit facebook.com/grandcanyonu to learn more about GCU’s stand against heart disease • Speakers Bureau gives the community the latest information

32. “The fight against heart disease is a perfect fit for Grand Canyon University’s vision to improve the health of our community through the efforts of our students and the Nursing and Health Sciences programs.” • Fran Roberts, RN, PhD, Vice President • Strategic Business Alliances • College of Nursing and Health Sciences