Heart disease is the leading cause of death for women in the United States. More than 44% of women age 20 and older are living with some form of heart disease.
Disparities in Heart Health
Heart disease does not affect all women equally. Research shows that rates among Hispanic/Latina, White, Asian, and American Indian/Alaska Native women generally fall within the national average, between 35% and 45%.
However, nearly 60% of non-Hispanic Black women are living with heart disease. They also face the highest death rates and the greatest overall risk.
It’s Not Just Biology
For many years, researchers believed these differences were mostly due to biology. For example, genetics were thought to explain higher rates of diabetes or high blood pressure in certain groups.
While biology can play a role—such as genetic differences that affect levels of lipoprotein(a), or Lp(a)—current research shows it is only part of the story.
Social and environmental factors, known as social determinants of health, have a much larger impact. These include access to health care, income, education, healthy food, and safe places to be active. When these needs are not met, the risk of conditions like high blood pressure, diabetes, and obesity increases—along with the risk of heart disease.
What You Can Do
Understanding your risk is the first step. From there, small, consistent changes can make a big difference.
- Talk with your health care provider about your personal risk
- Stay active and eat a heart-healthy diet
- Manage conditions like high blood pressure, cholesterol, and diabetes
- Avoid smoking and limit alcohol
Healthy lifestyle choices can reduce your risk of heart disease by up to 80%. To learn more, visit the Nolan Family Center for Cardiovascular Health.
