Lifestyle
Women are at a higher risk of dying from heart disease − in part because doctors don’t take major sex and gender differences into account
Heart disease impacts women differently than men due to genetic and gender biases in healthcare. Awareness and improved treatment approaches are essential for better outcomes.
Last Updated on April 20, 2026 by Daily News Staff
Amy Huebschmann, University of Colorado Anschutz Medical Campus and Judith Regensteiner, University of Colorado Anschutz Medical Campus
A simple difference in the genetic code – two X chromosomes versus one X chromosome and one Y chromosome – can lead to major differences in heart disease. It turns out that these genetic differences influence more than just sex organs and sex assigned at birth – they fundamentally alter the way cardiovascular disease develops and presents.
While sex influences the mechanisms behind how cardiovascular disease develops, gender plays a role in how healthcare providers recognize and manage it. Sex refers to biological characteristics such as genetics, hormones, anatomy and physiology, while gender refers to social, psychological, and cultural constructs. Women are more likely to die after a first heart attack or stroke than men. Women are also more likely to have additional or different heart attack symptoms that go beyond chest pain, such as nausea, jaw pain, dizziness and fatigue. It is often difficult to fully disentangle the influences of sex on cardiovascular disease outcomes versus the influences of gender.
While women who haven’t entered menopause have a lower risk of cardiovascular disease than men, their cardiovascular risk accelerates dramatically after menopause. In addition, if a woman has Type 2 diabetes, her risk of heart attack accelerates to be equivalent to that of men, even if the woman with diabetes has not yet gone through menopause. Further data is needed to better understand differences in cardiovascular disease risk among nonbinary and transgender patients.
Despite these differences, one key thing is the same: Heart attack, stroke and other forms of cardiovascular disease are the leading cause of death for all people, regardless of sex or gender.
We are researchers who study women’s health and the way cardiovascular disease develops and presents differently in women and men. Our work has identified a crucial need to update medical guidelines with more sex-specific approaches to diagnosis and treatment in order to improve health outcomes for all.
Gender differences in heart disease
The reasons behind sex and gender differences in cardiovascular disease are not completely known. Nor are the distinct biological effects of sex, such as hormonal and genetic factors, versus gender, such as social, cultural and psychological factors, clearly differentiated.
What researchers do know is that the accumulated evidence of what good heart care should look like for women compared with men has as many holes in it as Swiss cheese. Medical evidence for treating cardiovascular disease often comes from trials that excluded women, since women for the most part weren’t included in scientific research until the NIH Revitalization Act of 1993. For example, current guidelines to treat cardiovascular risk factors such as high blood pressure are based primarily on data from men. This is despite evidence that differences in the way that cardiovascular disease develops leads women to experience cardiovascular disease differently.
In addition to sex differences, implicit gender biases among providers and gendered social norms among patients lead clinicians to underestimate the risk of cardiac events in women compared with men. These biases play a role in why women are more likely than men to die from cardiac events. For example, for patients with symptoms that are borderline for cardiovascular disease, clinicians tend to be more aggressive in ordering artery imaging for men than for women. One study linked this tendency to order less aggressive tests for women partly to a gender bias that men are more open than women to taking risks.
In a study of about 3,000 patients with a recent heart attack, women were less likely than men to think that their heart attack symptoms were due to a heart condition. Additionally, most women do not know that cardiovascular disease is the No. 1 cause of death among women. Overall, women’s misperceptions of their own risk may hold them back from getting a doctor to check out possible symptoms of a heart attack or stroke.
These issues are further exacerbated for women of color. Lack of access to health care and additional challenges drive health disparities among underrepresented racial and ethnic minority populations.
Sex difference in heart disease
Cardiovascular disease physically looks different for women and men, specifically in the plaque buildup on artery walls that contributes to illness.
Women have fewer cholesterol crystals and fewer calcium deposits in their artery plaque than men do. Physiological differences in the smallest blood vessels feeding the heart also play a role in cardiovascular outcomes.
Women are more likely than men to have cardiovascular disease that presents as multiple narrowed arteries that are not fully “clogged,” resulting in chest pain because blood flow can’t ratchet up enough to meet higher oxygen demands with exercise, much like a low-flow showerhead. When chest pain presents in this way, doctors call this condition ischemia and no obstructive coronary arteries. In comparison, men are more likely to have a “clogged” artery in a concentrated area that can be opened up with a stent or with cardiac bypass surgery. Options for multiple narrowed arteries have lagged behind treatment options for typical “clogged” arteries, which puts women at a disadvantage.
In addition, in the early stages of a heart attack, the levels of blood markers that indicate damage to the heart are lower in women than in men. This can lead to more missed diagnoses of coronary artery disease in women compared with men.
The reasons for these differences are not fully clear. Some potential factors include differences in artery plaque composition that make men’s plaque more likely to rupture or burst and women’s plaque more likely to erode. Women also have lower heart mass and smaller arteries than men even after taking body size into consideration.
Reducing sex disparities
Too often, women with symptoms of cardiovascular disease are sent away from doctor’s offices because of gender biases that “women don’t get heart disease.”
Considering how symptoms of cardiovascular disease vary by sex and gender could help doctors better care for all patients.
One way that the rubber is meeting the road is with regard to better approaches to diagnosing heart attacks for women and men. Specifically, when diagnosing heart attacks, using sex-specific cutoffs for blood tests that measure heart damage – called high-sensitivity troponin tests – can improve their accuracy, decreasing missed diagnoses, or false negatives, in women while also decreasing overdiagnoses, or false positives, in men.
Our research laboratory’s leaders, collaborators and other internationally recognized research colleagues – some of whom partner with our Ludeman Family Center for Women’s Health Research on the University of Colorado Anschutz Medical Campus – will continue this important work to close this gap between the sexes in health care. Research in this field is critical to shine a light on ways clinicians can better address sex-specific symptoms and to bring forward more tailored treatments.
The Biden administration’s recent executive order to advance women’s health research is paving the way for research to go beyond just understanding what causes sex differences in cardiovascular disease. Developing and testing right-sized approaches to care for each patient can help achieve better health for all.
Amy Huebschmann, Professor of Medicine, University of Colorado Anschutz Medical Campus and Judith Regensteiner, Professor of Medicine, University of Colorado Anschutz Medical Campus
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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Health
Truth Initiative and NAACP Expand Partnership to Advance Health Equity and Increase Access to Proven Quit Resources
Health Equity
When we talk about health equity, we’re really talking about who gets the chance to live a longer, healthier life — and who has been systematically denied that chance. Tobacco and nicotine addiction remain a clear example of that imbalance, especially in Black communities and other historically marginalized groups.
That’s why Truth Initiative and the NAACP are expanding their partnership to increase access to proven quit support and to reframe nicotine cessation as something bigger than an individual choice. Their new phase of collaboration launches the Breath of Freedom Movement, powered by Truth Initiative and the NAACP — a community-centered effort that combines civil rights leadership with public health expertise.
A movement rooted in community and accountability
The Breath of Freedom Movement builds on the work of the Breath of Freedom coalition, an alliance led by Truth Initiative across Black-led organizations. The coalition’s mission has been to reclaim the narrative around tobacco use, confront the ways the industry has shaped that narrative, and connect people to support that respects culture, history, and lived experience.
This expansion arrives at a critical moment. According to the press release, approximately 45,000 Black Americans die each year from smoking-related illness. The burden is not accidental — it has been driven in large part by decades of targeted marketing of menthol cigarettes and other flavored tobacco products.
The release highlights another stark disparity: more than 80% of Black smokers use menthol cigarettes, compared with 43% of adult smokers overall. Menthol products are often described as easier to start and harder to quit, which makes access to culturally relevant cessation resources not just helpful, but essential.
Launching at the NAACP National Convention in Chicago
The Breath of Freedom Movement will officially launch at the NAACP National Convention, taking place July 18–22, 2026, in Chicago. The convention theme, “We, The People,” commemorates the nation’s 250th anniversary and marks 100 years since Chicago first hosted the NAACP conference in 1926.
As part of the convention programming, Truth Initiative will debut the Rise Together EXperience: Culture, Community, and Nicotine-Free Lives — an immersive mobile exhibit designed to explore how tobacco use and industry marketing tactics have impacted Black, Hispanic, and LGBTQ+ communities. The exhibit is also meant to connect people to quit support in a way that feels accessible and grounded in real community conversations.
What the expanded partnership will do
Truth Initiative and the NAACP say this partnership is designed to move beyond awareness and into action — action that’s rooted in community spaces where trust already exists. The expanded collaboration will focus on:
- Hosting culturally relevant presentations, community forums, workshops, and healing-centered discussions about the health consequences of smoking, vaping, and nicotine addiction, with a focus on disproportionate impacts.
- Advancing the Breath of Freedom mission by reframing nicotine cessation as an act of liberation and resistance to the tobacco industry’s exploitation of Black communities.
- Co-developing and distributing culturally relevant public health content, including toolkits, digital resources, and community-informed cessation materials.
- Promoting awareness of and access to proven quit resources — including Truth Initiative’s EX Program — in partnership with Black-led organizations, faith-based groups, LGBTQ+ advocates, and other culturally aligned stakeholders.
- Strengthening local, regional, and national outreach strategies that elevate community voices and mobilize grassroots support for nicotine prevention and cessation.
In the release, Dr. Chris T. Pernell, Director of the NAACP Center of Health Equity, underscored that health equity requires more than information — it requires accountability and community-rooted action that connects people with tools for healing and freedom from addiction.
Quitting as liberation — not just willpower
One of the most important shifts in this work is the language: quitting isn’t framed as a moral test or a matter of “just trying harder.” Instead, it’s positioned as a supported process — and as a way for communities to push back against systems that have profited from addiction.
As Dr. Dartis noted in the announcement, the tobacco industry has targeted Black communities for generations with products and marketing designed to drive nicotine addiction. The expanded partnership aims to meet people where they are — in trusted spaces, through meaningful conversations, and with resources that recognize culture and lived experience.
Bridging public health data and lived experience
The press release also notes that Dr. Dartis will be featured in an upcoming NAACP docuseries focused on bridging the gap between public health data and the lived experiences of Black men in America. The project will explore the systems, relationships, and environments that shape health outcomes, while highlighting resilience and calling for accountability from the systems meant to serve communities.
How to get free quit support
If you or someone you care about is ready to quit smoking, vaping, or other nicotine products, free support is available through Truth Initiative’s EX Program.
- Text JoinFreedom to 88709
- Visit exprogram.com
Local resources (Arizona)
If you’re in Arizona and want additional, local support, consider these options:
- Arizona Smokers’ Helpline (ASHLine): Call 1-800-55-66-222 or visit https://www.azdhs.gov/ashline/ for free quit coaching and support for Arizona residents.
- Arizona 2-1-1: Dial 2-1-1 (or visit 211arizona.org) to get connected to local health services, community programs, and support resources.
- Primary care clinics and community health centers: If you have a regular doctor or use a community clinic, ask about quit plans and nicotine replacement options. Many clinics can help you build a step-by-step approach and connect you to additional programs.
The takeaway
The Breath of Freedom Movement is a reminder that nicotine addiction doesn’t exist in a vacuum. It’s connected to policy, marketing, access to care, and the long history of unequal health outcomes in the United States. By combining community leadership with proven quit resources, Truth Initiative and the NAACP are working to ensure that communities most impacted by tobacco-related harm have the support they need to heal, quit, and thrive.
Credit: Truth Initiative. News provided by Truth Initiative via PRNewswire, July 17, 2026.
- Related Links
- https://www.exprogram.com (or exprogram.com)
- https://www.azdhs.gov/ashline/
- https://211arizona.org
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Health
Black Girl Sunscreen Founder Shontay Lundy Inducted into Sigma Gamma Rho’s 2026 TrailblazerΣ Honorary Membership Class
Shontay Lundy, Founder and CEO of Black Girl Sunscreen, has been inducted into Sigma Gamma Rho Sorority’s 2026 TrailblazerΣ Honorary Membership Class—an honor recognizing women whose leadership and accomplishments create measurable impact across culture and community.
Announced July 29, 2026, the recognition places Lundy among 21 accomplished women celebrated for reshaping their industries through service, sisterhood, and scholarship. For Lundy, it’s a milestone that reflects not only entrepreneurial success, but also the broader advocacy work that has helped expand how the beauty and skincare world talks about inclusive sun care and representation.
What the TrailblazerΣ Honorary Membership Recognizes
Sigma Gamma Rho Sorority, founded in 1922, is a national collegiate sorority with more than 100,000 members across 500 chapters worldwide. Built on principles of leadership and service, the organization is known for its long-standing commitment to community outreach—captured in its slogan, “Greater Service, Greater Progress.”
Honorary membership is among Sigma Gamma Rho’s most prestigious distinctions. It is awarded to women whose work excels in their field while also positively influencing society at large. The TrailblazerΣ class, in particular, highlights leaders who redefine what’s possible and open doors for others.
A Recognition Linked to a Larger Mission
Lundy founded Black Girl Sunscreen in 2016 to address a persistent gap in the market: sun protection products that work well for people of color, without leaving an unwanted white cast. Since then, the brand has become a recognizable name in inclusive skincare—helping educate consumers on sun safety and shifting public perception around who sunscreen is “for.”
Her induction into Sigma Gamma Rho’s 2026 class connects that work to a larger legacy of women breaking barriers across industries. It also underscores the brand’s impact beyond product innovation—positioning Black Girl Sunscreen as part of a wider movement toward representation, health education, and community-driven leadership.
In a statement, Lundy emphasized that the honor reflects shared values and a commitment to creating opportunities for others:
“To be welcomed into Sigma Gamma Rho is incredibly meaningful because it represents more than recognition—it reflects a shared commitment to service, leadership, and creating opportunities for others. Throughout my journey, I’ve always believed success should open doors, not just for yourself, but for the women coming behind you. I’m honored to join a sisterhood whose legacy is rooted in that same purpose, and I look forward to continuing that work together.”
A Class of Leaders Across Industries
Lundy joins a group of honorees spanning business, sports, media, and public service—reflecting Sigma Gamma Rho’s tradition of recognizing women whose achievements extend beyond personal success to broader community impact.
As the beauty industry continues to evolve toward more inclusive products and messaging, Lundy’s recognition signals how far the conversation has come—and how much it still depends on leaders willing to challenge assumptions, educate consumers, and build brands with purpose.
About Black Girl Sunscreen
Black Girl Sunscreen is a beauty and skincare company founded by Shontay Lundy in 2016 to address the lack of sun protection products formulated for people of color. The brand’s mission centers on educating consumers about safe skin practices and sun protection, while providing premium sun care products formulated for melanated skin and designed to be exceptional for everyone.
For more information, visit blackgirlsunscreen.com.
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Three new studies shared this week at the Society of NeuroInterventional Surgery (SNIS) 23rd Annual Meeting deliver a clear message: stroke care in the U.S. is improving, but those gains are not reaching everyone equally. Researchers found persistent disparities tied to race, geography, and socioeconomic status—factors that can shape whether a patient receives advanced treatment, how quickly they reach specialized care, and ultimately, whether they survive.
Stroke remains one of the nation’s leading causes of death and long-term disability. In recent years, breakthroughs in emergency response systems and minimally invasive procedures have expanded what’s possible in the critical first hours after a stroke. But the latest findings suggest that access to those life-saving advances still depends too heavily on who you are and where you live.
Study 1: Treatment gaps widen as strokes get more severe
The first study, “Racial Disparities in Endovascular Thrombectomy Widen with Stroke Severity: A National Inpatient Sample Analysis,” examined more than 325,000 acute ischemic stroke patients treated at U.S. teaching hospitals between 2018 and 2022.
The focus was endovascular thrombectomy (EVT), a minimally invasive procedure in which specialists remove a clot from a blocked artery in the brain. EVT can be a game-changer for eligible patients—but researchers found Black patients were less likely than white patients to receive it across all levels of stroke severity.
What stood out most: the disparity grew as stroke severity increased. At a National Institutes of Health Stroke Scale (NIHSS) score of 20, the predicted probability of receiving EVT was:
- 33% for white men
- 32% for white women
- 28% for Black men
- 26% for Black women
Co-first author Muhammed Amir Essibayi, MD, MSc, FRCP, noted that timely access becomes even more critical as severity rises—yet the treatment gap becomes more pronounced. The study also highlighted an intersectional pattern, with Black women consistently least likely to receive EVT.
Study 2: Hemorrhagic stroke deaths are falling—but disparities persist
The second study, “Reducing Inequalities in Stroke Events-Hemorrhagic Disparities (RISE-HD): A 10-year Statewide Analysis of Social Determinants of Mortality in Hemorrhagic Stroke,” analyzed more than 120,000 patients hospitalized with hemorrhagic stroke in Florida between 2013 and 2024.
There was good news: mortality rates declined significantly over the decade, suggesting real progress in stroke systems and hospital care.
But after adjusting for age, sex, and comorbidities, disparities remained. Black patients had higher odds of in-hospital mortality than white patients. Higher mortality was also associated with:
- Living in rural areas
- Having Medicaid or other non-commercial insurance
Researchers also found regional differences across Florida, pointing to uneven access to specialized stroke care.
Primary author Natália Vasconcellos, MD, MSc, emphasized that improving outcomes for everyone will require addressing barriers to specialized stroke systems—especially in underserved communities.
Study 3: The “Stroke Belt” has two different access problems
The third study, “Dual Pathways to Hemorrhagic Stroke Mortality Across the U.S. Stroke Belt: Rural Neurointerventional Isolation and Urban Structural Vulnerability,” looked at hemorrhagic stroke mortality across 433 counties in the “Stroke Belt,” a region long associated with higher stroke rates and worse outcomes.
Researchers compared factors linked to mortality in rural versus urban counties, including:
- Distance to the nearest Comprehensive Stroke Center
- Community-level socioeconomic disadvantage
- Racial and economic segregation
- HIV burden
They found the drivers of mortality differed sharply by setting:
- In rural counties, longer travel times to Comprehensive Stroke Centers were more strongly associated with higher mortality.
- In urban counties, racialized economic segregation and HIV burden were more strongly associated with poorer outcomes—even when specialized care was geographically closer.
Dylan Yates, a medical student at Tulane University School of Medicine, summarized the takeaway: the neurointerventional access gap in the Stroke Belt is “not one problem, it is two.” Solutions need to match the reality on the ground—strengthening transfer networks and specialty connections in rural areas, while addressing structural disadvantage and underinvestment in urban communities.
What to watch for: where the system can improve
Across all three studies, the common thread is that medical innovation alone doesn’t guarantee equitable outcomes. Researchers pointed toward targeted interventions that could help close the gap, including:
- More consistent, equitable treatment pathways for advanced stroke procedures like EVT
- Stronger stroke transfer networks to reduce delays—especially in rural regions
- Expanded access to specialty stroke care and Comprehensive Stroke Centers
- Community-level investment and structural reforms in underserved urban neighborhoods
For patients and families, these findings also reinforce the importance of recognizing stroke symptoms quickly and calling 911 immediately. Time is brain—yet the system must ensure that “time” and “access” don’t vary based on race, ZIP code, or insurance status.Source: Society of NeuroInterventional Surgery (SNIS), July
Related Links
- Society of NeuroInterventional Surgery (SNIS) — https://www.snisonline.org
- NIH: Stroke (overview, symptoms, treatment) — https://www.ninds.nih.gov/health-information/disorders/stroke
- CDC: Stroke (risk factors, prevention, data) — https://www.cdc.gov/stroke/
- American Stroke Association (ASA): Stroke resources — https://www.stroke.org/
- NIH Stroke Scale (NIHSS) basics (clinical context) — https://www.stroke.nih.gov/resources/scale.htm
- Find a certified stroke center (The Joint Commission) — https://www.qualitycheck.org/
SOURCE Society of NeuroInterventional Surgery
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