Disease Risk Perception Research Articles

Development and validation of the sarcopenia disease risk perception scale for older adults

BackgroundSarcopenia represents a constant threat to the health of older adults, and accurate risk perception is essential for disease prevention and control. However, current methodologies lack rigorously validated instruments to assess the perceived risk of sarcopenia among this group. Thus, this study aimed to develop and validate a sarcopenia disease risk perception scale for older adults.DesignThe study was conducted in two phases: development of the initial scale and its psychometric evaluation. A STROBE checklist was employed.MethodsBased on the two-factor model of risk perception theory and the health belief model, the initial draft of the scale was created through literature review, expert consultations, and a preliminary survey with a small sample. Then, we used a cross-sectional study methodology to conveniently select 438 Chinese older adults. Item analysis, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were used to refine and validate the scale items. Internal consistency and external consistency were assessed to confirm the scale’s reliability.ResultsThese evaluations established the scale’s framework: content validity, item analysis, and EFA. The two factors extracted from the initial analysis explained 62.250% of the observation variance. The CFA confirmed a good fit for the model, demonstrating the scale’s robust reliability and validity. The finalized scale includes 15 items and two dimensions: perceived susceptibility (eight items) and perceived severity (seven items).ConclusionThe Sarcopenia Disease Risk Perception Scale for Older Adults is reliable and valid, making it appropriate for assessing the risk perception level in the target population.

The women's cardiovascular disease risk perception after hypertensive disorders of pregnancy: A qualitative meta-synthesis

BackgroundHypertensive disorders of pregnancy is associated with increased risk of cardiovascular disease later in life, but studies suggest that women with previous hypertensive disorders of pregnancy are not aware of this. Little is known about how these women perceive the condition and the associated long-term risks. ObjectivesThis study aims to examine and synthesize qualitative evidence on the perceptions and awareness of women with hypertensive disorders of pregnancy following perceived cardiovascular disease risk. MethodsComputer searches of Pub Med, Embase, Web of Science, Cochrane Library, CINAHL, CNKI, Wanfang database, Vip and SinoMed for all qualitative studies that met the inclusion criteria. The time frame for the search was from the establishment of the database to April 2024. Literature quality was assessed using the Australian Joanna Briggs Institute Centre for Evidence-Based Health Care Qualitative Research quality assessment criteria, and results were summarised and integrated using a pooled integration approach. ResultsEleven studies that fulfilled the inclusion criteria and quality assessment were included in the meta synthesis. Three themes were identified during the analysis: (1)Factors affecting perceived cardiovascular risk in women with hypertensive disorders of pregnancy; (2)Women with hypertensive disorders of pregnancy use different strategies to cope with cardiovascular risk; (3)Needs and expectations for coping with cardiovascular disease risk. ConclusionsBoth women with hypertensive disorders of pregnancy and healthcare providers lack knowledge of the link between hypertensive disorders of pregnancy and cardiovascular risk. Healthcare professionals should establish a multidimensional support model, pay timely attention to postpartum women's psycho-emotional and risk awareness, and give individualised health education to promote health behaviour change. At the same time, professionals should be given standardised training and personalised follow-up services to reduce the incidence of cardiovascular disease in the future.

Exploring the decision-making experience of elderly diabetes patients regarding their health-seeking behaviour: a descriptive qualitative study

BackgroundDiabetes has emerged as a critical global public health issue. The burden of diabetes is escalating in developing countries, including China. For individuals with diabetes, making informed and rational decisions...

Effect of Comprehensive Educational Program on Preeclamptic Women's Risk Perception of Cardiovascular Disease, Self-Efficacy, and Adherence to Healthy Lifestyle Behaviors.

To evaluate the effect of a comprehensive educational program on preeclamptic women's knowledge, risk perception of cardiovascular disease, self-efficacy, and adherence to healthy lifestyle behaviors. This study employed a pretest-posttest design. One hundred and two women who previously had preeclampsia were enrolled from July 2022 to December 2022 from outpatient obstetrics, gynecology, and family planning clinics. The primary and secondary outcomes were measured at baseline, after eight weeks, and after three months of the educational intervention. The data were analyzed using SPSS version 23, descriptive and inferential statistics, specifically the Chi-square test, independent t-tests, and repeated measures ANOVA. A statistically significant difference was found between the two groups immediately post-intervention and the three-month follow-up, with a significant improvement among the intervention group than control group regarding cardiovascular disease knowledge (p < 0.001), risk perception (p < 0.001), self-efficacy (p < 0.001), and healthy lifestyle behaviors (p < 0.001). There was a statistically significant interaction between group and time regarding total cardiovascular disease risk perception (F = 203.67, p < 0.001, η2 = 0.673), self-efficacy (F = 70.06, p < 0.001, η2 = 0.405), and adherence to healthy lifestyle behaviors (F = 145.08, p < 0.001, η2 = 0.597). This study concluded that the comprehensive educational program had a positive effect on improving preeclamptic women's knowledge and risk perception of CVD, self-efficacy, and adherence to healthy lifestyle behaviors following preeclampsia.

The point of no return: Crisis management lessons from US adults' infectious disease risk (IDR) perception and response to the Flu‐and‐COVID dual threat

The point of no return: Crisis management lessons from US adults' infectious disease risk (IDR) perception and response to the Flu‐and‐COVID dual threat

Exploring the relationship between vaccine hesitancy and mothers' perspectives on COVID-19 vaccines for children ages 5-11 years during the omicron predominant period 2021-2022: a qualitative study.

The United States Food and Drug Administration authorized COVID-19 vaccines for children ages 5-11 years in October 2021 during the Omicron predominant period. Parental vaccine hesitancy was prevalent during this time, resulting in low childhood COVID-19 vaccine uptake. Most studies exploring factors influencing parental vaccine hesitancy have focused on racial and ethnic minorities and lower socioeconomic populations; however, there is little knowledge of the drive drivers of vaccine hesitancy among White parents with higher education and socioeconomic statuses. We conducted semi-structured interviews with a sample of 15 White mothers of children ages 5-11 years in Atlanta, GA, between October-December 2021. Thematic analysis was performed using NVivo 12. Mothers were college-educated, homeowners, and fully vaccinated against COVID-19. Key findings included decreased pediatrician's recommendations for COVID-19 vaccines, reliance on information from specialized doctors and scientists, distrust in public health authorities, high risk-perception of COVID-19 vaccines, and low risk-perception of COVID-19 disease. Factors related to vaccine acceptance were altruism and practicality. This study adds to the sparse literature on reasons for vaccine hesitancy among White mothers of children ages 5-11 years with higher educational and socioeconomic status. Improving vaccine uptake among this group is critical for protecting the health of their children and other vulnerable populations. Tailored vaccine messaging and intervention are warranted to address their unique attitudes, beliefs, and behaviors. An enhanced understanding of the factors influencing subpopulations of parents can help vaccine policymakers and healthcare providers improve efforts to reduce vaccine hesitancy, particularly for new vaccines.

Risk Perception of Coronavirus Disease 2019 and Subjective Well-Being Among University Students in China During Quarantine: The Moderating Function of Perceived Social Support

Risk Perception of Coronavirus Disease 2019 and Subjective Well-Being Among University Students in China During Quarantine: The Moderating Function of Perceived Social Support

Assessing the Impact of the Influential Factors of Airport Biometric Technology on Air Traveler Behavioral Intentions in the With-COVID-19 Era: The Role of Attitude and Mental Health Value

ABSTRACT The risk of virus transmission while traveling due to COVID-19 has increased travelers' concerns about the general state of mental health, such as anxiety, depression and psychological distress. Biometric technologies have the potential to enhance passenger mental health, since this technology is contactless, replacing the physical check of travel documents and the close human contact. Therefore, the present study sought to develop a theoretical framework to investigate the impact of influential factors of biometric technology at an airport (i.e., perceived security, perceived convenience and functional value), and perceptions of viral disease risk, on passengers’ mental health, attitudes toward biometric technology, and behavioral intentions. Findings showed that the perceived security and functional value of biometric technology and the perception of viral disease risk influenced passengers’ mental health while perceived security and perceived convenience affected attitudes and behavioral intentions. Mental health was the most significant factor in explaining intentions toward biometric technology.

Predictors of parental acceptance to live attenuated influenza vaccine for children

ABSTRACT To determine the influencing factors of Chinese parents' intention and behavior for children to receive live attenuated influenza vaccine during the 2022–2023 influenza season. A theoretical model was developed and included seven constructs, and structural equation modeling was used to test 11 hypotheses. From October 2022 to December 2023, a survey was conducted across 38 medical institutions in four Chinese cities and their subordinate districts, counties, and rural areas. Parents who accompanied their children for vaccinations were selected through a randomization process based on their child’s medical card numbers. Measures were taken to minimize method bias, including a diverse geographical representation and random sampling. The survey resulted in the collection of 936 valid responses, exceeding the recommended sample size for structural equation model analysis and providing robust statistical inferences. During the study period, 936 respondents were included in the study. Perceived ease of use was verified to be a predictor of perceived usefulness and perceived value. Perceived usefulness was verified as a predictor of perceived value and behavioral intention. Knowledge was a significant antecedent of perceived value and risk perception of influenza disease. Risk perception of influenza disease was proved to be a significant predictor of perceived value and self-reported vaccination behavior. Perceived value significantly affected behavioral intention, and behavioral intention significantly affected self-reported vaccination behavior. Six demographic variables significantly moderate the theoretical models. The low vaccination coverage of live attenuated influenza vaccine (LAIV) among children in China suggests a need for a deeper understanding of the factors that influence vaccination rates. Particularly, effective strategies are necessary from policymakers and practitioners to elevate childhood LAIV coverage.

Factors that influenced preferences regarding use of public and private tornado shelters during the COVID-19 pandemic in 2020

This study examines factors shaping individuals' preferences for use of tornado shelters in public and private facilities during the COVID-19 pandemic, utilizing over 6000 surveys collected in Spring and Summer 2020 across the central and eastern United States. We employed Random Forest (RF) ensemble modeling to assess respondents' inclination to use storm shelters in group settings, including a scenario where face masks were mandated at public shelters to reduce COVID-19 exposure. Key findings suggest that both generalized infectious disease risk perception and COVID-19 risk perception consistently ranked as the most influential factors affecting respondents' preferences regarding group tornado sheltering during the pandemic, reflecting the impact of infectious disease concerns. Previous experience with using public tornado shelters was a better predictor of sheltering preferences than cognitive and affective tornado risk perceptions. Tornado risk perception and housing type were less important than the COVID-19 and infectious disease variables. When a hypothetical mask requirement was introduced, individuals with greater COVID-19-related fears showed a heightened inclination to use public storm shelters, suggesting masks influenced sheltering decisions while partially mitigating concerns about enclosed spaces. Residents of mobile homes exhibited stronger preferences for using storm shelters in group settings, underscoring their perceptions of vulnerability to tornadoes. This research emphasizes the substantial role of COVID-19 risk perception in shaping public tornado shelter preferences during the early stages of the pandemic. It also highlights the importance of considering infectious disease risk perception in understanding sheltering behaviors, even outside of a pandemic context.

Assessing and comparing disease prevention knowledge, attitudes, and practices among veterinarians in Illinois, United States of America

Veterinarians play an essential role in safeguarding and promoting animal and human health by timely reporting of notifiable diseases to animal and public health agencies and by educating animal owners on effective disease prevention measures. Moreover, clinical veterinarians can prevent the transmission and spread of zoonotic diseases by adopting effective biosecurity practices in their clinics.An online questionnaire was administered between October and November 2021 to veterinarians registered with the Illinois State Veterinary Medical Association. Veterinarians were surveyed on their disease risk perception, biosecurity practices, and disease reporting knowledge. In total, 104 veterinarians (64 % females and 46 % males) completed the questionnaire, of whom 88 % were veterinarians working in clinical practice (88 % companion animals and 12 % bovine or swine), while 12 % were employed in non-clinical settings. The disease-reporting knowledge score was higher for veterinarians with biosecurity training (IRR: 1.35; 95 % CI: 1.47–1.75). Compared to large animal veterinarians, companion animal veterinarians had lower odds of having biosecurity training (OR=0.68; 95 % CI=0.02–0.28) and were less familiar with current biosecurity guidelines (OR=0.12; 95 % CI = 0.03–0.51). Veterinarians familiar with biosecurity guidelines had a higher probability (OR=4.4; 95 % CI: 1.21–16.28) of perceiving biosecurity practices as practical while working with animals. Conversely, veterinarians who perceived that they could transmit diseases to animals had lower odds (OR: 0.42; 95 % CI: 0.20–0.91) of wearing protective clothing while dealing with confirmed cases of zoonotic diseases.Based on our study results, a gap in disease-reporting knowledge was identified among companion animal veterinarians. Biosecurity training improved the disease-reporting knowledge of veterinarians, suggesting that providing continuing education for veterinarians would be beneficial to disease reporting. A disconnect between disease risk perception and biosecurity practices was identified and further studies are needed to understand this discrepancy to design effective education programs.

Willingness to accept and participate in a Microsporidia MB-based mosquito release strategy: a community-based rapid assessment in western Kenya

BackgroundMicrosporidia MB, an endosymbiont naturally found in Anopheles mosquitoes inhibits transmission of Plasmodium and is a promising candidate for a transmission-blocking strategy that may involve mosquito release. A rapid assessment was carried out to develop insight into sociodemographic factors, public health concerns, and malaria awareness, management, and prevention practices with the willingness to accept and participate in Microsporidia MB-based transmission-blocking strategy to develop an informed stakeholder engagement process.MethodsThe assessment consisted of a survey conducted in two communities in western Kenya that involved administering a questionnaire consisting of structured, semi-structured, and open questions to 8108 household heads.ResultsThere was an overall high level of willingness to accept (81%) and participate in the implementation of the strategy (96%). Although the willingness to accept was similar in both communities, Ombeyi community was more willing to participate (OR 22, 95% CI 13–36). Women were less willing to accept (OR 0.8, 95% CI 0.7–0.9) compared to men due to fear of increased mosquito bites near homes. Household heads with incomplete primary education were more willing to accept (OR 1.6, 95% CI 01.2–2.2) compared to those educated to primary level or higher. Perceiving malaria as a moderate or low public health issue was also associated with a lower willingness to accept and participate. Experience of > 3 malaria cases in the family over the last six months and knowledge that malaria is transmitted by only mosquito bites, increased the willingness to accept but reduced the willingness to participate. Awareness of malaria control methods based on mosquitoes that cannot transmit malaria increases the willingness to participate.ConclusionThe study showed a high level of willingness to accept and participate in a Microsporidia MB-based strategy in the community, which is influenced by several factors such as community, disease risk perception, gender, education level, knowledge, and experience of malaria. Further research will need to focus on understanding the concerns of women, educated, and employed community members, and factors that contribute to the lower disease risk perception. This improved understanding will lead to the development of an effective communication strategy.

Reducing the negative impact of ultra-processed foods: Consumer response to natural claims, organic claims, and processing level disclosures

Drawing from theories related to choice architecture, nudges, and the integration of negative and positive information, this research examines the use of ultra-processing package disclosures in conjunction with favorable food processing claims (e.g., “natural,” “organic”) and nutrient content (e.g., sugar) warnings on perceived food processing level, disease risk evaluations, and purchase intentions. Four studies examine how marketers’ positive claims and disclosures interact to jointly affect consumer evaluations of these outcomes. Results show the usefulness of stop-sign disclosures for ultra-processed foods in counterbalancing the positive inferences created from both unregulated (e.g., natural) and regulated (e.g., organic) package claims on perceived food processing level, which mediates the interaction effects on perceptions of disease risk, healthfulness, and purchase intentions. Because high ultra-processed food consumption has recently been linked to increased obesity, type-2 diabetes, heart disease, and cancer, there are implications of results for CPG marketers, consumers, and the global health community, as well as enhancing the conceptual understanding of efforts to promote consumer well-being.

A study of the impact of risk perception on the pro-environmental behaviour of herders in the Sanjiangyuan region

This study aims to study the pro-environmental behaviour of herders in the Sanjiangyuan region, a significant ecological security barrier. This paper selected 212 herding households in the Sanjiangyuan area as research subjects by random sampling method. By establishing a multivariate ordered logistics model to study the impact of risk perception on herding households' pro-environmental behaviour and introducing capital endowment as a moderating variable to analyse the moderating effect of capital endowment on the relationship of herding households' risk perception—pro-environmental behaviour. The study results show that herders's risk perception significantly affects their pro-environmental behaviour, in which environmental risk perception, economic risk perception and disease risk perception positively affect their pro-environmental behaviour. Capital endowment has a moderating role in the relationship between risk perception and the pro-environmental behaviour of herding households. Accordingly, this paper proposes to strengthen publicity and education, encourage herders to join cooperatives, and improve the ability of risk perception and other countermeasures.

Impaired perception of cardiovascular risk and health literacy in individuals with high cardiovascular diseases risk from different socioeconomic levels in Antalya, Turkey.

This study aimed to determine how the frequency of impaired perception of cardiovascular disease (CVD) risk is correlated with health literacy in individuals with high CVD risk in two regions with different socioeconomic levels. A descriptive study was conducted. The Systematic Coronary Risk Estimation, recommended by the European and Turkish Cardiology Societies, provides recommendations based on individuals' actual CVD risk levels. According to the Systematic Coronary Risk Estimation, participants suffering from diseases were identified as high and very high risk. The perception of risk was determined by subjectively assessing the risk level of the individuals. The European Health Literacy Survey Questionnaire was used. The Mann-Whitney U test, Chi-squared test and Spearman's correlation analysis were used to analyse the data. We also conducted a logistic regression analysis to identify factors contributing to impaired perception of CVD risk. A total of 384 individuals, aged between 40 and 70years (with a mean age of 58.35±8.33years), were included in the study. These individuals had a high risk of CVD and were registered to family health centres from two different socioeconomic levels. Out of the 384 participants, 201 individuals belonged to the lower socioeconomic level region and 183 individuals belonged to the higher socioeconomic level region. A total of 61.7% of the participants with high CVD risk had an impaired perception of CVD risk. The health literacy level of 59.9% of individuals was either inadequate or problematic. The health literacy score of participants with impaired risk perception (29.59±9.07) was lower than those with correct risk perception (35.83±10.94; P <0.001). Factors that affected the perception of CVD risk included age, education level, working status, occupation, a family history of CVD, the CVD risk assessment by health professionals and the recommendation of health professionals to individuals for CVD screening. It is necessary for health care professionals to make risk assessments and perform interventions to improve health literacy to raise the awareness of individuals with high CVD risk on their actual risk.

Effect of A Nurse-Led Interactive Education On Perception of Disease Risk Among Nurses in Lagos State University Teaching Hospital, Lagos

This research examines the influence of nurses' perceptions of the risk associated with COVID-19 on public health outcomes, with a specific emphasis on LASUTH, a vital healthcare referral centre in Lagos, Nigeria. The study utilises a quasi-experimental pre-/post-test approach to evaluate the efficacy of nurse-led interactive education in influencing nurses' perceptions of COVID-19 risk. The cohort included 527 nurses from LASUTH. The data was gathered by a validated questionnaire, whereas the intervention consisted of a nurse-led interactive training session. The statistical analyses, both descriptive and inferential, were performed using SPSS version 25. The results demonstrate changes in nurses' views after the intervention. At first, 6.8% of individuals held negative impressions, which subsequently rose to 10.2%. The percentage of fair opinions declined from 27.1% to 20.3%, whilst the percentage of excellent perceptions saw a little rise from 66.1% to 69.5%. The average perception score reduced from 13.2±3.47 to 12.5±3.76, indicating a rise in awareness and changed attitudes after the intervention. The results indicate a reduction in the level of intense anxiety towards the virus, from 27.1% to 22%. There is also an increased level of worry over mortality, as well as a greater recognition of the need of preventative actions. The intervention significantly altered the nurses' sense of danger. The results also verified a substantial disparity (p &lt; 0.05) in the perceptions before and after the intervention, so providing evidence to reject the null hypothesis. This research highlights the efficacy of treatments led by nurses in altering perceptions of COVID-19 risks, offering valuable information for public health initiatives and interventions.

Impact of leisure satisfaction on perceived risk of infectious disease during the COVID-19 pandemic: evidence from new worker classes.

This study examines how job market changes affect individuals' leisure choices and satisfaction, focusing on worker classes that have undergone daily life changes (e.g., economic and social activities) due to the coronavirus disease-2019 (COVID-19) pandemic. A population-based cross-sectional study design was employed. South Korean workers aged 20-59 years answered an online survey administered from September 14 to October 4, 2021. Ultimately, 764 responses were used in the analysis. The measures used in this study consisted of factors affecting infectious disease risk perception and leisure satisfaction among the six new worker classes that emerged during the pandemic, according to socio-demographic status. The results showed that among male participants, social, emotional, physical, environmental, and educational factors of leisure satisfaction were more strongly affected, with higher social, physical, and interpersonal relationships being factors in the perception of infectious disease risk. Among female participants, the interpersonal relationship factor of perceived risk was significantly affected by the social, emotional, and educational factors of leisure satisfaction. Interpersonal relationships, affected leisure satisfaction among members of Classes 1-3, who experienced no change in pay. However, for the members of Class6 who experienced a decrease in pay, the economic factor negatively affected leisure satisfaction and played a pivotal role in our findings. This study verified the risk factors that inhibit leisure satisfaction among new worker classes that emerged during the COVID-19 pandemic. Furthermore, the psychological health of people suffering pandemic-related financial constraints was affected, as they experienced a lower quality of life owing to reduced leisure activities and satisfaction.

Does a multi-component intervention including pictorial risk communication about subclinical atherosclerosis improve perceptions of cardiovascular disease risk without deteriorating efficacy beliefs?

BackgroundPictorial communication about subclinical atherosclerosis can improve cardiovascular disease (CVD) risk, but whether it leads to long-term shifts in self-rated CVD risk (risk perception) and beliefs about possibility to influence personal risk (efficacy beliefs) is unknown. PurposeTo study the impact of personalized color-coded and age-related risk communication about atherosclerosis and motivational conversation, compared to traditional risk factor-based communication, on risk perception and efficacy beliefs. Also, whether risk perception increases with message severity. MethodThe effect of the pragmatic RCT Visualization of Asymptomatic Atherosclerotic Disease for Optimum Cardiovascular Prevention (VIPVIZA) was analyzed using a linear mixed effects model with risk perception and efficacy believes at 1-year and 3-year follow up as dependent variables. Participants’ (n = 3532) CVD risk perception and efficacy beliefs were assessed with visual analog scales (0–10). Fixed effects were group (intervention vs control), time point (1 year or 3 years) and interaction between group and time point. Further, the models were adjusted for corresponding baseline measurement of the dependent variable and a baseline × time point interaction. Effect of pictorial color-coded risk in the intervention group was investigated using a corresponding mixed effects model, but with pictorial risk group (message severity) as exposure instead of intervention group. ResultsAfter one year, the intervention group rated their CVD risk as higher (m = 0.46, 95% CI 0.32–0.59), with an effect also after 3 years (m = 0.57, 95% CI 0.43–0.70). The effect was consistent in stratified analyses by sex and education. Overall, no effect on efficacy beliefs was observed. In the intervention group, differences in CVD risk perception were found between participants with different color-coded risk messages on atherosclerosis status. ConclusionPersonalized, color-coded and age-related risk communication about atherosclerosis had an effect on risk perception with an effect also after 3 years, whereas overall, no effect on efficacy beliefs was observed.

Level of knowledge, and risk perception of Mpox disease among Primary healthcare workers in Nigeria: a cross-sectional study of Jigawa, Oyo and Lagos

Level of knowledge, and risk perception of Mpox disease among Primary healthcare workers in Nigeria: a cross-sectional study of Jigawa, Oyo and Lagos

Intersectional Microaggressions and Cardiovascular Disease Risk Perception in Bisexual Black, Indigenous, and People of Color

Cardiovascular diseases (CVDs), or heart diseases, are the leading cause of morbidity and mortality nationwide. Separate bodies of research indicate that Lesbian, Gay, and Bisexual (LGB) individuals and Black, Indigenous, and People of Color (BIPOC) demonstrate high risk for CVD and report greater levels of intersectional microaggressions compared with their Heterosexual White and BIPOC counterparts. Within LGB communities, Bisexual individuals report more discrimination that is associated with more CVD risk factors compared with their Heterosexual and Lesbian and Gay (LG) counterparts. Research has not examined differences in the rates of CVD risk factors between Bisexual and LG BIPOC or the associations between intersectional microaggressions and heart disease risk perception in LGB BIPOC, a relevant construct correlated with health behavior and objective risk. Participants (N= 264) self-identified as LGB BIPOC and filled out measures on their CVD risk factors, CVD risk perception, and experiences of intersectional microaggressions or intersectional minority stress. Results showed that Bisexual and LG BIPOC reported similar odds for CVD risk factors. Intersectional minority stress and CVD risk perception were positively associated with Bisexual participants only. Findings underscore the importance of extending beyond traditional biomedical frameworks of CVD risk and recognizing the unique contribution of intersectional microaggressions for LGB BIPOC, with strong associations of intersectional minority stress for Bisexual BIPOC heart health.