European Society of Cardiology: Cardiovascular Disease Statistics 2017

Background: The European Society of Cardiology (ESC) Atlas has been compiled by the European Heart Agency to document cardiovascular disease (CVD) statistics of the 56 ESC member countries. A major aim of this 2017 data presentation has been to compare high income and middle income ESC member countries, in order to identify inequalities in disease burden, outcomes and service provision. Methods: The Atlas utilizes a variety of data sources, including the World Health Organization, the Institute for Health Metrics and Evaluation, and the World Bank to document risk factors, prevalence and mortality of cardiovascular disease and national economic indicators. It also includes novel ESC sponsored survey data of health infrastructure and cardiovascular service provision provided by the national societies of the ESC member countries. Data presentation is descriptive with no attempt to attach statistical significance to differences observed in stratified analyses. Results: Important differences were identified between the high income and middle income member countries of the ESC with regard to CVD risk factors, disease incidence and mortality. For both women and men, the age-standardised prevalence of hypertension was lower in high income countries (18.3% and 27.3%) compared with middle income countries (23.5% and 30.3%). Smoking prevalence in men (not women) was also lower (26% vs 41.3%), and together these inequalities are likely to have contributed to the higher CVD mortality in middle income countries. Declines in CVD mortality have seen cancer becoming a more common cause of death in a number of high income member countries, but in middle income countries declines in CVD mortality have been less consistent where CVD remains the leading cause of death. Inequalities in CVD mortality are emphasised by the smaller contribution they make to potential years of life lost in high income compared with middle income countries both for women (13% vs. 23%) and men (20% vs. 27%). The downward mortality trends for CVD may, however, be threatened by the emerging obesity epidemic that is seeing rates of diabetes increasing across all ESC member countries. Survey data from the National Cardiac Societies (n=41) showed that rates of cardiac catheterization and coronary artery bypass surgery, as well as the number of specialist centres required to deliver them, were greatest in the high income member countries of the ESC. The Atlas confirmed that these ESC member countries, where the facilities for the contemporary treatment of coronary disease were best developed, were often those in which declines in coronary mortality have been most pronounced. Economic resources were not the only driver for delivery of equitable cardiovascular healthcare, as some middle income ESC member countries reported rates for interventional procedures and device implantations that matched or exceeded the rates in wealthier member countries. Conclusion: In documenting national CVD statistics, the Atlas provides valuable insights into the inequalities in risk factors, healthcare delivery and outcomes of CVD across ESC member countries. The availability of these data will underpin the ESC’s ambitious mission “to reduce the burden of cardiovascular disease” not only in its member countries, but also in nation states around the world

Mitigating the security intention-behavior gap: The moderating role of required effort on the intention-behavior relationship

Although users often express strong positive intentions to follow security policies, these positive intentions fail to consistently translate to behavior. In a security setting, the inconsistency between intentions and behavior—termed the intention-behavior gap—is particularly troublesome, as a single failure to enact positive security intentions may make a system vulnerable. We address a need in security compliance literature to better understand the intention-behavior gap by explaining how an omnipresent competing intention—the user’s desire to minimize required effort—negatively moderates the relationship between positive intentions and actual security behavior. Moreover, we posit that this moderating effect is not accounted for in extant theories used to explain behavioral information security, introducing an opportunity to broadly impact information security research to more consistently predict behavior. In three experiments, we found that high levels of required effort negatively moderated users’ intentions to follow security policies. Controlling for this moderating effect substantially increased the explained variance in security policy compliance. The results suggest that security researchers should be cognizant of the existence of competing intentions, such as the desire to minimize required effort, which may moderate the security intention-behavior relationship. Otherwise, such competing intentions may cause unexpected inconsistencies between users’ intentions to behave securely and their actual security behavior. © 2021, Association for Information Systems. All rights reserved.Immediate accessThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Knowledge exploration and exploitation: The impacts of psychological climate and knowledge management system access

Firms need to balance efficiency gains obtained through exploiting existing knowledge assets with long-term Fcompetitive viability achieved through exploring new knowledge resources. Because the use of knowledge management systems (KMSs) continues to expand, understanding how these systems affect exploration and exploitation practices at the individual level is important to advance both knowledge management theory and practice. This study reports the results of a multi-industry survey investigating how psychological climate and KMS access influence solution reuse (exploitation) and solution innovation (exploration) in the context of technical support work. Our results show that KMS access does not directly determine solution innovation or solution reuse. Instead, KMS access strengthens the positive relationship between a climate for innovation and solution innovation and reverses the positive relationship between a climate for autonomy and solution innovation. The implications for knowledge management research and practice are discussed. © 2011 INFORMS