Women's Health Issues
Volume 20, Issue 5 , Pages 308-315 , September 2010

Gender Differences in Psychosocial Issues Affecting Low-Income, Underserved Patients' Ability to Manage Cardiovascular Disease

  • Holly Mead, PhD

      Affiliations

    • Corresponding Author InformationCorrespondence to: Holly Mead, PhD, The George Washington University Medical Center, School of Public Health and Health Services, Department of Health Policy, Center for Health Care Quality, 2121 K St NW, Suite 200, Washington, DC 20037. Phone: 202-994-8615; fax: 202-973-1150.
  • ,
  • Ellie Andres, MPH
  • ,
  • Hannah Katch, BA
  • ,
  • Bruce Siegel, MD, MPH
  • ,
  • Marsha Regenstein, PhD

Received 4 November 2009 ,Revised 19 May 2010 ,Accepted 27 May 2010.

References 

  1. Agency for Healthcare Research and Quality . National healthcare disparities report. (2006). Rockville, MD: Author; 2006;
  2. Auerbach J, Figert A. Women's health research: Public policy and sociology. Journal of Health and Social Behavior. 1995;36:Extra Issue, 115–130
  3. Balady GJ, Ades PA, Comoss P, Limacher M, Pina IL, Southard D, et al. AHA/AACVPR scientific statement: Core components of cardiac rehabilitation/secondary prevention programs. Circulation. 2000;102:1069–1073
  4. Bjarnason-Wehrens B, Grande G, Loewel H, Voller H, Mittag O. Gender-specific issues in cardiac rehabilitation: Do women with ischemic heart disease need specially tailored programmes?. European Journal of Cardiovascular Prevention and Rehabilitation. 2007;14:163–171
  5. Brezinka V, Dusseldorp E, Maes S. Gender differences in psychosocial profile at entry into cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation. 1998;18:445–449
  6. Brezinka V, Kittel F. Psychosocial factors of coronary heart disease in women: A review. Social Science & Medicine. 1995;42:1351–1365
  7. Brian D, Smedley AY, Nelson AR. Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, DC: Institute of Medicine; 2002;
  8. Courtenay WH. Constructions of masculinity and their influence on men's well-being: A theory of gender and health. Social Science & Medicine. 2000;50:1385–1401
  9. Courtenay WH. Engendering health: A social constructionist examination of men's health beliefs and behaviors. Psychology of Men and Masculinity. 2001;1:4–15
  10. Courtenay WH. Theorizing masculinity and men's health. In:  Broom A,  Tovey P editor. Men's health: Body, identity and social context. New York: John Wiley & Sons; 2009;p. 9–32
  11. Creswell J. Qualitative inquiry and research design: Choosing among five approaches. Thousand Oaks, CA: Sage; 2007;
  12. Denton M, Prus S, Walters V. Gender differences in health: A Canadian study of the psychosocial, structural and behavioral determinants of health. Social Science and Medicine. 2004;58:2585–2600
  13. Doyal L. Sex, gender and health: The need for a new approach. British Medical Journal. 2001;323:1061–1063
  14. Eisler R, Skidmore J, Ward C. Masculine gender-role stress: Predictor of anger, anxiety, and health-risk behaviors. Journal of Personality Assessment. 1988;52:133–141
  15. Everson-Rose SA, Lewis TT. Psychosocial factors and cardiovascular disease. Annual Review of Public Health. 2005;26:469–500
  16. Feinstein RE, Blumenfield M, Orlowski B, Frishman WH, Ovanessian S. A national survey of cardiovascular physicians' beliefs and clinical care practices when diagnosing and treating depression in patients with cardiovascular disease. Cardiology in Review. 2006;14:164–169
  17. Fern EF. Advanced focus group research. Thousand Oaks, CA: Sage; 2001;
  18. Frasure-Smith N, Lesperance F, Juneau M, Talajic M, Bourassa MG. Gender, depression, and one-year prognosis after myocardial infarction. Psychosomatic Medicine. 1999;61:26–37
  19. Frasure-Smith N, Lesperance F, Talajic M. Depression following myocardial infarction: Impact on 6-month survival. JAMA. 1993;270:1819–1825
  20. Gottlieb SS, Khatta M, Friedmann E, Katzen S, Marshall J, Robinson S, et al. The influence of age, gender, and race on the prevalence of depression in heart failure patients. Journal of the American College of Cardiology. 2004;43:1542–1549
  21. Grace SL, Abbey SE, Shnek ZM, Irvine J, Franche RL, Stewart DE. Cardiac rehabilitation I: Review of psychosocial factors. General Hospital Psychiatry. 2002;24:121–126
  22. Green J, Thorogood N. Qualitative methods for health research. Thousand Oaks, CA: Sage; 2004;
  23. Hagedoorn M, Sanderman R, Ranchor AV, Brilman EI, Kempen GIJM, Ormel J. Chronic disease in elderly couples: Are women more responsive to their spouses' health condition than men?. Journal of Psychosomatic Research. 2001;51:693–696
  24. Kitzinger J. The methodology of focus groups: the importance of interaction between research participants. Sociology of Health & Illness. 1994;16:103–121
  25. Krueger RA, Casey MA. Focus groups: A practical guide for applied research. Thousand Oaks, CA: Sage; 2000;
  26. Lemos K, Suls J, Jenson M, Lounsbury P, Gordon EEI. How do female and male cardiac patients and their spouses share responsibilities after discharge from the hospital?. Annals of Behavioral Medicine. 2003;25:8–15
  27. Liburd LC, Namageyo-Funa A, Jack L. Understanding "masculinity" and the challenges of managing type-2 diabetes among African-American men. Journal of the National Medical Association. 2007;99:550–558
  28. Macabasco-O'Connell A, Crawford MH, Stotts N, Stewart A, Froelicher ES. Gender and racial differences in psychosocial factors of low-income patients with heart failure. Heart & Lung: The Journal of Acute and Critical Care. 2010;39:2–11
  29. May HT, Horne BD, Carlquist JF, Sheng X, Joy E, Catinella AP. Depression after coronary artery disease is associated with heart failure. Journal of the American College of Cardiology. 2009;53:1440–1447
  30. McBride AB, McBride WL. Women's health scholarship: From critique to assertion. In:  Dan AJ editors. Reframing women's health: Multidisciplinary research and practice. Thousand Oaks, CA: Sage; 1994;
  31. Mead H, Andres E, Ramos C, Siegel B, Regenstein M. Barriers to effective self-management in cardiac patients: The patient's experience. Patient Education and Counseling. 2010;79:69–76
  32. Moller-Leimkuhler AM. Gender differences in cardiovascular disease and comorbid depression. Dialogues in Clinical Neuroscience. 2007;9:71–83
  33. Patel V, Araya R, de Lima M, Ludermir A, Todd C. Women, poverty and common mental disorders in four restructuring societies. Social Science & Medicine. 1999;49:1461–1471
  34. Patton M. Qualitative research and evaluation methods. 3rd ed. Thousand Oaks, CA: Sage; 2002;
  35. Pittman PM. Gendered experiences of health care. International Journal for Quality in Health Care. 1999;11:397–405
  36. Rahimi AR, Spertus JA, Reid KJ, Bernheim SM, Krumholz HM. Financial barriers to health care and outcomes after myocardial infarction. Journal of the American Medical Association. 2007;297:1063–1072
  37. Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation. 1999;99:2192–2217
  38. Sambamoorthi U, McAlpine DD. Racial, ethnic, socioeconomic, and access disparities in use of preventive services among women. Preventive Medicine. 2003;37:475–484
  39. Sowden GL, Huffman JC. The impact of mental illness on cardiac outcomes: A review for the cardiologist. International Journal of Cardiology. 2008;132:30–37
  40. Squires A. Methodological challenges in cross-language qualitative research: a research review. International Journal of Nursing Studies. 2009;46:277–287
  41. The Commonwealth Fund. (2001). Work, motherhood, physician counseling & caregiving are among key influences on women's health: Analysis of landmark women's health survey reveals complex interaction of health, health system, and social factors. Washington, DC. Available: http://www.commonwealthfund.org.
  42. van Jaarsveld CHM, Sanderman R, Ranchor AV, Ormel J, van Veldhuisen DJ, Kempen GIJM. Gender-specific changes in quality of life following cardiovascular disease: A prospective study. Journal of Clinical Epidemiology. 2002;55:1105–1112
  43. Webb C, Kevern J. Focus groups: A critique of nursing research. Journal of Advanced Nursing. 2001;33:798–805
  44. Weich S, Lewis G. Poverty, unemployment, and common mental disorders: population based cohort study. British Medical Journal. 1998;317:115–119
  45. Zuvekas SH, Taliaferro GS. Pathways to access: Health insurance, the health care delivery system, and racial/ethnic disparities, 1996–1999. Health Affairs. 2003;22:139–153

 Funded by the Robert Wood Johnson Foundation as part of the Expecting Success: Excellence in Cardiac Care program, a national initiative intended to improve the quality of health care provided to minority Americans and other ethnic groups. The authors are solely responsible for the results and conclusions herein.

PII: S1049-3867(10)00063-0

doi: 10.1016/j.whi.2010.05.006

Women's Health Issues
Volume 20, Issue 5 , Pages 308-315 , September 2010