Gender differences in patients' attributions for myocardial infarction: implications for adaptive health behaviors.
Attributions for myocardial infarction were studied in a patient sample (N = 157). Men and women were comparable at intake on age, health status, and lifestyle factors. Attributions to diet, chi2 (1, N = 157) = 8.83, p = .003, and exercise, chi2 (1, N = 157) = 6.60, p = .01, were less common among women than men. After 3 months (n = 136), women were less likely than men to report improving their diets or increasing exercise. Initial attributions predicted subsequent reports of behavior change in relevant domains. These findings suggest that gender differences in causal attributions for myocardial infarction may contribute to subsequent differences between men and women in health-related behavior change.
Martin
Rene
R
Adult and Gerontological Nursing Area, College of Nursing, University of Iowa, Iowa City, Iowa 52242-1121, USA. rene-martin@uiowa.edu
Johnsen
Erica L
EL
Bunde
James
J
Bellman
S Beth
SB
Rothrock
Nan E
NE
Weinrib
Aliza
A
Lemos
Katherine
K
D000222:Adaptation, Physiological; D005260:Female; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000503:physiopathology*; D012737:Sex Factors
Br J Health Psychol. 2002 Nov;7(Part 4):463-479
12614497
Health Psychol. 2004 Jul;23(4):345-53
15264970
J Cardiopulm Rehabil. 2001 Nov-Dec;21(6):353-62
11767809
Circulation. 1993 Oct;88(4 Pt 1):1999-2009
8403349
Health Psychol. 1993 May;12(3):171-9
8500446
Am J Cardiol. 2000 Apr 15;85(8):921-6
10760327
Psychosom Med. 2002 Jul-Aug;64(4):580-6
12140347
Int J Psychiatry Med. 1982-1983;12(4):311-9
7166463
J Consult Clin Psychol. 1987 Feb;55(1):29-35
3571655
Health Psychol. 1998 Jul;17(4):346-57
9697944
Health Psychol. 2002 Jan;21(1):25-32
11846341
JAMA. 1996 Mar 13;275(10):777-82
8598594
N Engl J Med. 1998 Jan 1;338(1):8-14
9414325
Am J Public Health. 1977 Oct;67(10):921-30
911003
J Am Coll Cardiol. 1993 Dec;22(7):1780-7
8245328
Circulation. 1995 Mar 15;91(6):1861-71
7882498
Nurs Res. 1980 Nov-Dec;29(6):352-6
6903913
J Cardiopulm Rehabil. 1998 Nov-Dec;18(6):445-9
9857277