Help seeking for cardiac symptoms: beyond the masculine-feminine binary.
Empirical and theoretical literature suggests that stereotypical gender roles shape men's and women's health help-seeking behavior, and plays an important role in the treatment seeking delays of cardiac patients. We were interested in exploring the ways in which gender informs the experiences and help-seeking behavior of men and women who experienced the symptoms associated with acute cardiac events. We undertook 20 in-depth interviews between October 2007 and July 2008 with 11 men and 9 women recently diagnosed with an acute coronary syndrome in British Columbia, Canada. Participants were encouraged to tell their 'story' of the event that led to hospitalization and diagnosis, with a focus on the symptoms and decision making processes that occurred before and during the activation of health services: seeking the advice of others including colleagues, family members and healthcare professionals; calling 911; and attending an emergency department. Although we anticipated that distinctive patterns of help-seeking behavior aligned with stereotypical masculine and feminine ideals might emerge from our data, this was not always the case. We found some evidence of the influence of gender role ideology on the help-seeking behavior of both male and female participants. However, men's and women's experiences of seeking health care were not easily parsed into distinct binary gender patterns. Behavior that might stereotypically be considered to be 'masculine' or 'feminine' gender practice was shared by both male and female participants. Our findings undermine simple binary distinctions about gendered help-seeking prevalent in the literature, and contribute towards setting the direction of the future health policy and research agenda addressing the issue of gender and health help-seeking behavior.
Galdas
Paul M
PM
School of Nursing, University of British Columbia, T201-2211, Wesbrook Mall, Vancouver, Canada V6T 2B5. paul.galdas@ubc.ca
Johnson
Joy L
JL
Percy
Myra E
ME
Ratner
Pamela A
PA
D054058:Acute Coronary Syndrome / Q000175:diagnosis; D000368:Aged; D000369:Aged, 80 and over; D003657:Decision Making; D005260:Female; D057227:Femininity; D005783:Gender Identity; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D057228:Masculinity; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D012737:Sex Factors; D013239:Stereotyped Behavior
BMJ. 2002 Apr 27;324(7344):1006-9
11976241
Soc Sci Med. 2004 Nov;59(10):2121-9
15351477
J Health Serv Res Policy. 2007 Oct;12(4):223-9
17925074
Int J Epidemiol. 2007 Jun;36(3):612-20
17440023
Int J Cardiol. 2004 Jul;96(1):97-103
15203267
Soc Sci Med. 2007 Jan;64(2):326-37
17070972
Health (London). 2006 Apr;10(2):175-89
16513659
Soc Sci Med. 1995 Feb;40(3):379-92
7899950
Cultur Divers Ethnic Minor Psychol. 2007 Jan;13(1):1-9
17227171
Soc Sci Med. 2008 Sep;67(5):808-16
18558455
Soc Sci Med. 2005 Aug;61(3):503-16
15899311
J Adv Nurs. 2005 Aug;51(4):382-95
16086807
J Emerg Nurs. 2008 Dec;34(6):509-15
19022072
Am J Crit Care. 2005 Jul;14(4):285-93
15980419
Eur J Cardiovasc Nurs. 2005 Mar;4(1):29-35
15718190
Arch Intern Med. 2008 May 12;168(9):959-68
18474760
J Sch Nurs. 2006 Feb;22(1):25-31
16435927
Patient Educ Couns. 2005 Jan;56(1):45-54
15590222
Soc Sci Med. 2007 Jun;64(11):2201-9
17383784
Eur J Cardiovasc Nurs. 2007 Dec;6(4):308-13
17452019
Soc Sci Med. 2006 May;62(9):2246-57
16289741
Can J Cardiovasc Nurs. 2008;18(3):18-25
18727283
J Adv Nurs. 2003 Nov;44(4):360-74
14651708
J Clin Nurs. 2000 Jul;9(4):534-41
11261133
Cult Health Sex. 2005 Nov-Dec;7(6):615-23
16864226
Arch Intern Med. 2007 Dec 10;167(22):2405-13
18071161
Med J Aust. 2006 Jan 16;184(2):81-3
16411874
Med J Aust. 2006 Oct 16;185(8):454-5
17137439