Barriers to Managing Coronary Artery Disease Among Older Women

Abstract

Numerous barriers to managing coronary artery disease (CAD) among older women are reported in the literature; however, few studies adjust for demographic and health status differences. A survey assessing barriers and other factors was distributed to a stratified random sampling of older women with CAD. Factor analysis and multiple logistic regression procedures were used to estimate the impact of these issues on receiving a CAD-related office visit. The most problematic barriers included denial and low health literacy. Efforts to promote patient awareness of heart health and better communication between patients and clinicians may alleviate these barriers.

Can Anyone Hear Me? Does Anyone See Me? A Qualitative Meta-Analysis of Women’s Experiences of Heart Disease

“…These results are strongly grounded in the literature. Barriers in managing heart disease identified by women through quantitative research include not perceiving they have a heart problem, low confidence in managing personal health, family caretaking responsibilities, and lack of personal time (Mosca, Mochari-Greenberger, Dolor, Newby, & Robb, 2010; Musich et al, 2014). Women attempt to minimize the impact of their illness, delay treatment, and avoid bothering others with their health problems (Kristofferzon et al, 2003; Medved & Brockmeier, 2011).…”