Prehospital Delay, Contributing Aspects and Responses to Symptoms among Norwegian Women and Men with First Time Acute Myocardial Infarction

Løvlien, Mona; Schei, Berit; Hole, Torstein

doi:10.1016/j.ejcnurse.2007.03.002

Cited by 64 publications

(76 citation statements)

References 30 publications

(64 reference statements)

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“…The literature concerning help seeking and cardiac care is conflicting in that some researchers have reported that women delay seeking help, compared with men's responses (Ottesen, Dixen, Torp-Pedersen, & Køber, 2004;Ting et al, 2008), and others have reported that there is no sex/gender difference in the interval between the onset of cardiac symptoms and seeking care (Løvlien, Schei, & Hole, 2007;Moser, McKinley, Dracup, & Chung, 2005). Those who have reported that there is a sex-based difference (anatomical or physiological in nature) have postulated that women do not recognize their cardiac symptoms because health educators' characterizations are based on men's experiences when women's symptoms are different from the "hallmark" symptoms -they are "atypical" and consequently not recognized as serious (O'Keefe-McCarthy, 2008).…”

Section: Introductionmentioning

confidence: 99%

Help seeking for cardiac symptoms: Beyond the masculine–feminine binary

Galdas

Johnson

Percy

et al. 2010

Social Science & Medicine

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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.

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Section: Introductionmentioning

confidence: 99%

Help seeking for cardiac symptoms: Beyond the masculine–feminine binary

Galdas

Johnson

Percy

et al. 2010

Social Science & Medicine

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“…On the other hand Lovlien et al, [39] found that 33 percent of women and 25 percent of men self-medicated against discomfort before seeking treatment when they had their first acute myocardial infarction and thereby generating a delay between the onset of symptoms and hospital admission. The divergences may be because of the mem-bers of the National Associations of Heart and Lung Patients had own experience or been close to others' experience of one or more cardiovascular events and are more likely to seek medical care quickly if serious illness occurs.…”

Section: Discussionmentioning

confidence: 99%

Behavioral involvement and preference for information among male and females with cardiac disease

Nilsson¹,

Ivarsson²,

Alm-Roijer³

et al. 2012

OJN

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The aim of this pilot study was to explore and compare preferences for involvement and preferences for information among men and women who had suffered from cardiac disease. A convenience sample of 79 respondents (47 men and 32 women) was recruited from The National Association of Heart and Lung Patients in Sweden at ten local meeting places in different areas. Krantz Health Opinion Survey, KHOS, a 16-item self-rating questionnaire, was used to measure patients' desire for involvement in healthcare. The results indicate that patients' information preferences and behavioural preferences are not very high though the total score in KHOS was 5.47. A difference between the genders was also found, seen as higher scores in females than males; 5.93 vs 4.44, p = 0.032, indicating that women prefer a more active role in decision making than men do. The main practical conclusion drawn from this empirical study is that patients are still not as active in seeking information or in behavioural involvement as is desirable.

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“…Mange har betydelig pasientforsinkelse ved alvorlig hjerte-og karsykdom. En norsk studie viste at over halvparten av menn og kvinner med førstegangs hjerteinfarkt ventet over en time før de ringte enten 113 eller legevakten (Løvlien, Schei & Hole, 2007). En skandinavisk undersø-kelse viste at manglende erkjennelse av symptomer og pasientforsinkelse er vesentlige hinder for trombolysebehandling ved hjerneslag; 82 pst.…”

Section: Samhandlingspliktenunclassified