Coronary heart disease: Women's assessment of risk--a qualitative study

Ruston, A.; Clayton, Julie

doi:10.1080/13698570220137024

Cited by 31 publications

(35 citation statements)

References 16 publications

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“…Referral and regular monitoring in a specialist clinic may have modified our participants' notions of risk factors for CHD. Our findings are in accordance with previous research on the lay epidemiology of CHD [5,6,8] but our participants seem to be relatively more doubtful about how valid and useful their notions of the coronary candidate are [5,6,8]. An explanation for this may be that they have been diagnosed with a hereditary condition and therefore consider themselves as atypical in relation to the public imagery of likely victims of CHD.…”

Section: Validity and Transferabilitysupporting

confidence: 82%

“…Research indicates that the candidate for CHD is often portrayed as a man [7Á9], and that women with symptoms of CHD appear to adopt risk assessment strategies that enable them conceptually to distance themselves from risk of CHD by attributing risky lifestyle behaviour to men [5]. A better understanding of how patients at risk of CHD Correspondence: Jan C. Frich, Institute of General Practice and Community Medicine, University of Oslo, P.O.…”

mentioning

confidence: 99%

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How do patients at risk portray candidates for coronary heart disease? A qualitative interview study

Frich

Malterud

Fugelli

2007

Scandinavian Journal of Primary Health Care

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Section: Validity and Transferabilitysupporting

confidence: 82%

mentioning

confidence: 99%

How do patients at risk portray candidates for coronary heart disease? A qualitative interview study

Frich

Malterud

Fugelli

2007

Scandinavian Journal of Primary Health Care

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“…91,102 Studies have found that women tended to view exercise primarily in terms of losing weight and keeping fit and mobile rather than in terms of CVD prevention. 38,106 It has also been found that women tended to perceive that the activity inherent in their domestic lives provided moderate physical activity, which may be considered to be best because overexercising may be considered potentially harmful. 106,107 Research has also pointed to insufficient information being given to patients about lifestyle modification 77,91,100,108 or found that they have insufficient knowledge to be able to make lifestyle changes.…”

Section: Patient Perspectives On Lifestyle Modification Recommendationsmentioning

confidence: 99%

“…For example, Ruston and Clayton found that, despite the presence of known risk factors, their women participants did not tend to view themselves as being at risk unless they adopted a "man's way of life". 38 Studies have also looked at how factors such as family history of CVD, ethnicity, stress and hypercholesterolemia, affect people's perceived risk. These study populations typically also had significant knowledge of modifiable risk factors for CVD, which was likewise incorporated within lay epidemiology regarding their own risk.…”

mentioning

confidence: 99%

Effectiveness of public health and education programs for creating awareness of and managing cardiovascular disease

White¹

2011

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This paper reviews the effectiveness of public health and education programs for creating awareness of, preventing and managing cardiovascular disease (CVD), with a particular focus on their impact on people's behavior. Evidence-based guidance recommends that such programs, eg, cardiac rehabilitation, should include risk assessment, modification of lifestyle risk factors and, where appropriate, medication. However, despite substantial evidence of cardiac rehabilitation being beneficial, a significant proportion of eligible patients fail to receive cardiac rehabilitation and numerous barriers to attendance remain, particularly because cardiac rehabilitation service provision continues to be patchy and of variable quality. Evidence suggests that educational programs to prevent CVD may achieve favorable reductions in mortality and overall CVD risk. However, whilst people tend to have significant knowledge of the modifiable risk factors for CVD, this does not necessarily lead to action to reduce risk, because lay epidemiology appears to play a significant role in sophisticated determinations of CVD causation, amongst other factors. Some people, but not all, make and maintain some lifestyle changes, but not necessarily all of the changes recommended, because they may only change aspects of lifestyle that are perceived to have been likely causes of their CVD. In addition, many people experience difficulty in making and maintaining lifestyle changes. There appears to be considerable disquiet among patients about taking medicines prescribed for CVD, particularly concerning side effects, which in some instances may affect medicine-taking. New developments and patient approaches recognize the wider societal issues that influence the lifestyle choices people make. Initiatives to increase attendance and widen access to cardiac rehabilitation have included home-based and technological innovations as alternatives to hospital-based cardiac rehabilitation programs. Effective future approaches are likely to build on these developments, and offer even greater choice in accessing preventative services.

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“…Health promotional adverts and the media urge us to be aware of ever more risk factors for future disease (Ruston and Clayton, 2002). Critics of a preventive medicine based on risk factors have argued that this focus on risk may lead to 'surveillance medicine', with the body permanently at risk, needing monitoring and intervention (Armstrong, 1995).…”

Section: Worrying About the Futurementioning

confidence: 99%

Family health narratives: midlife women's concepts of vulnerability to illness

et al. 2008

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Perceptions of vulnerability to illness are strongly influenced by the salience given to personal experience of illness in the family. This article proposes that this salience is created through autobiographical narrative, both as individual life story and collectively shaped family history. The article focuses on responses related to health in the family drawn from semi-structured interviews with women in a qualitative study exploring midlife women's health. Uncertainty about the future was a major emergent theme. Most respondents were worried about a specified condition such as heart disease or breast cancer. Many women were uncertain about whether illness in the family was inherited. Some felt certain that illness in the family meant that they were more vulnerable to illness or that their relatives' ageing would be mirrored in their own inevitable decline, while a few expressed cautious optimism about the future. In order to elucidate these responses, we focused on narratives in which family members' appearance was discussed and compared to that of others in the family. The visualization of both kinship and the effects of illness led to strong similarities being seen as grounds for worry. This led to some women distancing themselves from the legacies of illness in their families. Women tended to look at the whole family as the context for their perceptions of vulnerability, developing complex patterns of resemblance or difference within their families

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Coronary heart disease: Women's assessment of risk--a qualitative study

Cited by 31 publications

References 16 publications

How do patients at risk portray candidates for coronary heart disease? A qualitative interview study

How do patients at risk portray candidates for coronary heart disease? A qualitative interview study

Effectiveness of public health and education programs for creating awareness of and managing cardiovascular disease

Family health narratives: midlife women's concepts of vulnerability to illness

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