Abstract/Details

Differences in the symptoms of myocardial infarction by sex and gender identity


1999 1999

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Abstract (summary)

Myocardial infarction (MI) is a leading cause of death in women in the United States and is responsible for the death of 234,088 (49.2 percent) women per year (American Heart Association, 1998). The symptoms defining the typical MI presentation are based upon research with male samples yet are generalized to females. Gender identity has also been shown to influence symptoms. Masculinity, one dimension of gender identity, has been reported as a predictor of post MI chest pain (Helgeson, 1991).

The purpose of this study was to describe the symptoms experienced during an MI and to analyze potential differences in the symptoms experienced by sex and gender identity. A theoretical framework to logically support the need for examining biological sex and gender identity as related to the symptoms of an MI was taken from the Unpleasant Symptoms Model (Lenz, Suppe, Gift, Pugh, & Mulligan, 1995). A nonexperimental, cross sectional research design was used. The sample was a nonprobability, convenient sample obtained at three Mid-Atlantic Hospitals with two groups—one male and one female. The total sample size consisted of 101 subjects, 59 males (58.4%) and 42 females (41.6%). Measures included the Adapted Myocardial Infarction Symptoms Questionnaire (adapted from the MI Symptoms Questionnaire, Johnson, 1995, unpublished instrument used with permission) and the Bem. Sex Role Inventory (Bem, 1981). Hypothesis testing was conducted using Chi-Square statistic, independent t-tests, one-way analysis of variance, and logistic regression. Exploration of the symptoms experienced during an MI is imperative to accurate and prompt clinical diagnosis and meaningful public education campaigns.

Indexing (details)


Subject
Nursing;
Surgery;
Psychology;
Heart attacks;
Gender
Classification
0569: Nursing
0564: Surgery
0621: Psychology
Identifier / keyword
Health and environmental sciences; Psychology; Gender identity; Myocardial infarction
Title
Differences in the symptoms of myocardial infarction by sex and gender identity
Author
Prunty, Sandra Kay
Number of pages
236
Publication year
1999
Degree date
1999
School code
0102
Source
DAI-B 61/01, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9780599600447, 0599600446
Advisor
Kidd, Pamela Stinson
University/institution
University of Kentucky
University location
United States -- Kentucky
Degree
Ph.D.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
9957048
ProQuest document ID
304511508
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/304511508/abstract
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