Gender differences in heart failure self-care: A multinational cross-sectional study
Journal article
Lee, Christopher S., Reigel, Barbara, Driscoll, Andrea, Suwanno, Jom, Moser, Debra K., Lennie, Terry A., Dickson, Victoria V., Cameron, Janette and Worrall-Carter, Linda. (2009). Gender differences in heart failure self-care: A multinational cross-sectional study. International Journal of Nursing Studies. 46(11), pp. 1485 - 1495. https://doi.org/10.1016/j.ijnurstu.2009.04.004
Authors | Lee, Christopher S., Reigel, Barbara, Driscoll, Andrea, Suwanno, Jom, Moser, Debra K., Lennie, Terry A., Dickson, Victoria V., Cameron, Janette and Worrall-Carter, Linda |
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Abstract | Background: Despite a common view that women are better at self-care, there is very little evidence to support or challenge this perspective in the heart failure (HF) population. Objective: The purpose of this study was to determine if there are cross-cultural gender differences in self-reported HF self-care and to describe gender differences in the determinants of HF self-care. Design, setting, and participants: A secondary analysis was completed of cross-sectional study data collected on 2082 adults with chronic HF from the United States, Australia and Thailand. Methods: Comparisons were made between men and women regarding self-care maintenance, management and confidence as assessed by the Self-Care of Heart Failure Index, as well as the proportion of subjects engaged in adequate self-care. Multivariate comparisons were made to determine if gender explained sufficient variance in HF self-care and the likelihood of reporting adequate self-care, controlling for nine model covariates. Results: The sample was comprised of 1306 men and 776 women. Most (73.5%) had systolic or mixed systolic and diastolic HF and 45% had New York Heart Association class III or IV HF. Although small and clinically insignificant gender differences were found in self-care maintenance, gender was not a determinant of any aspect of HF self-care in multivariate models. Married women were 37% less likely to report adequate self-care maintenance than unmarried women. Comorbidities only influenced the HF self-care of men. Being newly diagnosed with HF also primarily affected men. Patients with diastolic HF (predominantly women) had poorer self-care maintenance and less confidence in self-care. Conclusion: Differences in HF self-care are attributable to factors other than gender; however, there are several gender-specific determinants of HF self-care that help identify patients at risk for practicing poor self-care. |
Keywords | heart failure; gender; self-care; adherence |
Year | 2009 |
Journal | International Journal of Nursing Studies |
Journal citation | 46 (11), pp. 1485 - 1495 |
Publisher | Elsevier |
ISSN | 0020-7489 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.ijnurstu.2009.04.004 |
Page range | 1485 - 1495 |
Research Group | School of Nursing, Midwifery and Paramedicine |
Place of publication | Oxford,United Kingdom |
https://acuresearchbank.acu.edu.au/item/8qq85/gender-differences-in-heart-failure-self-care-a-multinational-cross-sectional-study
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