Invisible women? The importance of gender in lay beliefs about heart problems

Invisible women? The importance of gender in lay beliefs about heart problems
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DOI:
10.1111/1467-9566.00248
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发表时间:
2001-03-01
影响因子:
2.9
通讯作者:
Watt, G
Watt, G
中科院分区:
医学2区
文献类型:
--
作者:
Emslie, C;Hunt, K;Watt, G

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冠心病(CHD)占英国死亡人数的四分之一以上,但很少有定性研究探讨了普通人群对“心脏问题”的看法。先前的一项关于非专业人士对冠心病候选人(或“患有心脏病的人”)的看法的研究很少关注性别。然而,对61名男性和女性的半结构化访谈显示,性别在外行的看法中起着至关重要的作用。受访者对可能患心脏病的“候选人”的描述都集中在男性身上。更令人惊讶的是,他们对不太可能的候选人的描述也完全集中在男性身上。只有当被特别问及亲属时,受访者才会讨论有心脏问题的女性。虽然男性“受害者”的叙述集中在突然的、致命的心脏病发作上,但女性的叙述通常集中在长期的冠心病发病率上。我们认为,冠心病继续被视为一种男性疾病,女性仍然是“无形的”在有关心脏病的话语。
Coronary heart disease (CHD) accounts for over a quarter of deaths in Britain, yet few qualitative studies have explored beliefs about 'heart problems' in the general population. A previous study of lay beliefs about coronary candidacy (or 'the kind of person who gets heart trouble') paid little attention to gender. However, semi-structured interviews with 61 men and women reveal that gender plays a vital role in lay perceptions. Respondents' accounts of people who were likely 'candidates' for heart problems all centred on men. More surprisingly, their accounts of unlikely candidates also focused exclusively on men. Only when specifically asked about relatives, did respondents discuss women with heart problems. While accounts of male 'victims' focused on sudden, fatal heart attacks, accounts of women usually concentrated on long-term CHD morbidity. We argue that CHD continues to be perceived as a male disease and that women remain 'invisible' in discourses about heart disease.