Differences in the impact and management of heart disease between older women and men

Area of Science:

• Gerontology
• Cardiology
• Health Services Research

Background:

• Heart disease impacts older adults significantly, with potential gender-based differences in its experience and management.
• Understanding these differences is crucial for tailoring effective self-management interventions for cardiac patients aged 60 and over.

Purpose of the Study:

• To explore gender-based differences in the impact and management of heart disease among older adults (60+).
• To identify variations in symptom experience, physical functioning, treatment adherence, and healthcare utilization between men and women.

Main Methods:

• An exploratory study involving 323 ambulatory, non-institutionalized cardiac patients.
• Participants were enrolled in a self-management intervention study.
• Data collected on symptom experience, physical functioning, medication adherence, exercise compliance, and healthcare visits.

Main Results:

• Significant gender differences were observed in symptom experience, physical functioning, exercise compliance, medication use, and healthcare visits.
• No significant differences were found in emotional well-being or psychosocial functioning.
• Women reported higher levels of stress and limitations in household management compared to men.

Conclusions:

• Gender plays a role in how older adults experience and manage heart disease, affecting various aspects of their health and daily lives.
• Findings highlight the need for gender-specific approaches in cardiac care and self-management programs for the elderly.
• Further research and practice adjustments are recommended to address identified gender disparities in heart disease management.