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"I'm No Superman": Understanding Diabetic Men, Masculinity, and Cardiac Rehabilitation
Craig M Dale1, Jan E Angus2, Lisa Seto Nielsen3
1University of Toronto, Toronto, Ontario, Canada craig.dale@utoronto.ca.
Qualitative Health Research
|January 14, 2015
Summary
Men with coronary heart disease and Type 2 diabetes have low cardiac rehabilitation attendance. They adopt strategies to regain control, prioritizing masculine identity over biomedical advice, influencing participation.
Area of Science:
- Cardiology
- Public Health
- Sociology of Health
Background:
- Exercise-based cardiac rehabilitation (CR) is crucial for managing coronary heart disease (CHD).
- Men with CHD and Type 2 diabetes mellitus (T2DM) exhibit suboptimal CR attendance and completion rates.
- This demographic faces a poorer prognosis, highlighting a critical gap in care.
Purpose of the Study:
- To explore the experiences of Canadian diabetic men enrolled in CR programs.
- To understand the factors influencing their attendance and engagement with CR.
- To examine how gender and masculinity influence health guidance adherence.
Main Methods:
- Qualitative study involving 16 Canadian men with CHD and T2DM recently enrolled in CR.
- Analysis drawing on gender and masculinity theory.
- Exploration of participants' discursive positions regarding health guidance.
Main Results:
- Men adopted two primary discursive positions: 'working with experts' or 'rejection of biomedical knowledge'.
- These strategies aimed to restore a sense of competency diminished by illness.
- Rehabilitation of a positive masculine identity was a key priority for participants.
Conclusions:
- Variable CR participation among men is significantly influenced by gender, age, and employment status.
- Men's responses to health guidance are complex and can be contradictory.
- Healthcare interventions must consider the role of masculine identity in patient engagement.
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