GENDER DIFFERENCES IN HEALTH PERCEPTIONS AND THEIR PREDICTORS

被引:117
作者
ANSON, O
PARAN, E
NEUMANN, L
CHERNICHOVSKY, D
机构
[1] BEN GURION UNIV NEGEV,HYPERTENS UNIT,IL-84105 BEER SHEVA,ISRAEL
[2] BEN GURION UNIV NEGEV,DEPT EPIDEMIOL,IL-84105 BEER SHEVA,ISRAEL
[3] BEN GURION UNIV NEGEV,CTR HLTH SCI,DEPT HLTH & WELF ECON,IL-84105 BEER SHEVA,ISRAEL
关键词
GENDER; GENDER RELATED RISKS; HEALTH PERCEPTIONS;
D O I
10.1016/0277-9536(93)90404-R
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study explored the degree to which risks embedded in he social construction of gender roles and personality traits explained gender differences in health perceptions and reporting among mild hypertensive patients (134 women and 104 men) under the same treatment regime. Compared with men, women were less educated, less likely to be employed. less happy, more distressed, less satisfied with family functioning, and had a weaker sense of coherence. Twice as many women as men evaluated their health as 'poor', and on average reported 2.6 more symptoms than men. These gender differences largely disappeared when unhappiness', distress, and sense of coherence were controlled. While education attainment, employment, and satisfaction with family functioning decreased gender differences in some half of the symptoms, multivariate analysis suggested that unhappiness, distress. and the sense of coherence are far better predictors of gender differential health perceptions. It is suggested that beyond biological predispositions, women's health is in double jeopardy by gender role related risks, which affect morbidity both directly through immunology system and indirectly through health perceptions.
引用
收藏
页码:419 / 427
页数:9
相关论文
共 29 条
[1]   ADDITION OF NON-PHARMACOLOGICAL METHODS OF TREATMENT IN PATIENTS ON ANTIHYPERTENSIVE DRUGS - RESULTS OF PREVIOUS MEDICATION, LABORATORY TESTS AND LIFE QUALITY [J].
ABERG, H ;
TIBBLIN, G .
JOURNAL OF INTERNAL MEDICINE, 1989, 226 (01) :39-46
[2]   GENDER AND HEALTH ON THE KIBBUTZ [J].
ANSON, O ;
LEVENSON, A ;
BONNEH, DY .
SEX ROLES, 1990, 22 (3-4) :213-235
[3]  
ANSON O, 1991, CHINESE MED SCI J S, V6, P145
[4]  
Anson O, 1991, WOMEN HLTH, V17, P89
[5]  
Antonovsky A., 1987, UNRAVELING MYSTERY H
[6]  
BORYSENKO J, 1984, BEHAVIORAL HLTH, P248
[7]   SEX-DIFFERENCES IN MEDICAL-CARE UTILIZATION - AN EMPIRICAL-INVESTIGATION [J].
CLEARY, PD ;
MECHANIC, D ;
GREENLEY, JR .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1982, 23 (02) :106-119
[8]   THE EFFECTS OF ANTIHYPERTENSIVE THERAPY ON THE QUALITY-OF-LIFE [J].
CROOG, SH ;
LEVINE, S ;
TESTA, MA ;
BROWN, B ;
BULPITT, CJ ;
JENKINS, CD ;
KLERMAN, GL ;
WILLIAMS, GH .
NEW ENGLAND JOURNAL OF MEDICINE, 1986, 314 (26) :1657-1664
[10]   QUALITY OF LIFE ON ANTIHYPERTENSIVE THERAPY - A RANDOMIZED DOUBLE-BLIND CONTROLLED TRIAL OF CAPTOPRIL AND ATENOLOL [J].
FLETCHER, AE ;
BULPITT, CJ ;
HAWKINS, CM ;
HAVINGA, TK ;
TENBERGE, BS ;
MAY, JF ;
SCHUURMAN, FH ;
VANDERVEUR, E ;
WESSELING, H .
JOURNAL OF HYPERTENSION, 1990, 8 (05) :463-466