A systematic review of healthcare experiences of women and men living with coronary heart disease

Abstract Coronary heart disease (CHD) is the leading cause of morbidity and mortality for people worldwide, yet differences in the likelihood of receiving optimal care occur depend on gender. This study therefore aimed to explore the healthcare experiences of men and women living with CHD. A systema...

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Main Authors: Helen Brown, James J. Lucas, Sarah Gauci, Courtney Brown, Susan Brumby, Tiana Felmingham, Crystal M. Y. Lee, Sean Randall, George Mnatzaganian, Suzanne Robinson, Lan Gao, James Boyd, Adrienne O’Neil, Dan Xu, Kieva Richards, Ling Lee, Rachel R. Huxley
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:npj Women's Health
Online Access:https://doi.org/10.1038/s44294-024-00043-x
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author Helen Brown
James J. Lucas
Sarah Gauci
Courtney Brown
Susan Brumby
Tiana Felmingham
Crystal M. Y. Lee
Sean Randall
George Mnatzaganian
Suzanne Robinson
Lan Gao
James Boyd
Adrienne O’Neil
Dan Xu
Kieva Richards
Ling Lee
Rachel R. Huxley
author_facet Helen Brown
James J. Lucas
Sarah Gauci
Courtney Brown
Susan Brumby
Tiana Felmingham
Crystal M. Y. Lee
Sean Randall
George Mnatzaganian
Suzanne Robinson
Lan Gao
James Boyd
Adrienne O’Neil
Dan Xu
Kieva Richards
Ling Lee
Rachel R. Huxley
author_sort Helen Brown
collection DOAJ
description Abstract Coronary heart disease (CHD) is the leading cause of morbidity and mortality for people worldwide, yet differences in the likelihood of receiving optimal care occur depend on gender. This study therefore aimed to explore the healthcare experiences of men and women living with CHD. A systematic search of qualitative research was undertaken, following PRISMA guidelines. Forty-three studies were included for review, involving 1512 people (62% women, 38% men; 0% non-binary or gender diverse). Thematic synthesis of the data identified four themes: (1) assumptions about CHD; (2) gender assigned roles; (3) interactions with health care; and (4) return to ‘normal’ life. A multilevel approach across the entire ecosystem of healthcare is required to improve equity in care experienced by people living with CHD. This will involve challenging both the individuals’ knowledge of CHD and awareness of health professionals to entrenched gender bias in the health system that predominantly favours men.
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series npj Women's Health
spelling doaj-art-86868e271b4143d983a7afd1c0f47a9c2025-08-20T02:22:25ZengNature Portfolionpj Women's Health2948-17162024-11-01211810.1038/s44294-024-00043-xA systematic review of healthcare experiences of women and men living with coronary heart diseaseHelen Brown0James J. Lucas1Sarah Gauci2Courtney Brown3Susan Brumby4Tiana Felmingham5Crystal M. Y. Lee6Sean Randall7George Mnatzaganian8Suzanne Robinson9Lan Gao10James Boyd11Adrienne O’Neil12Dan Xu13Kieva Richards14Ling Lee15Rachel R. Huxley16Institute of Physical Activity and Nutrition, Deakin UniversitySchool of Health and Social Development, Deakin UniversityInstitute for Mental and Physical Health and Clinical Translation, Deakin UniversityInstitute of Physical Activity and Nutrition, Deakin UniversityNational Centre for Farmer Health, Deakin UniversitySchool of Health and Social Development, Deakin UniversitySchool of Population Health, Curtin UniversitySchool of Health and Social Development, Deakin UniversityLa Trobe Rural Health School, La Trobe UniversityInstitute for Health Transformation, Deakin UniversityInstitute for Health Transformation, Deakin UniversitySchool of Psychology and Public Health, La Trobe UniversityInstitute for Mental and Physical Health and Clinical Translation, Deakin UniversitySchool of Population Health, Curtin UniversitySchool of Health and Social Development, Deakin UniversityInstitute of Physical Activity and Nutrition, Deakin UniversityFaculty of Health, Deakin UniversityAbstract Coronary heart disease (CHD) is the leading cause of morbidity and mortality for people worldwide, yet differences in the likelihood of receiving optimal care occur depend on gender. This study therefore aimed to explore the healthcare experiences of men and women living with CHD. A systematic search of qualitative research was undertaken, following PRISMA guidelines. Forty-three studies were included for review, involving 1512 people (62% women, 38% men; 0% non-binary or gender diverse). Thematic synthesis of the data identified four themes: (1) assumptions about CHD; (2) gender assigned roles; (3) interactions with health care; and (4) return to ‘normal’ life. A multilevel approach across the entire ecosystem of healthcare is required to improve equity in care experienced by people living with CHD. This will involve challenging both the individuals’ knowledge of CHD and awareness of health professionals to entrenched gender bias in the health system that predominantly favours men.https://doi.org/10.1038/s44294-024-00043-x
spellingShingle Helen Brown
James J. Lucas
Sarah Gauci
Courtney Brown
Susan Brumby
Tiana Felmingham
Crystal M. Y. Lee
Sean Randall
George Mnatzaganian
Suzanne Robinson
Lan Gao
James Boyd
Adrienne O’Neil
Dan Xu
Kieva Richards
Ling Lee
Rachel R. Huxley
A systematic review of healthcare experiences of women and men living with coronary heart disease
npj Women's Health
title A systematic review of healthcare experiences of women and men living with coronary heart disease
title_full A systematic review of healthcare experiences of women and men living with coronary heart disease
title_fullStr A systematic review of healthcare experiences of women and men living with coronary heart disease
title_full_unstemmed A systematic review of healthcare experiences of women and men living with coronary heart disease
title_short A systematic review of healthcare experiences of women and men living with coronary heart disease
title_sort systematic review of healthcare experiences of women and men living with coronary heart disease
url https://doi.org/10.1038/s44294-024-00043-x
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