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The influence of masculinity on white and south Asian men's help seeking behaviour for chest pain

By Paul Michael Galdas

Abstract

Coronary heart disease is the leading cause of premature death for men in the UK. The mortality rate is almost twice as high for South Asian men living in the UK compared to the\ud rest of the population. There is established evidence that prompt diagnosis and treatment of heart disease significantly reduces morbidity and mortality. However, there is a growing body of literature to suggest that `masculinity' may lead men to be reluctant to seek medical help when experiencing symptoms of ill health. It is not known whether there are differences or similarities between white and South Asian men relating to the influence of masculinity on their help-seeking behaviour for chest pain.\ud \ud This thesis aims to address this gap in the literature by exploring how masculinities influence white and South Asian men's decision to seek or delay-seeking medical help for acute chest pain. A modified grounded theory methodology employing in-depth interviews was used in two studies that investigated the help-seeking experiences of white and South Asian men who had been admitted with acute cardiac chest pain to two hospitals in the North East of England.\ud Thirty-six men were interviewed for the first study; twenty men were interviewed for the second study.\ud \ud The two studies revealed that both white and South Asian men of Indian and Pakistani origin engaged in a complex process of help-seeking decision-making when experiencing acute chest pain symptoms. The main findings of the thesis highlight white and South Asian men's differing perceptions and behaviours associated with the core concept of this process defined as `acting like a man'. The core concept illustrated that the salient feature of men's help seeking\ud decision-making process related to how they perceived they should `act as a man' whilst experiencing chest pain. For the majority of South Asian men of Indian and Pakistani\ud origin, the concept corresponded to culturally distinct representations of masculinity that were principally signified by a belief that chest pain was a symptom worthy of concern, and a willingness to discuss their symptoms with others and seek help from their GP. By contrast,\ud for the majority of white men, the core concept corresponded to hegemonic representations of masculinity that were principally signified by a belief that chest pain alone was a symptom unworthy of concern, a perceived need to display a high tolerance for pain, and a fear of being\ud seen to be acting `soft' by others if they sought medical help.\ud \ud The thesis argues that a `gender-sensitive' approach to healthcare practice and policy should recognise the way ethnicity shapes how men represent their masculinity in the context of seeking help, and that current prevailing theories of masculinity that consider first generation\ud Indian and Pakistani men's representations of masculinity as `marginalised' in this context are overly simplistic and ethnocentric

Publisher: School of Healthcare (Leeds)
Year: 2006
OAI identifier: oai:etheses.whiterose.ac.uk:651

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  1. (2001). A question of access: an exploration of the factors that influence the health of young males aged 15 to 19 living in Corby and their use of health care services. doi
  2. (2000). An interview study of men discovering testicular cancer. doi
  3. (1995). Appraisal of health risks: the roles of masculinity, femininity and sex. doi
  4. (2002). Barriers to help seeking by men: a review of sociocultural and clinical literature with particular reference to depression. doi
  5. (2005). Blackwell Publishing Ltd, doi
  6. (1977). Childinitiated care: the utilisation of school nursing services by children in an adult-free system.
  7. (1987). Constraints on fathers: research, theory and clinical practice.
  8. (2000). Constructions of masculinity and their influence on men's well-being: a theory of gender and health. doi
  9. (1990). Consultation rates among middle aged men in general practice over three years. doi
  10. (1977). Coronary Heart Disease and Patterns of Living. Crooni Helm,
  11. (1992). Discovering Men. doi
  12. (1999). Do women over report morbidity? Men's and Women's responses to structured prompting on a standard question on long standing illness. doi
  13. (1994). Equal rights for men.
  14. (1998). Evaluation of adjuvant psychological therapy in patients with testicular cancer: randomised controlled trial. doi
  15. (1986). Gender and illness behaviour among colorectal cancer patients.
  16. (1998). Gender differences in consulting a general practitioner for common symptoms of minor illnesses. doi
  17. (1999). Gender differences in minor morbidity among full time employees of a British University. doi
  18. (1993). Gender differences in the perceptions of common cold symptoms. doi
  19. (1996). Gender differences in the relapse experiences of cocaine patients. doi
  20. (1999). Gender, psychosocial factors and the use of medical services: a longitudinal analysis. doi
  21. (1991). General Household Survey.
  22. (1997). Health Inequalities: Decennial Supplement: doi
  23. (1999). health Survey for England. http:
  24. (2000). Identifying male college students' perceived health needs, harriers to seeking help, and recommendations to help men adopt healthier lifestyles. doi
  25. (1999). Making sense of testicular cancer symptoms: a qualitative study of the way in which men sought help from the health care services. doi
  26. (1997). Man Enough: Embodying Mascuhnities. doi
  27. (1995). Masculinities. doi
  28. (1990). Masculinity femininity and sex: an exploration of theory relative contribution to explaining gender differences in health. doi
  29. (1994). Masculinity research: a review and critique. doi
  30. (1987). Masculinity, femininity, life stress and depression. doi
  31. (1989). Men and AIDS.
  32. (2000). Men Making Sense of Their Chest doi
  33. (1998). Men, Lifestyle and Health: A Study of Health Beliefs and Practices. Unpublished Research Report no. R000221950, ESRC,
  34. (2003). Men, masculinity, and the contexts of help seeking. doi
  35. (1995). Men's health promotion in the UK: a hidden problem. doi
  36. (1996). Men's health: A Public Health Review. Men's Health Forum/Royal College of Nursing, doi
  37. (1986). Myths of masculinity: the impact upon men's health.
  38. (1998). National Survey of NHS Patients, General Practice. TSO, London. Men and health help-seeking behaviour O'Dowd T.
  39. (1993). On the State of the Public Health: The Annual Report of the Chief Medical Officer of the Department of Health for the year doi
  40. (2000). Press Release: Reference 2000/0187.
  41. (1999). Problematizing gender. Work and health: the relationship between gender, occupational grade, working conditions and minor morbidity in full-time bank employees. doi
  42. (1994). Psychiatric symptoms and help seeking behavior among the elderly: an analysis of racial and gender differences. doi
  43. (1982). Psychological androgyny: theories, methods, and conclusions. doi
  44. (1987). Psychological distress, problem solving, and coping reactions: sex role differences. doi
  45. (2004). Qualitative study of men's perceptions of why treatment delays occur in the UK for those with testicular cancer.
  46. (2001). Report on the Scoping Study on Men's Health. Unpublished Research Report,
  47. (1977). Sex differences and the epidemiology of depression. doi
  48. (1981). Sex differences in depressive symptom expression and help-seeking among college students. doi
  49. (1990). Sex differences in general practice attendance and help seeking for minor illness. doi
  50. (1986). Sex differences in help-seeking for alcohol problems: 1. Barriers to help-seeking. doi
  51. (1978). Sex, illness, illness behaviour and the use of health services. doi
  52. (1998). Socioeconomic and sex differentials in reason for sickness and absence from the Whitehall 11 study. doi
  53. (2002). Socioeconomic variations in responses to chest pain: qualitative study. doi
  54. (1987). Testicular cancer: the psychosocial problems of patients and their relatives.
  55. (2002). The European men's health forum. doi
  56. (2002). The Psychology of Men's Health. doi
  57. (1987). The Role of Masculinity in Coronary Heart Disease, Unpublished PhD Thesis.
  58. (1998). Theories in health care and research: theories of masculinity. doi
  59. (1976). Why do women live longer than men? doi

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