How gender-specific are predictors of post-MI HRQoL? A longitudinal study

Extant research shows that health-related quality of life (HRQoL) differs between female and male survivors of myocardial infarction (MI), but the reasons for this are not fully understood. We aimed to examine the predictors of HRQoL in female and male survivors during the first year after MI. At ti...

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Bibliographic Details
Published in:Health and quality of life outcomes 2020-06, Vol.18 (1), p.1-202, Article 202
Main Authors: Wlodarczyk, Dorota, Zietalewicz, Urszula
Format: Article
Language:English
Subjects:
Anxiety
Cardiac patients
Coping
Correlation analysis
Females
Gender
Gender aspects
Gender differences
Heart attack
Longitudinal studies
Males
Men
Myocardial infarction
Optimism
Patients
Personality
Quality of life
Rehabilitation
Sex differences
Stress (Psychology)
Studies
Survival
Variables
Women
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Summary:Extant research shows that health-related quality of life (HRQoL) differs between female and male survivors of myocardial infarction (MI), but the reasons for this are not fully understood. We aimed to examine the predictors of HRQoL in female and male survivors during the first year after MI. At timepoints 1 and 2, the sample comprised 222 MI survivors (59 women and 163 men; mean age 53.84 years, range 24-65) referred for in-patient cardiac rehabilitation. This number dropped to 140 participants (42 women and 98 men) at the third timepoint, approximately one year after the MI. We examined the gender differences in various predictors of physical and mental HRQoL: demographic factors (e.g., age, education, marital status), disease-related factors (pre- and post-MI), personality and coping with stress. Initially, both physical and mental HRQoL were lower in women than men, but the differences disappeared at timepoint 3. Stepwise regressions performed separately for men and women revealed that the factors shaping HRQoL were different in both genders; they also changed over time. Substantially fewer factors predicted physical HRQoL in women than in men. Trait anxiety seems to play a similarly negative role in both genders. The psychosocial resources that influence HRQoL were different for women and men. There were also differences concerning predictors of HRQoL dimensions. Further studies with a different or broader range of predictors are needed, especially among women.
ISSN:1477-7525
1477-7525
DOI:10.1186/s12955-020-01439-4