Friday, March 18, 2016

"Is Medicine’s Gender Bias Killing Young Women?"

"For decades, studies have attempted to tease out the various factors that may contribute to that significant gender gap. Recently, researchers at the Yale School of Public Health published a qualitative study exploring the experiences of women under the age of 55 who had been hospitalized for a heart attack. The main take-away—according to most headlines summing up the results—seems to be that younger women may “ignore” or “dismiss” their symptoms and “hesitate” or “delay” in seeking care, in part out of anxiety about raising a false alarm.


But focusing on what individual women do—or don’t do—when they’re having a heart attack is a way of subtly shifting the blame for the deep and systemic failures of our health care system onto its victims. In reality, the themes that emerged from the interviews with 30 women in the Yale study, as well as previous research on women and heart attacks, paint a more complicated—and even more disturbing—picture of how gender bias plays out on multiple levels, both within and outside the medical system, to affect women’s ability to get life-saving care in a crisis...

Last year, the American Heart Association credited recent gender-specific research with improving the diagnostic processes for non-obstructive coronary heart disease in women. “For decades, doctors used the male model of coronary heart disease testing to identify the disease in women, automatically focusing on the detection of obstructive coronary artery disease,” AHA cardiologist Jennifer H. Mieres explained at the time. “As a result, symptomatic women who did not have classic obstructive coronary disease were not diagnosed with ischemic heart disease, and did not receive appropriate treatment, thereby increasing their risk for heart attack.”

Related: Heart attacks; ADHD; Autism under-diagnosed in women

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