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Symposium Article| Volume 348, ISSUE 2, P153-155, August 2014

Sex Differences in Cardiovascular Health: Does Sexism Influence Women's Health?

  • Lisa Molix
    Correspondence
    Correspondence: Lisa Molix, PhD, Department of Psychology, School of Science and Engineering, Tulane University, 2007 Stern Hall, New Orleans, LA 70118
    Affiliations
    From the Department of Psychology, School of Science and Engineering, Tulane University, New Orleans, Louisiana
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      Abstract

      This commentary provides a brief overview of theory and research that supports the idea that sexism may be related to the disproportionate negative cardiovascular health outcomes in women. It describes sexism as a stressor and outlines its association with a variety of health outcomes as evidence for why sex disparities should be examined within the context of pervasive inequities. To date, population-based studies have not explicitly examined the relationship between sexism and cardiovascular disease, but smaller studies have yielded fairly consistent results. It is suggested that future research should aim to examine the influence of 2 types of sexism (ie, hostile and benevolent) and that daily or within-day designs be used to assess cognitive, behavioral and physiological responses to everyday sexist experiences.

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      REFERENCES

      1. American Heart Association. Statistical fact sheet 2013 update. Available at:http://www.heart.org/idc/groups/heart-public/@wcm/@sop/@smd/documents/downloadable/ucm_319576.pdf. Accessed December 1, 2013.

        • Kim J.K.
        • Alley D.
        • Seeman T.
        • et al.
        Recent changes in cardiovascular risk factors among women and men.
        J Womens Health (Larchmt). 2006; 15: 734-746
      2. World Health Organization. Social determinants of health. Available at:http://www.who.int/social_determinants/publications/womenandgender/en/. Accessed November 20, 2013.

        • Baggio G.
        • Corsini A.
        • Floreani A.
        • et al.
        Gender medicine: a task for the third millennium.
        Clin Chem Lab Med. 2013; 51: 713-727
        • Miller V.M.
        • Rice M.
        • Schiebinger L.
        • et al.
        Embedding Concepts of sex and gender health differences into medical curricula.
        J Womens Health (Larchmt). 2013; 22: 194-202
        • Curno M.J.
        • Heidari S.
        Absence of evidence is not evidence of absence: encouraging gender analyses in scholarly publications.
        Eur Sci Ed. 2011; 37: 104-105
        • Urban P.
        • Radovanovic D.
        • Erne P.
        • et al.
        Impact of changing definitions for myocardial infarction: a report from the AMIS registry.
        Am J Med. 2008; 121: 1065-1071
        • Poon S.
        • Goodman S.G.
        • Yan R.T.
        • et al.
        Insights from a Contemporary analysis of sex-related differences in the treatment and outcomes of patients with acute coronary syndromes.
        Am Heart J. 2012; 163: 66-73
        • Dey S.
        • Flather M.D.
        • Devlin G.
        • et al.
        Sex-related differences in the presentation, treatment and outcomes among patients with acute coronary syndromes: the Global Registry of Acute Coronary Events.
        Heart. 2009; 95: 20-26
        • Klonoff E.A.
        • Landrine H.
        • Campbell R.
        Sexist discrimination may account for well-known gender differences in psychiatric symptoms.
        Psychol Women Q. 2000; 24: 93-99
        • Miller C.T.
        • Kaiser C.R.
        A theoretical perspective on coping with stigma.
        J Soc Issues. 2001; 57: 73-92
        • Krieger N.
        Genders, sexes, and health: what are the connections—and why does it matter?.
        Int J Epidemiol. 2003; 32: 652-657
        • Allport G.W.
        The Nature of Prejudice.
        Addison-Wesley, Oxford (United Kingdom)1954
        • Landrine H.
        • Klonoff E.A.
        Discrimination Against Women: Prevalence, Consequences, Remedies.
        Sage Publications, Thousand Oaks (CA)1997
        • Landrine H.
        • Klonoff E.A.
        • Gibbs J.
        • et al.
        Physical and psychiatric correlates of gender discrimination.
        Psychol Women Q. 1995; 19: 473-492
        • Glick P.
        • Fiske S.T.
        The Ambivalent sexism Inventory: differentiating hostile and benevolent sexism.
        J Pers Soc Psychol. 1996; 70: 491-512
        • Rudman L.A.
        • Glick P.
        The Social Psychology of Gender: How Power and Intimacy Shape Gender Relations.
        New York (NY), Guilford2008
        • Swim J.K.
        • Hyers L.L.
        Excuse me—What did you just say? Women's public and private responses to sexist remarks.
        J Exp Social Psychol. 1999; 35: 68-88
        • Dohrenwend B.S.
        • Dohrenwend B.P.
        Stressful Life Events: Their Nature and Effects.
        John Wiley & Sons, New York (NY)1974
        • Kanner A.D.
        • Coyne J.C.
        • Schaefer C.
        • et al.
        Comparison of two modes of stress measurement: daily hassles and uplifts versus major life events.
        J Behav Med. 1981; 4: 1-39
        • O'Connor D.B.
        • Jones F.
        • Conner M.
        • et al.
        Effects of daily hassles and eating style on eating behavior.
        Health Psychol. 2008; 27: S20-S31
        • Berg S.H.
        Everyday sexism and posttraumatic stress disorder in women: a correlational study.
        J Womens Health (larchmt). 2013; 22: 194-202
        • Moradi B.
        • Subich L.M.
        Examining the moderating role of self-esteem in the link between experiences of perceived sexist events and psychological distress.
        Couns Psychol. 2004; 51: 50
        • Zucker A.N.
        • Landry L.J.
        Embodied discrimination: the relation of sexism and distress to women's drinking and smoking behaviors.
        Sex Roles. 2007; 56: 193-203
        • Smart Richman L.
        • Jonassaint C.
        The effects of race-related stress on cortisol reactivity in the laboratory: implications of the Duke lacrosse scandal.
        Ann Behav Med. 2008; 35: 105-110
      3. Townsend SM, Major B, Gangi CE,Berry Mendes. From "In the air" to "Under the skin": cortisol responses to social identity threat. Pers Soc Psychol Bull 37:151–64.

        • Miller G.E.
        • Chen E.
        • Zhou E.S.
        If it goes up, must it come down? Chronic stress and the hypothalamic-pituitary-adrenocortical axis in humans.
        Psychol Bull. 2007; 133: 25
        • Burke H.M.
        • Davis M.C.
        • Otte C.
        • et al.
        Depression and cortisol responses to psychological stress: a meta-analysis.
        Psychoneuroendocrinology. 2005; 30: 846-856
        • Wilkinson P.
        • Goodyer I.
        Non-suicidal self-injury.
        Eur Child Adolesc Psychiatry. 2011; 20: 103-108
        • Rosmond R.
        • Dallman M.F.
        • Bjorntorp P.
        Stress-related cortisol secretion in men: relationships with abdominal obesity and endocrine, metabolic and hemodynamic abnormalities.
        J Clin Endocrinol Metab. 1998; 83: 1853-1859
        • Whitworth J.A.
        • Brown M.A.
        • Kelly J.K.
        • et al.
        Mechanisms of cortisol-induced hypertension in humans.
        Steroids. 1995; 60: 76-80
        • Lepore S.J.
        • Revenson T.A.
        • Weinberger S.L.
        • et al.
        Effects of social stressors on cardiovascular reactivity in black and white women.
        Ann Behav Med. 2006; 31: 120-127
        • Swim J.K.
        • Hyers L.L.
        • Cohen L.L.
        • et al.
        Everyday sexism: evidence for its incidence, nature, and psychological impact from three daily diary studies.
        J Soc Issues. 2001; 57: 31-53