Gonsalves Christine A, McGannon Kerry R, Schinke Robert J, Pegoraro Ann
a School of Human Kinetics , Laurentian University , Sudbury , ON , Canada.
Health Psychol Rev. 2017 Jun;11(2):164-178. doi: 10.1080/17437199.2017.1281750. Epub 2017 Feb 1.
Cardiovascular disease is the leading cause of death and disability among women worldwide. Narratives circulated by the media regarding women's identities and health constitute one source of meanings by which conceptualisations about risk, risk reduction, and disease prevention are formed and framed. An interpretive and integrative meta-synthesis of qualitative research was done to examine the representations of women's cardiovascular disease in traditional and user-generated Canadian and US media narratives, and explore the implications of these for gendered identities and health promotion for women. After a literature search of electronic databases, 29 qualitative peer-reviewed journal articles published since 2000 met the eligibility criteria and were included for review. The findings revealed three overarching themes: (a) the construction of who is at risk for cardiovascular disease; (b) the portrayal of certain risk-reducing strategies and acute events; and (c) the delegation of responsibility for maintaining female cardiovascular health. These meta-synthesis findings contribute towards novel understandings about the culture of women's cardiovascular disease risk and the feminisation of healthism/individual responsibility, which may limit awareness among marginalised female demographics (those from lower socio-economic and minority racial backgrounds).
心血管疾病是全球女性死亡和残疾的主要原因。媒体传播的关于女性身份和健康的叙述构成了一种意义来源，通过它，关于风险、风险降低和疾病预防的概念得以形成和构建。我们对定性研究进行了一项解释性和整合性的元综合分析，以考察加拿大和美国传统媒体及用户生成内容中关于女性心血管疾病的呈现，并探讨这些呈现对女性性别身份和健康促进的影响。在对电子数据库进行文献检索后，2000年以来发表的29篇经过同行评审的定性期刊文章符合纳入标准并被纳入综述。研究结果揭示了三个总体主题：（a）心血管疾病风险人群的构建；（b）某些风险降低策略和急性事件的描绘；（c）维持女性心血管健康的责任归属。这些元综合分析结果有助于对女性心血管疾病风险文化以及健康主义/个人责任的女性化形成新的理解，而这可能会限制边缘化女性群体（来自社会经济地位较低和少数族裔背景的女性）的认知。
