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Hearty Health for Rural Women 
An examination of issues identified by women with 
heart disease living in Greater Southern Area Health 
Service NSW 
Annie Flint 
annie.flint@gsahs.health.nsw.gov.au
Greater Southern Area Health 
Service
The Study 
• Ten women participated in the study, ages 
ranged from 52 years to 83 years 
• A qualitative methodology was used to 
provide a social framework and an 
increased understanding of the diversity of 
women’s experiences
Victim Blaming
Main Messages 
• Heart disease is a women’s health issue 
(one in five women die from heart disease) 
• Early identification of heart disease in 
women will improve long term outcomes 
(particularly important because women are 
living longer but frequently in poorer 
health)
Main Messages (cont) 
• Family history of heart disease is common 
in women (all the participants had a father 
< 55 yrs or mother <65 yrs with heart 
disease) good early indicator of potential 
risk 
• Women have uncharacteristic symptoms of 
heart disease which are sometimes 
mistaken for other illnesses or old age
Main Messages (cont) 
• Women are concerned about the impact of 
their heart disease on family and the 
community (Davidson/Hancock 2003 Dietary Changes 
Women’s Cardiac Rehabilitation Program) 
• Women’s inability to fulfill usual roles and 
responsibilities adds to the distress of not 
only having a serious illness but not being 
able to stay involved in routine daily 
activities (volunteering, child care, church, cleaning)
Key Findings 
• The impact of gender (caring roles, family 
burden) 
• The lack of evidence about women and 
heart disease (women are not subjects in 
research studies) 
• Atypical signs and symptoms experienced by 
women (tiredness, shortness of breath, 
breast pain, reflux)
Next Steps 
• Heart health screening by women’s health 
nurses 
• GP education promotion of 50+ check 
• Cardiac rehabilitation programs for women 
• Include women in research studies
Next Steps 
• Heart health screening by women’s health 
nurses 
• GP education promotion of 50+ check 
• Cardiac rehabilitation programs for women 
• Include women in research studies

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Heart Issues Rural Women Face

  • 1. Hearty Health for Rural Women An examination of issues identified by women with heart disease living in Greater Southern Area Health Service NSW Annie Flint annie.flint@gsahs.health.nsw.gov.au
  • 2. Greater Southern Area Health Service
  • 3. The Study • Ten women participated in the study, ages ranged from 52 years to 83 years • A qualitative methodology was used to provide a social framework and an increased understanding of the diversity of women’s experiences
  • 5. Main Messages • Heart disease is a women’s health issue (one in five women die from heart disease) • Early identification of heart disease in women will improve long term outcomes (particularly important because women are living longer but frequently in poorer health)
  • 6. Main Messages (cont) • Family history of heart disease is common in women (all the participants had a father < 55 yrs or mother <65 yrs with heart disease) good early indicator of potential risk • Women have uncharacteristic symptoms of heart disease which are sometimes mistaken for other illnesses or old age
  • 7. Main Messages (cont) • Women are concerned about the impact of their heart disease on family and the community (Davidson/Hancock 2003 Dietary Changes Women’s Cardiac Rehabilitation Program) • Women’s inability to fulfill usual roles and responsibilities adds to the distress of not only having a serious illness but not being able to stay involved in routine daily activities (volunteering, child care, church, cleaning)
  • 8. Key Findings • The impact of gender (caring roles, family burden) • The lack of evidence about women and heart disease (women are not subjects in research studies) • Atypical signs and symptoms experienced by women (tiredness, shortness of breath, breast pain, reflux)
  • 9. Next Steps • Heart health screening by women’s health nurses • GP education promotion of 50+ check • Cardiac rehabilitation programs for women • Include women in research studies
  • 10. Next Steps • Heart health screening by women’s health nurses • GP education promotion of 50+ check • Cardiac rehabilitation programs for women • Include women in research studies