Gender-role identity after heart attack: Links with sex and subjective health status

Abstract This paper compares the health status of 60 women and 60 men six months after suffering a myocardial infarction. Findings confirm previous reports of women having a poorer outcome compared with men at this period of rehabilitation. However, using a measure of gender-role orientation, it was found that masculinity was a better discriminator of outcome measures than sex alone. Higher levels of masculinity were associated with better health status for both women and men. Femininity was not related to differences in health status but was related to age in the total patient sample. On the assumption that gender-role orientation is a portrayal by the individual rather than a trait, the argument is made that women and men display masculinity through different articulations of fitness. The better or worse outcomes following heart attack variously affect the ability of men and women to signify in gender terms.