Heart Disease Risk Perception in College Men and Women

Abstract

The authors sought to assess the perception of risks for coronary heart disease (CHD) in college men and women. They surveyed 470 undergraduates from 2 major 4-year institutions who completed a questionnaire that measured perceived risks for heart disease. Sixty-eight percent of the respondents rated their risks as lower or much lower than those of their peers, indicating a clear optimistic bias. The research also revealed that the students who exercised regularly rated their risk of coronary disease lower than those who did not do so. In addition, women perceived a number of risk markers to be more potent or causative factors than men did. A significant number of participants did not comprehend commonly understood causal relationships associated with heart disease risk. The findings in this preliminary investigation suggest that college men and women do not accurately perceive their risks for developing heart disease.     

Sharing Health Services: Two Universities,a Seminary,and a Community

Abstract

“The Inverse Relation Between Fish Consumption and 20-Year Mortality From Coronary Heart Disease,” DAAN KROMHOUT, et al. The low death rate from coronary heart disease among the Greenland Eskimos has been ascribed to their high fish consumption. We therefore decided to investigate the relation between fish consumption and coronary heart disease in a group of men in the town of Zutphen, the Netherlands. Information about the fish consumption of 852 middle-aged men without coronary heart disease was collected in 1960 by a careful dietary history obtained from the participants and their wives. During 20 years of follow-up 78 men died from coronary heart disease. An inverse dose-response relation was observed between fish consumption in 1960 and death from coronary heart disease during 20 years of follow-up. This relation persisted after multiple logistic-regression analyses. Mortality from coronary heart disease was more than 50 per cent lower among those who consumed at least 30g of fish per day than among those who did not eat fish.

We conclude that the consumption of as little as one or two fish dishes per week may be of preventive value in relation to coronary heart disease. (New England Journal of Medicine 1985;312:1205–9.)

“Teaching Touch at Medical School,” JULES OLDER. The association between touch and healing is ancient and worldwide. Skilled hands are among the physician's most important diagnostic and therapeutic tools. Yet a survey of medical schools in the English-speaking world revealed that most offer no touch training in their curricula. Of 169 medical schools, only 12 give any formal instruction in the uses and meaning of therapeutic touch in medicine. The teaching modes of these 12 schools are discussed, and the program of the most touch-conscious school, the University of Otago, is described. (Journal of the American Medical Association 1984;252:931–3.)

“Tubal Infertility and the Intrauterine Device,” DANIEL W. CRAMER, et al. To study the association between intrauterine devices (IUDs) and pelvic inflammatory disease, we compared contraceptive histories in 4185 white women—283 nulliparous women with primary tubal infertility, 69 women with secondary tubal infertility, and 3833 women admitted for delivery at seven collaborating hospitals from 1981 to 1983. The relative risk of tubal infertility associated with IUD use was calculated by means of multivariate logistic regression to control for confounding factors, including region, year of menarche, religion, education, smoking, and reported number of sexual partners. The adjusted risk of primary tubal infertility associated with any IUD use before a first live birth was 2.0 (95 per cent confidence limits, 1.5 to 2.6) relative to nonuse. Users of the Dalkon Shield had an adjusted risk of 3.3 (1.7 to 6.1), users of the Lippes Loop or Saf-T-Coil had a risk of 2.9 (1.7 to 5.2), and users of copper IUDs had a risk of 1.6 (1.1 to 2.4). Women who reported having only one sexual partner had no increased risk of primary tubal infertility associated with IUD use. The adjusted risk of secondary tubal infertility associated with use of a copper IUD after a first live birth was not statistically significant (1.5; 95 per cent confidence limits, 0.8 to 3.0), whereas the risk from similar use of noncopper devices was significant (2.8; 1.3 to 5.9). We conclude that tubal infertility is associated with IUD use, but less so with copper IUDs. (New England Journal of Medicine 1985;312:941–7.)     

Why do men get more heart disease than women? An international perspective

Biological, behavioral, and psychosocial contributions to the gender gap in coronary heart disease (CHD) are discussed. Although CHD is the Number 1 cause of death for both sexes in the industrialized world, CHD mortality rates between these countries are larger than those between men and women, suggesting that biological factors are not the sole influences on the gender gap in CHD. Traditional coronary risk factors cannot explain the rapid increase in CHD mortality among middle-aged men in many of the newly independent states of eastern Europe. However, eastern European men score higher on stress-related psychosocial coronary risk factors (e.g., social isolation, vital exhaustion) than men living in the West. Comparisons between the sexes also reveal gender differences in psychosocial and behavioral coronary risk factors, including excessive alcohol consumption and smoking, favoring women. Overall, it appears that men's coping with stressful events may be less adaptive physiologically, behaviorally, and emotionally, contributing to their increased risk for CHD.     

Pluralistic ignorance and hooking up

Hooking up--when two people agree to engage in sexual behavior for which there is no future commitment--has become popular on college campuses. In this study we examined the extent to which pluralistic ignorance affects hooking up. One hundred thirty-six female and 128 male college students answered questions regarding their own comfort and their perceived peers comfort in engaging in a variety of sexual behaviors while hooking up. We hypothesized and found that both women and men rated their peers as being more comfortable engaging in these behaviors than they rated themselves. Men expressed more comfort than did women in engaging in these behaviors, and both sexes overestimated the other gender s comfort with hooking up behaviors. Pluralistic ignorance appears to apply to hooking up on college campuses, and we explore some potential consequences of pluralistic ignorance in this context.     

Pluralistic ignorance and Hooking up

“Hooking up “—when two people agree to engage in sexual behavior for which there is no future commitment—has become popular on college campuses. In this study we examined the extent to which pluralistic ignorance affects hooking up. One hundred thirty‐six female and 128 male college students answered questions regarding their own comfort and their perceived peers'comfort in engaging in a variety of sexual behaviors while hooking up. We hypothesized and found that both women and men rated their peers as being more comfortable engaging in these behaviors than they rated themselves. Men expressed more comfort than did women in engaging in these behaviors, and both sexes overestimated the other gender's comfort with hooking up behaviors. Pluralistic ignorance appears to apply to hooking up on college campuses, and we explore some potential consequences of pluralistic ignorance in this context.     

Results of a Heart Disease Risk-Factor Screening Among Traditional College Students

Abstract

Biological, behavioral, and psychosocial contributions to the gender gap in coronary heart disease (CHD) are discussed. Although CHD is the Number 1 cause of death for both sexes in the industrialized world, CHD mortality rates between these countries are larger than those between men and women, suggesting that biological factors are not the sole influences on the gender gap in CHD. Traditional coronary risk factors cannot explain the rapid increase in CHD mortality among middle-aged men in many of the newly independent states of eastern Europe. However, eastern European men score higher on stress-related psychosocial coronary risk factors (eg, social isolation, vital exhaustion) than men living in the West. Comparisons between the sexes also reveal gender differences in psychosocial and behavioral coronary risk factors, including excessive alcohol consumption and smoking, favoring women. Overall, it appears that men's coping with stressful events may be less adaptive physiologically, behaviorally, and emotionally, contributing to their increased risk for CHD.     

Attaining Status at the Expense of Likeability: Pilfering Power Through Conversational Interruption

Do status expectations affect how we interpret interruption in conversation? Two experiments examined how interrupters and their targets are perceived in same- and mixed-gender dyads. In Experiment 1, participants listened to a brief audiotaped conversation in which one person interrupted the other five times. In Experiment 2, four confederates (two men and two women) systematically interrupted naïve participants while discussing an article. In general, interrupters gained in status and targets of interruption lost status. In addition, participants who were interrupted rated themselves as less influential than those who were not interrupted. As expected, interrupters, especially female interrupters, were liked less than those who did not interrupt. Theoretical implications are discussed.     

Barrier versus oral contraceptive use: a study of female college students

Although they provide birth control and are easier to use, oral contraceptives (OCPs) are not the preferred approach to preventing sexually transmitted disease (STD). Do the knowledge, attitudes, and experiences of oral contraceptive users place them at greater risk for STDs than those who employ barrier methods? This study examined differences between sexually active female college students (ie, those who reported ever having had vaginal intercourse) who used OCPs and those who employed barrier methods of contraception at the time of their most recent intercourse. The authors analyzed HIV- and other STD-related knowledge, attitudes, and behaviors from three consecutive annual health surveys of young women about to begin their first year of college. Findings showed barrier and OCP users to be comparable in knowledge about the effectiveness of various contraceptive methods in protecting them against STDs, perceived personal susceptibility to HIV, and experiences with alcohol before sexual intercourse. Oral contraceptive users, compared with those in the group who used barrier methods, reported a greater number of recent partners (p less than .03) and greater perceived vulnerability to STDs (p less than .03). Student healthcare providers must develop creative educational strategies to encourage simultaneous use of both oral contraceptives and barrier methods to protect students against STDs and pregnancy.     

Oral Sex: Varied Behaviors and Perceptions in a College Population

Views and behaviors pertaining to oral sex have changed in recent years. This anonymous, online survey posed both old and new questions pertaining to oral sex among a college population. This study not only confirmed previous findings about virgins engaging in oral sex but also found that women reported giving oral sex more often than receiving it from men. Oral sex was not only perceived as less intimate than intercourse but also more likely to be perceived as less intimate by women than men. Participants most frequently endorsed a committed relationship, but not a married relationship, for comfort in engaging in oral sex. Last, college students were more knowledgeable of the sexually transmitted infection risks of oral sex than how to actually protect themselves during oral sex. Additional analyses by gender and virginity were also performed to further understanding of the nuances amongst virgins and women and men.     

Actual versus perceived risk of cervical cancer among college women smokers

Cervical cancer is a well-established smoking-related illness, but many at-risk women are unaware of this link. OBJECTIVE: The authors designed this study to (1) investigate the relationship of smoking behavior with the history of abnormal Pap test results, sexual history, and perceived risk of cervical cancer and (2) determine whether self-classified smoking status (and hence perceived risk) corresponds with actual smoking behavior in a college student population. PARTICIPANTS AND METHOD SUMMARY: College women students (N = 135) completed a survey assessing smoking history, health history, sexual risk behavior, and risk awareness. RESULTS: Relative to those who had not smoked in the past month, current smokers (n = 36, or 27% of the total sample) perceived themselves to be at higher risk for developing cervical cancer, but did not demonstrate increased awareness of specific cervical cancer risk factors, including smoking. Twenty-eight percent (10 of 36) of past-month smokers did not define themselves as current smokers. CONCLUSION: The authors conclude that anti-smoking and health-related messages targeting smokers may misfire for individuals who do not define themselves as smokers but are nonetheless at risk for smoking-related consequences and escalating use.     

Oral sex: varied behaviors and perceptions in a college population

Views and behaviors pertaining to oral sex have changed in recent years. This anonymous, online survey posed both old and new questions pertaining to oral sex among a college population. This study confirmed previous findings about virgins engaging in oral sex, but also found that women reported giving oral sex more often than receiving it from men. Oral sex was not only perceived as less intimate than intercourse, but more likely to be perceived as less intimate by women than men. Participants most frequently endorsed a committed relationship, but not a married relationship, for comfort in engaging in oral sex. Lastly, college students were more knowledgeable of the sexually transmitted infection risks of oral sex than how to actually protect themselves during oral sex. Additional analyses by gender and virginity were also performed to further understanding of the nuances amongst virgins and women and men.     

The effects of interruption,gender, and status on interpersonal perceptions

This study examined: (1) how violations in turn-taking, ie., interruption, are perceived, (2) whether attributions toward an interrupter vary according to gender and status, and (3) how individuals who adopt cross-sex interruptive styles are seen. Subjects listened to a four-minute audiotape of a conversation and rated conversants on masculinity, femininity, competence, sociability, attractiveness, and traditionality. Sex of interrupter, style of interruption (statement, question, no interruption), and status were varied. Results suggest that interruption leads to negative personality attributions. Interrupters were seen as less sociable and more assertive than individuals who did not interrupt. They were also perceived as more masculine and less feminine than those who did not interrupt. Few sex differences emerged, indicating that women who interrupt are not penalized relative to men.We would like to thank Emory Cowen for his helpful comments and suggestions on earlier version of this article. We extend special thanks to Anne Bogat for her assistance and support at Michigan State University, and to Sharon Benson, Erica Colwell, Scott Fischer, Maureen Goldman, Jason Korosec, Michael Lynch and Ann Skoczenski for their assistance and patience in the development of the materials.     

Evaluating the complex interactions between malaria and cholera prevalence,neglected tropical disease comorbidities,and community perception of health risks of climate change

The burgeoning literature on the climate change–human health nexus has focused almost exclusively on the health impacts of climate change with little attention to how ill-health and disease influence public perception of the health risks of climate change. Based on a cross-sectional survey of 1,253 individuals, linear regression was used to examine the independent effects of malaria and cholera prevalence, and neglected tropical disease comorbidities on perceived health risks of climate change. Individuals who reported more comorbidities had higher scores on perceived health risks of climate change compared with those who did not report any comorbidities. Unexpectedly, at the multivariate level, there were no statistically significant relationships between age of respondents, gender, and educational attainment on the one hand, and perceived health risks of climate change on the other hand. Individuals who were diagnosed with cholera in the past 12 months had higher scores on perceived health risks of climate change but there was no relationship between diagnosis with malaria in the past 12 months and perceived health risks. Individuals who had attained secondary education had lower scores on perceived health risks of climate change compared with those without any formal education. Given that this relationship did not exist at the bivariate level, it indicates that biosocial and sociocultural factors suppressed the relationship between secondary education attainment and perceived health risks of climate change. The findings underscore the complex relationship between perceived health risks of climate change and infectious disease, comorbidities, compositional, and contextual factors at the multivariate level.     

Treating cardiovascular disease in women

Cardiovascular disease (CVD) is the most common cause of death in women but some of the challenges of management differ from those in men. This article addresses the gender-specific issues of cardiovascular management, with emphasis on ischaemic heart disease and modification of coronary risk factors. Women with ischaemic heart disease present later than men, and are therefore older and more likely to suffer from co-morbidities such as diabetes and hypertension. Proven CVD risk factors in women can be divided into those that are modifiable and those that are non-modifiable. The former include diabetes, dyslipidaemia, hypertension, smoking, obesity, sedentary lifestyle and poor nutrition; the latter include family history of heart disease and older age at presentation. It is this difference in age and general health that explains much of the variability in response to treatment. Pharmacotherapy, percutaneous intervention, surgical revascularization, and cardiac rehabilitation and disease prevention are discussed.     

Use of Drinking Protective Behavioral Strategies and Sexual Perceptions and Behaviors in U.S. College Students

Alcohol use among college students is linked to an increased likelihood of engaging in risky sexual behaviors, including casual sex and unprotected sex. These behaviors increase college students' risks for negative social and health-related consequences. This study examined the relationship between drinking behaviors and protective behavioral strategies (PBS), expectancies and perceptions of sexual risk, and actual alcohol-related sexual behaviors and consequences. Sexually active college students completed Web-based self-report measures of drinking behaviors and use of PBS, alcohol expectancies and perceptions of risk, and sexual behaviors and related consequences (n = 524; 57.1% women). Findings indicated that PBS were related to lower expectancies of sexual risk and sexual disinhibition, and among lighter drinkers, lower expectancies of sexual enhancement from alcohol. PBS were also related to decreased perceptions of sexual-related risks, some alcohol-related sexual behaviors, including number of drinks before/during sex, and number of sexual consequences, but were not related to abstaining during sex, frequency of alcohol-related sexual behaviors, or general condom use. These findings demonstrate a disconnect between perceived and actual risks among college students, such that decreased perceptions of risk may not be associated with protective behaviors. Prevention and intervention implications are discussed.     

Perceived threats of female infidelity, male proprietariness, and violence in college dating couples

According to evolutionary theory, men faced the adaptive problem of keeping their partners sexually faithful. In the current study, men's perception that their partners are interested in other men was hypothesized to be associated with more controlling behaviors in romantic relationships. Of the two dimensions of mating tactics, controlling and attentive behaviors, physically aggressive men were expected to be especially controlling, but not attentive. Using structural equation modeling with 116 college dating couples, women who reported greater interest in other men were perceived by their partners to do so and these men also exhibited more controlling behaviors, which were associated with physical aggression. Men's perception of women's interest in others was a more important predictor of male violence than women's actual interest in other men. The link between women's control tactics and their use of physical violence differed from men.     

Perceived norms and alcohol consumption: differences between college students from rural and urban high schools

OBJECTIVE: The authors examined perceived norms and drinking among college students who attended high schools in rural and urban communities. PARTICIPANTS AND METHODS: Undergraduates (99 men and 85 women) who attended high schools in communities with populations ranging from less than 100 to more than 400,000 completed surveys assessing perceived norms and alcohol consumption. RESULTS: Analyses revealed that students from smaller towns and in smaller high school graduating classes reported heavier drinking and that perceived norms were positively associated with drinking. Perceived norms were unrelated to population variables, and the relationship between perceived norms and drinking did not vary as a function of population variables. Results suggest that differences in drinking as a function of coming from more rural areas contribute to drinking behavior in college independently of perceived norms. CONCLUSIONS: College students may adjust to campus drinking norms relatively quickly, and longitudinal research would be useful in understanding this transition.     

Screening for hypercholesterolemia in college students

Two national panels have recommended similar, specific strategies for detecting hypercholesterolemia: selective screening for children aged 2 to 19, and mass screening for individuals aged 20 and over. It is, however, unclear how best to apply these recommendations to a college student population. In order to determine which strategy is more efficient, this study compared mass with selective screening of college students for hypercholesterolemia. In the mass screening strategy, all entering students were asked to have their cholesterol levels measured and to provide other coronary risk factor information. In the selective screening strategy, all sophomores with a family history of heart disease were asked to participate in a risk factor screening program. In this study, mass screening identified more hypercholesterolemic students with less effort per case found than did selective screening. We recommend that college health practitioners consider mass screening programs to identify students who could benefit from coronary risk reduction.     

Division of Household Labor and Social Judgments in Israel: The Influence of Gender and Education

The study investigated how men and women with high and low levels of education perceive male and female targets who participate or do not participate in household chores. It was found that individuals liked both men and women who participated in the household chores more and wanted to engage in activities with them more than with the low‐participating targets. The participating man was perceived as more popular than the low‐participating man and was perceived as more feminine but not less masculine. In addition, although participants with both high and low levels of education preferred the participating man, the more educated participants preferred him more, attributed more masculinity to him, and expressed willingness to befriend him and engage in activities with him more than those with a lower level of education. It seems, then, that whereas in the 1990s both highly and less educated individuals perceive a male target who participates in household chores more favorably, this preference is more pronounced among the more educated individuals.     

Actual Versus Perceived Risk of Cervical Cancer Among College Women Smokers

Cervical cancer is a well-established smoking-related illness, but many at-risk women are unaware of this link. Objective: The authors designed this study to (1) investigate the relationship of smoking behavior with the history of abnormal Pap test results, sexual history, and perceived risk of cervical cancer and (2) determine whether self-classified smoking status (and hence perceived risk) corresponds with actual smoking behavior in a college student population. Participants and Method Summary: College women students (N = 135) completed a survey assessing smoking history, health history, sexual risk behavior, and risk awareness. Results: Relative to those who had not smoked in the past month, current smokers (n = 36, or 27% of the total sample) perceived themselves to be at higher risk for developing cervical cancer, but did not demonstrate increased awareness of specific cervical cancer risk factors, including smoking. Twenty-eight percent (10 of 36) of past-month smokers did not define themselves as current smokers. Conclusion: The authors conclude that antismoking and health-related messages targeting smokers may misfire for individuals who do not define themselves as smokers but are nonetheless at risk for smoking-related consequences and escalating use.