PMID- 25583960
OWN - NLM
STAT- MEDLINE
DCOM- 20170130
LR  - 20170130
IS  - 1049-7323 (Print)
IS  - 1049-7323 (Linking)
VI  - 25
IP  - 12
DP  - 2015 Dec
TI  - "I'm No Superman": Understanding Diabetic Men, Masculinity, and Cardiac 
      Rehabilitation.
PG  - 1648-61
LID - 10.1177/1049732314566323 [doi]
AB  - Exercise-based cardiac rehabilitation (CR) programs help patients with coronary 
      heart disease (CHD) reduce their risk of recurrent cardiac illness, disability, 
      and death. However, men with CHD and Type 2 diabetes mellitus (T2DM) demonstrate 
      lower attendance and completion of CR despite having a poor prognosis. Drawing on 
      gender and masculinity theory, we report on a qualitative study of 16 Canadian 
      diabetic men recently enrolled in CR. Major findings reflect two discursive 
      positions men assumed to regain a sense of competency lost in illness: (a) 
      working with the experts, or (b) rejection of biomedical knowledge. These 
      positions underscore the varied and sometimes contradictory responses of 
      seriously ill men to health guidance. Findings emphasize the priority given to 
      the rehabilitation of a positive masculine identity. The analysis argues that 
      gender, age, and employment status are powerful mechanisms of variable CR 
      participation.
CI  - (c) The Author(s) 2015.
FAU - Dale, Craig M
AU  - Dale CM
AD  - University of Toronto, Toronto, Ontario, Canada craig.dale@utoronto.ca.
FAU - Angus, Jan E
AU  - Angus JE
AD  - University of Toronto, Toronto, Ontario, Canada.
FAU - Seto Nielsen, Lisa
AU  - Seto Nielsen L
AD  - York University, Toronto, Ontario, Canada.
FAU - Kramer-Kile, Marnie
AU  - Kramer-Kile M
AD  - College of the Rockies, Cranbrook, British Columbia, Canada.
FAU - Pritlove, Cheryl
AU  - Pritlove C
AD  - York University, Toronto, Ontario, Canada Princess Margaret Cancer Centre, 
      Toronto, Ontario, Canada.
FAU - Lapum, Jennifer
AU  - Lapum J
AD  - Ryerson University, Toronto, Ontario, Canada.
FAU - Price, Jennifer
AU  - Price J
AD  - Women's College Hospital, Toronto, Ontario, Canada.
FAU - Marzolini, Susan
AU  - Marzolini S
AD  - Toronto Rehabilitation Institute, Toronto, Ontario, Canada.
FAU - Abramson, Beth
AU  - Abramson B
AD  - St. Michael's Hospital, Toronto, Ontario, Canada.
FAU - Oh, Paul
AU  - Oh P
AD  - Toronto Rehabilitation Institute, Toronto, Ontario, Canada.
FAU - Clark, Alex
AU  - Clark A
AD  - University of Alberta, Edmonton, Alberta, Canada.
LA  - eng
GR  - IGO-86110/Canadian Institutes of Health Research/Canada
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150112
PL  - United States
TA  - Qual Health Res
JT  - Qualitative health research
JID - 9202144
MH  - Aged
MH  - *Attitude to Health
MH  - Canada
MH  - Cardiac Rehabilitation/*psychology
MH  - Comorbidity
MH  - Coronary Disease/epidemiology/*psychology/rehabilitation
MH  - Diabetes Mellitus, Type 2/epidemiology/*psychology/therapy
MH  - Employment/psychology
MH  - Humans
MH  - Interviews as Topic
MH  - Male
MH  - *Masculinity
MH  - Middle Aged
MH  - Patient Acceptance of Health Care/*psychology
MH  - Qualitative Research
MH  - Retirement/psychology
MH  - Self Care/psychology
MH  - Socioeconomic Factors
MH  - Time Factors
OTO - NOTNLM
OT  - diabetes
OT  - education, patient
OT  - gender
OT  - health care, users' experiences
OT  - heart health
OT  - illness and disease, chronic
OT  - illness and disease, experiences
OT  - masculinity
OT  - men's health
OT  - rehabilitation
EDAT- 2015/01/15 06:00
MHDA- 2017/01/31 06:00
CRDT- 2015/01/14 06:00
PHST- 2015/01/14 06:00 [entrez]
PHST- 2015/01/15 06:00 [pubmed]
PHST- 2017/01/31 06:00 [medline]
AID - 1049732314566323 [pii]
AID - 10.1177/1049732314566323 [doi]
PST - ppublish
SO  - Qual Health Res. 2015 Dec;25(12):1648-61. doi: 10.1177/1049732314566323. Epub 
      2015 Jan 12.