Gender differences in use of primary and secondary control strategies in older adults with major health problems

The present study examined primary and secondary control strategies among 143 men and women (73-98 years) who either reported having had or not had an acute event (heart attack or stroke), all of whom had health-related restrictions on everyday tasks and activities. Repeated measures of ANCOVAs tested the between-group effects of gender (men, women) and Acute Event (no, yes) and the within-subject effect, strategy type, on the frequency ratings of multiple control strategies. For men, having suffered an acute health event was unrelated to their use of primary control strategies. In contrast, women who had experienced an acute health event reported significantly less frequent use of primary control strategies than their counterparts who had not, perhaps suggesting that acute health events undermine proactive control striving and precipitate a shift to secondary control. Moreover, women differed significantly from men in their use of secondary control strategies, using them more often and displaying more diversity in their use. By demonstrating that women's use of primary control strategies is related to their past health events and that they adopt secondary control strategies more often than men and in a more differentiated or selective way, our findings underscore the importance of examining gender differences in strategy use during later life.