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By Jessica Hamzelou. Not good for the heart.

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Housework takes a heavy toll. Women may be more likely to die after a heart attack than men because they do more housework, childcare and looking after relatives. Women who have heart disease tend to have worse symptoms and are more likely to die from the condition than men.

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Until now, it has been hard to distinguish whether this might be due to differences in biology or lifestyle. But a new method for teasing apart physiological and social factors has shown that caring for children and performing household chores for more of this difference than biological factors do. Worldwide, heart diseases kill more men and women than anything else. Doctors have long observed that acute coronary syndrome ACS — an umbrella term that covers many heart disorders including heart attacks and angina — affects women more severely.

They have worse symptoms, poorer recoveries and are more likely to die from it. To understand why, Colleen Norris at the University of Alberta in Edmonton, Canada, and her colleagues have been following the progress of men and women diagnosed with ACS.

They then looked at how each person was doing a year after starting treatment, and used a statistical programme to compare this with their biological sex, medical factors like blood pressure, plus 31 traits or attributes such as salary size and time spent doing housework that have been historically linked to a male or female gender.

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As well as showing that the women were in worse health a year after diagnosis, the analysis identified seven factors that seemed to play a role in determining how well a person was likely to recover. Those whose personality traits and social behaviours ranked as less masculine or more feminine based on answers to questions adapted from a standard questionnaire developed in the s also suffered worse health. Data from Statistics Canada suggests that women spend about 65 per cent more time doing unpaid domestic chores than men, including housework and maintenance work around the home and garden.

On average, women spend nearly 14 hours on such work a week, while men spend only about 8 hours on the same.

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Norris has also found that women are more likely to look after other members of the family, even when they themselves are unwell. Similar trends are seen in other countries. One Finnish study, for example, has found that men are more likely to survive a heart attack if they are marriedbut the opposite is true for women — single women recover better than those who are married. : Women live longer than men but suffer more years of poor health.

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Childcare and housework are what give women more heart problems