Do men avoid seeking medical advice? A register-based analysis of gender-specific changes in primary healthcare use after first hospitalisation at ages 60+ in Denmark
Höhn A, Gampe J, Lindahl-Jacobsen R, Christensen K, Oksuzyan A (2020)
Journal of Epidemiology and Community Health 74(7): 573-579.
Zeitschriftenaufsatz
| Veröffentlicht | Englisch
Download
573.full.pdf
704.32 KB
Autor*in
Höhn, Andreas;
Gampe, Jutta;
Lindahl-Jacobsen, Rune;
Christensen, Kaare;
Oksuzyan, AnnaUniBi
Abstract / Bemerkung
**Background**
It remains unclear whether women’s greater primary healthcare use reflects a lower treatment-seeking threshold or a health disadvantage. We address this question by studying primary healthcare use surrounding a major health shock. **Methods**
This cohort study utilises routinely-collected healthcare data covering the Danish population aged 60+ years between 1996 and 2011. Using a hurdle model, we investigate levels of non-use and levels of primary healthcare use before and after first inpatient hospitalisation for stroke, myocardial infarction (MI), chronic obstructive pulmonary disease (COPD) and gastrointestinal cancers (GIC). **Results**
Before hospitalisation, irrespective of cause, men were more likely than women to be non-users of primary healthcare (OR (95% CI): stroke 1.802 (1.731 to 1.872); MI 1.841 (1.760 to 1.922); COPD 2.160 (2.028 to 2.292); GIC 1.609 (1.525 to 1.693)). Men who were users had fewer primary healthcare contacts than women (proportional change (eβ) (95% CI): stroke 0.821 (0.806 to 0.836); MI 0.796 (0.778 to 0.814); COPD 0.855 (0.832 to 0.878); GIC 0.859 (0.838 to 0.881)). Following hospitalisation, changes in the probability of being a non-user (OR (95% CI): stroke 0.965 (0.879 to 1.052); MI 0.894 (0.789 to 0.999); COPD 0.755 (0.609 to 0.900); GIC 0.895 (0.801 to 0.988)) and levels of primary healthcare use (eβ(95% CI): stroke 1.113 (1.102 to 1.124); MI 1.112 (1.099 to 1.124); COPD 1.078 (1.063 to 1.093); GIC 1.097 (1.079 to 1.114)) were more pronounced among men. Gender differences widened after accounting for survival following hospitalisation. **Conclusion**
Women’s consistently higher levels of primary healthcare use are likely to be explained by a combination of a lower treatment-seeking threshold and a health disadvantage resulting from better survival in bad health.
It remains unclear whether women’s greater primary healthcare use reflects a lower treatment-seeking threshold or a health disadvantage. We address this question by studying primary healthcare use surrounding a major health shock. **Methods**
This cohort study utilises routinely-collected healthcare data covering the Danish population aged 60+ years between 1996 and 2011. Using a hurdle model, we investigate levels of non-use and levels of primary healthcare use before and after first inpatient hospitalisation for stroke, myocardial infarction (MI), chronic obstructive pulmonary disease (COPD) and gastrointestinal cancers (GIC). **Results**
Before hospitalisation, irrespective of cause, men were more likely than women to be non-users of primary healthcare (OR (95% CI): stroke 1.802 (1.731 to 1.872); MI 1.841 (1.760 to 1.922); COPD 2.160 (2.028 to 2.292); GIC 1.609 (1.525 to 1.693)). Men who were users had fewer primary healthcare contacts than women (proportional change (eβ) (95% CI): stroke 0.821 (0.806 to 0.836); MI 0.796 (0.778 to 0.814); COPD 0.855 (0.832 to 0.878); GIC 0.859 (0.838 to 0.881)). Following hospitalisation, changes in the probability of being a non-user (OR (95% CI): stroke 0.965 (0.879 to 1.052); MI 0.894 (0.789 to 0.999); COPD 0.755 (0.609 to 0.900); GIC 0.895 (0.801 to 0.988)) and levels of primary healthcare use (eβ(95% CI): stroke 1.113 (1.102 to 1.124); MI 1.112 (1.099 to 1.124); COPD 1.078 (1.063 to 1.093); GIC 1.097 (1.079 to 1.114)) were more pronounced among men. Gender differences widened after accounting for survival following hospitalisation. **Conclusion**
Women’s consistently higher levels of primary healthcare use are likely to be explained by a combination of a lower treatment-seeking threshold and a health disadvantage resulting from better survival in bad health.
Erscheinungsjahr
2020
Zeitschriftentitel
Journal of Epidemiology and Community Health
Band
74
Ausgabe
7
Art.-Nr.
573-579
Urheberrecht / Lizenzen
ISSN
0143-005X
eISSN
1470-2738
Page URI
https://pub.uni-bielefeld.de/record/2960095
Zitieren
Höhn A, Gampe J, Lindahl-Jacobsen R, Christensen K, Oksuzyan A. Do men avoid seeking medical advice? A register-based analysis of gender-specific changes in primary healthcare use after first hospitalisation at ages 60+ in Denmark. Journal of Epidemiology and Community Health. 2020;74(7): 573-579.
Höhn, A., Gampe, J., Lindahl-Jacobsen, R., Christensen, K., & Oksuzyan, A. (2020). Do men avoid seeking medical advice? A register-based analysis of gender-specific changes in primary healthcare use after first hospitalisation at ages 60+ in Denmark. Journal of Epidemiology and Community Health, 74(7), 573-579. https://doi.org/10.1136/jech-2019-213435
Höhn, Andreas, Gampe, Jutta, Lindahl-Jacobsen, Rune, Christensen, Kaare, and Oksuzyan, Anna. 2020. “Do men avoid seeking medical advice? A register-based analysis of gender-specific changes in primary healthcare use after first hospitalisation at ages 60+ in Denmark”. Journal of Epidemiology and Community Health 74 (7): 573-579.
Höhn, A., Gampe, J., Lindahl-Jacobsen, R., Christensen, K., and Oksuzyan, A. (2020). Do men avoid seeking medical advice? A register-based analysis of gender-specific changes in primary healthcare use after first hospitalisation at ages 60+ in Denmark. Journal of Epidemiology and Community Health 74:573-579.
Höhn, A., et al., 2020. Do men avoid seeking medical advice? A register-based analysis of gender-specific changes in primary healthcare use after first hospitalisation at ages 60+ in Denmark. Journal of Epidemiology and Community Health, 74(7): 573-579.
A. Höhn, et al., “Do men avoid seeking medical advice? A register-based analysis of gender-specific changes in primary healthcare use after first hospitalisation at ages 60+ in Denmark”, Journal of Epidemiology and Community Health, vol. 74, 2020, : 573-579.
Höhn, A., Gampe, J., Lindahl-Jacobsen, R., Christensen, K., Oksuzyan, A.: Do men avoid seeking medical advice? A register-based analysis of gender-specific changes in primary healthcare use after first hospitalisation at ages 60+ in Denmark. Journal of Epidemiology and Community Health. 74, : 573-579 (2020).
Höhn, Andreas, Gampe, Jutta, Lindahl-Jacobsen, Rune, Christensen, Kaare, and Oksuzyan, Anna. “Do men avoid seeking medical advice? A register-based analysis of gender-specific changes in primary healthcare use after first hospitalisation at ages 60+ in Denmark”. Journal of Epidemiology and Community Health 74.7 (2020): 573-579.
Alle Dateien verfügbar unter der/den folgenden Lizenz(en):
Creative Commons Namensnennung-Nicht kommerziell 4.0 International (CC BY-NC 4.0):
Volltext(e)
Name
573.full.pdf
704.32 KB
Access Level
Open Access
Zuletzt Hochgeladen
2022-01-03T11:29:34Z
MD5 Prüfsumme
8bb9aba3784f3267e1924ea365ca88c5
Daten bereitgestellt von European Bioinformatics Institute (EBI)
Zitationen in Europe PMC
Daten bereitgestellt von Europe PubMed Central.
References
Daten bereitgestellt von Europe PubMed Central.
Export
Markieren/ Markierung löschen
Markierte Publikationen
Web of Science
Dieser Datensatz im Web of Science®Quellen
PMID: 32303595
PubMed | Europe PMC
Suchen in