Morabia A, Fabre J, Dunand J P
Department of Medicine, University Cantonal Hospital, Geneva, Switzerland.
J Clin Epidemiol. 1992 Feb;45(2):111-6. doi: 10.1016/0895-4356(92)90003-6.
There is a wealth of evidence that more psychotropic drugs are prescribed to female than to male patients. We studied the psychotropic drug prescription of 15 male and 9 female physicians to 2493 patients in the Ambulatory Care Clinic of a University hospital. The relative odds (RO) of benzodiazepine prescription to a female compared to a male patient was the same when the physician was a male or a female (adjusted RO: 1.8; 95% CL: 1.5-2.1). But female patients were significantly more likely to be prescribed psychotropic drugs of all types from a female than from a male physician (adjusted RO: 1.3; 95% CL: 1.0-1.7). Information on patient diagnosis or on severity of symptoms would be needed to determine whether the present results reflect gender differences in medical care needs, overprescription of psychotropic drugs to females or underprescription of psychotropic drugs to males.
有大量证据表明，女性患者比男性患者被开的精神药物更多。我们研究了15名男性医生和9名女性医生在一所大学医院门诊护理诊所为2493名患者开具精神药物的情况。当医生是男性或女性时，女性患者与男性患者相比被开具苯二氮䓬类药物的相对比值（RO）是相同的（调整后的RO：1.8；95%置信区间：1.5 - 2.1）。但是，女性患者从女性医生那里比从男性医生那里更有可能被开所有类型的精神药物（调整后的RO：1.3；95%置信区间：1.0 - 1.7）。需要患者诊断信息或症状严重程度信息来确定目前的结果是否反映了医疗护理需求的性别差异、对女性精神药物的过度处方或对男性精神药物的处方不足。
