挥鞭样损伤后即刻寻求医疗行为和医疗保健消费中的性别差异。
Gender differences in care-seeking behavior and healthcare consumption immediately after whiplash trauma.
作者信息
Tenenbaum Artur, Nordeman Lena, Sunnerhagen Katharina S, Gunnarsson Ronny
机构信息
Hälsan & Arbetslivet, Occupational Health Care Unit, Region Västra Götaland, Gothenburg, Sweden.
Department of Public Health and Community Medicine Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
出版信息
PLoS One. 2017 Apr 25;12(4):e0176328. doi: 10.1371/journal.pone.0176328. eCollection 2017.
OBJECTIVE
The aim was to study gender differences in care-seeking behavior and treatment provided immediately after whiplash trauma.
METHODS
Participants were residents from a defined geographical area, Skaraborg County in the southwestern part of Sweden. A cohort of 3,368 persons exposed to whiplash trauma and attending a healthcare facility immediately after the trauma between 1999 and 2008 were identified in a database. Information about gender, age, time elapsed prior to seeking care, type of healthcare contact, initial treatment provided and eventual hospitalization time was retrieved.
RESULTS
Women sought care later than men (p = 0.00074). Women consulted primary healthcare first more often than men, who more often first sought hospital care (p = 0.0060). There were no gender differences regarding the type of treatment after trauma. Women had longer hospital admission than men (p = 0.022), indicating their injuries were at least similar to or worse than men's.
CONCLUSION
Women sought healthcare later than men after whiplash trauma. Although not directly investigated in this study, it raises the question if this may reduce their probability of getting financial compensation compared to men.
目的
研究挥鞭样创伤后立即寻求治疗行为及所接受治疗的性别差异。
方法
参与者为瑞典西南部斯卡纳堡县特定地理区域的居民。在一个数据库中识别出1999年至2008年间3368名遭受挥鞭样创伤并在创伤后立即前往医疗机构就诊的人群。获取了有关性别、年龄、寻求治疗前经过的时间、医疗接触类型、最初接受的治疗以及最终住院时间的信息。
结果
女性比男性寻求治疗的时间更晚（p = 0.00074）。女性比男性更常首先咨询初级医疗保健，而男性更常首先寻求医院治疗（p = 0.0060）。创伤后治疗类型方面不存在性别差异。女性的住院时间比男性长（p = 0.022），表明她们的损伤至少与男性相似或比男性更严重。
结论
挥鞭样创伤后女性比男性寻求医疗保健的时间更晚。尽管本研究未直接对此进行调查，但这引发了一个问题，即与男性相比，这是否可能降低她们获得经济赔偿的概率。
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