Härtel U
GSF Medis-Institut, Neuherberg.
Soz Praventivmed. 1988;33(3):148-54. doi: 10.1007/BF02078422.
Sex differences in the frequency of physician visits, participation in cancer screening tests, number of drugs consumed, intake of antihypertensive drugs, and participation in hypertension screening have been investigated with data from the Munich Blood Pressure Study I and II (MBS 1981 and 1982). The study population was a random sample of the adult population of Munich (30-69 yrs.). 2216 men and women participated in MBS I (response 69.3%). The results from descriptive analyses and multivariate logistic regression showed significant relationships between sex and the various types of medical care utilization described above, with the exception of participation in hypertension screening, that is participation in the Munich Blood Pressure Study. Also, after controlling for age, marital status, education, occupational position, subjective physical well-being, number of chronic diseases, women went more often to the doctors and consumed more drugs than men. The sex differences were the largest in the participation of cancer screening tests (odds ratio 7.7), and the smallest in the frequency of physician visits (odds ratio 1.8) and participation in hypertension screening (not significant). Additionally, the sex differences in medical care utilization decreased with age.
利用慕尼黑血压研究I和II(1981年和1982年MBS)的数据,对就医频率、参与癌症筛查测试的情况、药物服用数量、抗高血压药物的摄入量以及参与高血压筛查等方面的性别差异进行了调查。研究人群是慕尼黑成年人口(30 - 69岁)的随机样本。2216名男性和女性参与了MBS I(应答率69.3%)。描述性分析和多变量逻辑回归的结果显示,除了参与高血压筛查(即参与慕尼黑血压研究)外,性别与上述各类医疗服务利用之间存在显著关系。此外,在控制了年龄、婚姻状况、教育程度、职业地位、主观身体健康状况、慢性病数量后,女性比男性更频繁地就医且服用更多药物。癌症筛查测试参与方面的性别差异最大(优势比7.7),就医频率(优势比1.8)和参与高血压筛查方面的性别差异最小(不显著)。此外,医疗服务利用方面的性别差异随年龄减小。