Davis P B
Department of Community Health and General Practice, University of Auckland Medical School.
N Z Med J. 1987 Mar 11;100(819):127-30.
Available epidemiological evidence suggests that differences in health status between Maori and nonMaori are more marked for women than they are for men. The paper assesses the extent to which this is reflected in the usage of general practitioner services. Data from a survey of office encounters in general practice in the Hamilton health district reveal higher levels of usage among Maori women, particularly for high risk conditions and for illnesses of greater severity. The Maori:nonMaori contact ratio of 1.3 contrasted with a relative risk of mortality of 2.4. This Maori excess in usage came less close to approximating the putative distribution of medical need than the corresponding ethnic group comparison among men. Controlling for social class greatly reduced the gap between apparent need and medical contact, suggesting that socioeconomic factors may be important in influencing ethnic group differences in the use of general practitioner services.
现有流行病学证据表明，毛利族与非毛利族女性之间的健康状况差异比男性更为显著。本文评估了这一点在全科医生服务使用情况中的体现程度。汉密尔顿健康区全科医疗办公室就诊情况调查数据显示，毛利族女性的使用率更高，尤其是在高危病症和病情较重的疾病方面。毛利族与非毛利族的接触比例为1.3，而死亡率的相对风险为2.4。与男性相应的种族群体比较相比，毛利族在使用率上的这种过高情况与假定的医疗需求分布更为接近。控制社会阶层大大缩小了明显需求与医疗接触之间的差距，这表明社会经济因素可能在影响全科医生服务使用中的种族群体差异方面具有重要作用。
