Ayanian J Z, Epstein A M
Department of Medicine, Brigham and Women's Hospital, Boston, Mass., USA.
J Gen Intern Med. 1997 May;12(5):311-4. doi: 10.1046/j.1525-1497.1997.012005311.x.
To assess attitudes that could contribute to gender differences in the use of coronary procedures, we surveyed 322 patients presenting for exercise testing at a major teaching hospital. Adjusting for sociodemographic and clinical factors, women and men did not differ significantly in their willingness to seek a second opinion, reduce physical activity, or take drugs to avoid major cardiac surgery, but men were more likely than women to describe themselves as risk takers on a three-item personality measure (adjusted odds ratio 2.5; 95% confidence interval 1.4-4.6). Patients' attitudes about risk should be explored further in studies of gender differences in the use of coronary procedures.
为了评估可能导致冠状动脉手术使用方面性别差异的态度,我们对一家大型教学医院322名进行运动测试的患者进行了调查。在对社会人口统计学和临床因素进行调整后,男女在寻求第二种意见、减少体力活动或服用药物以避免进行重大心脏手术的意愿方面没有显著差异,但在一项包含三个项目的人格测量中,男性比女性更有可能将自己描述为冒险者(调整后的优势比为2.5;95%置信区间为1.4-4.6)。在冠状动脉手术使用方面的性别差异研究中,应进一步探讨患者对风险的态度。