Gender-Based Analysis Is Essential to Improving Women's Health and Health Care

Bird, Chloe E.; Sharman, Zena

doi:10.1016/j.whi.2013.11.008

Cited by 10 publications

(6 citation statements)

References 10 publications

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“…Our findings revealed no significant difference in gender regarding treatment completion. Similar findings were reported by Bird,8 who found no differences between male and females who received substance abuse treatment in mixed-vs. singlegender programs. Likewise, Greenfield et al 7 found that while gender did not predict treatment completion, individual characteristics such as education, employment, income, mental health, and social support predicted treatment completion differentially by gender.…”

Section: Discussionsupporting

confidence: 89%

“…5,6 The crux of matter in this paradigm is to understand gender as the central construct that influences treatment initiation, processes, and outcome. 7,8 Following this line of reasoning, there appears to be gender differences in referrals to residential treatment for alcoholism with women receiving less referral despite the fact that women perceive their alcoholism more serious than men. 1,9,10 Residential treatment may benefit vulnerable populations, including patients with severe psychiatric illness, low social functioning, few financial resources, and severe medical conditions.…”

Section: Introductionmentioning

confidence: 99%

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Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol Treatment

et al. 2016

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BACKGROUNDResidential treatment for alcoholism is associated with high completion rates for clients, yet there appear to be gender disparities in patient referrals and treatment completion rates. We studied whether (A) gender is associated with differential patient placement to outpatient vs. residential treatment facilities and (B) completion rates differ by gender.METHODSIn this cross-sectional study, we analyzed the admission and discharge data from 185 publicly funded substance abuse treatment facilities across Los Angeles County between 2005 and 2010.RESULTSAmong the 33,745 studied cases, women were referred to residential treatment facilities less frequently than men (75% vs. 66%). The adjusted results derived from logistic regression models confirmed that females were more likely to be referred to outpatient treatment than to residential treatment facilities (odds ratio [OR]: 1.15, 95% confidence interval [CI]: 1.05–1.26). In addition, we observed that compared to White/Caucasian patients, all other races were associated with more referral to outpatient facilities (ie, less referral to residential facilities), indicating a racial disparity on the top of the observed gender disparity. However, there was no significant link between gender and treatment completion rates (OR: 0.93, 95% CI: 0.86–1.00).CONCLUSIONSWomen seem to have treatment completion rates comparable to men, yet they are less likely to be referred to residential treatment facilities. Hence, there still remains a gender disparity in alcoholic patient referrals. Further studies should delineate which specific therapeutic aspects and programmatic components of women-focused treatments are essential to augment positive treatment outcomes.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol Treatment

et al. 2016

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“…Underpowered subgroup analyses can produce false-negative results and incorrect conclusions, which can lead to ineffective or even harmful treatment strategies in women. 23,24 The under-representation of females in cardiovascular research may be partly explained by a lower willingness of women to be enrolled, due to multiple commitments, transportation issues or a lack of support to attend the follow-up visits. The EUROASPIRE III survey identified how prescription rates of drugs in the secondary prevention of IHD did not differ between the sexes, whereas control targets of the traditional risk factors (blood pressure, low-density lipoprotein cholesterol and diabetes) were less often achieved and maintained in women.…”

Section: Determinants Of Health Inequalitymentioning

confidence: 99%

Health inequalities in secondary prevention

Oertelt‐Prigione

Maas

2017

Eur J Prev Cardiolog

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“…The complexity and entanglement between different gender dimensions and, indeed, biological sex have only been explored in the biomedical field in recent years [ 40 , 41 ]. Although feminist critique to the medical field and its practices has a rich history [ 42 , 43 ], it rarely originates within medicine itself. Some authors expressed criticism at the lack of focus on gendered impacts on health in the field of SGSM, yet these are still a minority [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Operationalization and Reporting Practices in Manuscripts Addressing Gender Differences in Biomedical Research: A Cross-Sectional Bibliographical Study

Hurk

Hiltner

Oertelt‐Prigione

2022

IJERPH

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Historically, authors in the biomedical field have often conflated the terms sex and gender in their research significantly limiting the reproducibility of the reported results. In the present study, we investigated current reporting practices around gender in biomedical publications that claim the identification of “gender differences”. Our systematic research identified 1117 articles for the year 2019. After random selection of 400 publications and application of inclusion criteria, 302 articles were included for analysis. Using a systematic evaluation grid, we assessed the provided methodological detail in the operationalization of gender and the provision of gender-related information throughout the manuscript. Of the 302 articles, 69 (23%) solely addressed biological sex. The remaining articles investigated gender, yet only 15 (6.5%) offered reproducible information about the operationalization of the gender dimension studied. Followingly, these manuscripts also provided more detailed gender-specific background, analyses and discussions compared to the ones not detailing the operationalization of gender. Overall, our study demonstrated persistent inadequacies in the conceptual understanding and methodological operationalization of gender in the biomedical field. Methodological rigor correlated with more nuanced and informative reporting, highlighting the need for appropriate training to increase output quality and reproducibility in the field.

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Gender-Based Analysis Is Essential to Improving Women's Health and Health Care

Cited by 10 publications

References 10 publications

Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol Treatment

Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol Treatment

Health inequalities in secondary prevention

Operationalization and Reporting Practices in Manuscripts Addressing Gender Differences in Biomedical Research: A Cross-Sectional Bibliographical Study

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