Geschlechterspezifische Inanspruchnahme von Gesundheitsleistungen in einer urbanen Erwachsenenpopulation

Keil, Jan; Brendler, Verena; Sachse, Catherina; Zülke, Andrea; Zeynalova, Samira; Engel, Christoph; Loeffler, Markus; Riedel‐Heller, Steffi G.; König, Hans‐Helmut; Stengler, Katarina

doi:10.1055/a-0820-3584

Cited by 18 publications

(12 citation statements)

References 27 publications

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“…There may also be a pattern of overuse, unjustified from a medical point of view, related to the clinical condition, frequency, intensity, or sophistication of the service that does not compensate for the benefit. This overuse is based on multiple causes [ 20 , 21 , 22 ], such as self-perception of loss of health or well-being, symptoms, type of disease, time of disability, as well as the patient’s perception of biological or social restriction to develop daily activities [ 20 , 23 , 24 ]. The wish for care also depends on beliefs on health, tolerance of discomfort, and trust in the health care system [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…Colombian health service users ( n = 11,121,054) were assessed in 2017 by means of clinical records and showed that women used health services more than men [ 23 ]. The assessment of 2244 German 19–79-year-old patients in 2020 reported that women visited doctors and used health prevention and promotion programs more often than men [ 24 ]. This fact may be due to various factors such as greater early identification of symptoms, biological differences, greater perception of the disease, and cultural aspects.…”

Section: Discussionmentioning

confidence: 99%

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Association between the Use of Health Services, Cardiovascular Risk Factors and Metabolic Syndrome in Mexican Adults

Ortiz-Rodríguez

Aldaz-Rodríguez

González-Robledo

et al. 2021

IJERPH

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Background: The use of health services is a complex behavioral phenomenon affected by multiple factors (availability, distance, cost, quality, attitudes, cultural beliefs, socioeconomic characteristics, and individuals’ self-perception of health). Mexico has a segmented health system, and the access to it depends on the labor insertion and the population’s ability to pay. Objective: To assess association between use of health services and cardiovascular and metabolic syndrome risk factors among Mexican adults. Methods: Analytical cross-sectional nationally representative study carried out on Mexican adults (≥20-year-old adults of both sexes; n = 4595). Socioeconomic factors, geographic area, health care coverage, information about the use of health services, previous medical diagnoses of diabetes and hypertension, and smoking were assessed. Anthropometrics, triglyceride, total cholesterol, HDL-cholesterol, and glucose plasma levels were measured. Metabolic syndrome (MetS) and cardiovascular risk factors were assessed. Prevalences were expressed in terms of percentages, and significant differences were calculated using χ2 test. Univariate and multivariate analysis was performed to evaluate the association between the use of health services and cardiovascular risk factors and sociodemographic variables. Results: The probability of using health services is higher and more significant in subjects with obesity, diabetes (OR (95% CI): 1.73 (1.49–2.00; p < 0.001), hypertension (OR (95% CI): 1.29 (1.14–1.45; p < 0.001), hypertriglyceridemia (OR (95% CI): 1.30 (1.15–1.46; p < 0.001), and in those with hypercholesterolemia (OR (95% CI): 1.23 (1.03–1.39; p = 0.001). Conclusions: Among health service users, there is a positive significant association between the use of health services and the presence of metabolic syndrome, obesity, diabetes, hypertension, hypertriglyceridemia, and hypercholesterolemia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association between the Use of Health Services, Cardiovascular Risk Factors and Metabolic Syndrome in Mexican Adults

Ortiz-Rodríguez

Aldaz-Rodríguez

González-Robledo

et al. 2021

IJERPH

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“…However, two smaller studies documented an almost fourfold (32.8%) [19] and sevenfold (48%) [17] prevalence of counseling, respectively, in older patients. In a sub-sample of the Leipzig Life Study, 21.5% of patients reported having received PA counseling from their primary care physician [22].…”

Section: Prevalence Of Counselingmentioning

confidence: 99%

Physical Activity Counseling in Primary Care in Germany—An Integrative Review

Füzéki

Weber

Groneberg

et al. 2020

IJERPH

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Physical activity counseling in primary health care is regarded as a useful complementary preventive and therapeutic measure and is advocated by leading public health institutions. This integrative review summarizes the available data on physical activity counseling in primary care in Germany. A systematic literature search in various databases (peer reviewed and grey literature) was carried out for quantitative and qualitative studies on physical activity counseling and use of “Exercise on Prescription”. The 25 studies included show a very high methodological diversity and, in some cases, considerable risks of bias, with limited comparability across studies. Counseling was provided in all studies by physicians. They report frequent physical activity counseling, which is partly confirmed and partly refuted by patient data. The use of “Exercise on Prescription” is at a very low level. Information on the frequency of physical activity counseling in Germany varies depending on data source and is sometimes contradictory. Our review provides a synthesis of various perspectives on routine physical activity counseling in primary care in Germany. Future studies using standardized and validated instruments in representative samples are needed to further knowledge on counseling and to be able to establish trends in prevalence. Strengthening the topics of physical activity and health and physical activity counseling in medical curriculum is strongly recommended.

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“…Studies have identified many reasons why rates of diagnosis and treatment are lower in men ( Warren, 1983 ; Fava et al, 1991 ; Spence and Robbins, 1992 ; Courtenay, 2000 ; Möller-Leimkühler, 2000 , 2002 , 2016 ; Swendsen and Merikangas, 2000 ; Möller-Leimkühler et al, 2002 ; Zierau et al, 2002 ; Cochran and Rabinowitz, 2003 ; Yu et al, 2004 ; Berger et al, 2005 ; Brownhill et al, 2005 ; Kessler et al, 2005 ; Sigmon et al, 2005 ; Winkler et al, 2005 ; Emslie et al, 2006 ; Rutz and Rhimer, 2007 ; Davis et al, 2008 ; Hausmann et al, 2008 ; Magovcevic and Addis, 2008 ; Oliffe and Phillips, 2008 ; Chuick et al, 2009 ; Cohn et al, 2009 , 2010 ; Levant et al, 2009 , 2011 , 2013 ; Rochlen et al, 2010 ; Weaver et al, 2010 ; Martin et al, 2011 , 2013 ; McCusker and Galupo, 2011 ; Oliffe et al, 2011 , 2012 , 2013 ; Rice et al, 2013 ; Lai et al, 2015 ; Yousaf et al, 2015 ; Whittle et al, 2015 ; Seidler et al, 2016 ; Cavanagh et al, 2017 ; Reiß, 2017 ; Rommel et al, 2017 ; Braly et al, 2018 ; Keil et al, 2020 ; Serafini et al, 2016 , 2017 ). For example, men use medical services and preventive and health-promoting measures far less often than women ( Seidler et al, 2016 ; Rommel et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Gender-Specific Differences in Depressive Behavior Among Forensic Psychiatric Patients

et al. 2021

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BackgroundWomen are almost twice as likely to develop depression than men, but men commit suicide more often. One explanation for this paradox is that current depression inventories do not fully capture typical male symptoms of depression. Several studies showed that most depression symptoms in men are masked by externalizing behaviors, such as aggressiveness, addiction, and risky behavior. Here, we explored the differences in depression symptoms between men and women in a forensic psychiatric sample.MethodsWe screened 182 forensic psychiatric patients and selected a matched sample (21 women and 21 men). External symptoms of depression were assessed with the Gender-Sensitive Depression Screening (GSDS) and internal symptoms with the Beck Depression Inventory Revision.ResultsAlthough externalizing behaviors were similar in both groups, we found a significant relationship between external and internal depression symptoms only in men. In addition, male forensic patients with a history of suicide had higher scores in the GSDS, whereas female patients with a history of suicide had higher scores in the Beck Depression Inventory Revision.DiscussionThe finding that the GSDS detected depression symptoms in men indicates that this instrument might be useful for developing assessments to prevent suicide in forensic practice.

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Geschlechterspezifische Inanspruchnahme von Gesundheitsleistungen in einer urbanen Erwachsenenpopulation

Cited by 18 publications

References 27 publications

Association between the Use of Health Services, Cardiovascular Risk Factors and Metabolic Syndrome in Mexican Adults

Association between the Use of Health Services, Cardiovascular Risk Factors and Metabolic Syndrome in Mexican Adults

Physical Activity Counseling in Primary Care in Germany—An Integrative Review

Gender-Specific Differences in Depressive Behavior Among Forensic Psychiatric Patients

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