Making use of official statistics in research on gender and health status: recent British data

Dunnell, Karen; Fitzpatrick, Justine; Bunting, Julia

doi:10.1016/s0277-9536(98)00294-9

Cited by 23 publications

(6 citation statements)

References 3 publications

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“…Our findings could be interpreted to support a hypothesis about gender and healthcare that on average, men delay prevention and maintenance services which could result in greater need for downstream treatment [26] but that the trends and underlying explanations are not entirely clear and may need periodic revisiting [7,9]. It also could represent a gender bias in access to specialized health services, and could be part of a troubling gender equity bias in Ontario [27-29].…”

Section: Discussionmentioning

confidence: 55%

“…Women have been previously shown to use more primary care and diagnostic services than men [6,7,11-13], and those after age 75 have a greater number of chronic conditions than men [7,22,25]. The trends for other medical services, such as specialist usage, emergency room visits, hospitalizations, and surgeries have been mixed, with some results showing that men had greater utilization [7,8], and some showing no differences [6,11,12]. …”

Section: Discussionmentioning

confidence: 99%

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Trends in health services utilization, medication use, and health conditions among older adults: a 2-year retrospective chart review in a primary care practice

Vegda

Nie

Wang

et al. 2009

BMC Health Serv Res

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BackgroundPopulation aging poses significant challenges to primary care providers and healthcare policy makers. Primary care reform can alleviate the pressures, but these initiatives require clinical benchmarks and evidence regarding utilization patterns. The objectives of this study is to measure older patients' use of health services, number of health conditions, and use of medications at the level of a primary care practice, and to investigate age- and gender-related utilization trends.MethodsA cross-sectional chart audit over a 2-year study period was conducted in the academic family practice clinic of Sunnybrook Health Sciences Centre in Toronto, Ontario, Canada. All patients 65 years and older (n = 2450) were included. Main outcome measures included the number of family physician visits, specialist visits, emergency room visits, surgical admissions, diagnostic test days, inpatient hospital admissions, health conditions, and medications.ResultsOlder patients (80-84 and 85+ age-group) had significantly more family physician visits (average of 4.4 visits per person per year), emergency room visits (average of 0.22 ER visits per year per patient), diagnostic days (average of 5.1 test days per person per year), health conditions (average of 7.7 per patient), and medications average of 8.2 medications per person). Gender differences were also observed: females had significantly more family physician visits and number of medications, while men had more specialist visits, emergency room visits, and surgical admissions. There were no gender differences for inpatient hospital admissions and number of health conditions. With the exception of the 85+ age group, we found greater intra-group variability with advancing age.ConclusionThe data present a map of greater interaction with and dependency on the health care system with advancing age. The magnitudes are substantial and indicate high demands on patients and families, on professional health care providers, and on the health care system itself. There is the need to create and evaluate innovative models of care of multiple chronic conditions in the late life course.

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Trends in health services utilization, medication use, and health conditions among older adults: a 2-year retrospective chart review in a primary care practice

Vegda

Nie

Wang

et al. 2009

BMC Health Serv Res

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“…However, the sex differentials in mortality of 45 ± 74-year-olds was lower in 1980 than in 1970. In a recent analysis based on of®cial British statistics, sex ratios of total mortality were between 1.5 and 1.7 among 35 ± 74-year-olds, and had declined a little from 1986 to 1996 (10).…”

Section: Introductionmentioning

confidence: 99%

Sex differences in mortality in Denmark during half a century, 1943-92

Helweg‐Larsen

Juel

2000

Scand J Public Health

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“…The LISH has also the potential to provide researchers with a more accurate estimation of the association between somatic health and service use compared with estimations using single health indicators alone. Another potential use of the LISH is in analysis of trends in health over time, especially because conflicting results with respect to trends have been observed in the past (Barsky 1988;Dunnell et al 1999). The LISH offers researchers a standardized, and equivalent, measure over several waves of a survey, thus making trend estimation more efficient.…”

Section: Discussionmentioning

confidence: 99%

Health Measurement in Population Surveys: Combining Information from Self-reported and Observer-Measured Health Indicators

Ploubidis

Grundy

2011

Demography

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Our primary aim is to develop and validate a population health metric for survey-based health assessment that combines information from both self-reported and observer-measured health indicators. A secondary objective is to use this index to examine gender and socioeconomic differentials in the health status of older people. We use data from the second wave of the English Longitudinal Study of Ageing (ELSA) conducted in 2004 (N = 8,870). Information from three observer-measured and three self-reported health indicators was combined, using a latent variable modeling approach. A model that decomposed the manifest health indicators to valid health, systematic error, and random error was found to fit the data best. The latent health dimension represented somatic health, and was tested against three external criteria: height, waist-hip ratio, and smoking status. We present the Latent Index of Somatic Health (LISH), as well as a procedure for deriving the LISH in surveys employing both self- and observer-measured health indicators. Observer-measured and self-reported indicators were found to be equally biased in indexing population somatic health, with the exception of self-reports of functional limitations, which was the most reliable somatic health indicator. As expected, results showed that women had worse health than men and that socioeconomic advantage is associated with better somatic health.

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Making use of official statistics in research on gender and health status: recent British data

Cited by 23 publications

References 3 publications

Trends in health services utilization, medication use, and health conditions among older adults: a 2-year retrospective chart review in a primary care practice

Trends in health services utilization, medication use, and health conditions among older adults: a 2-year retrospective chart review in a primary care practice

Sex differences in mortality in Denmark during half a century, 1943-92

Health Measurement in Population Surveys: Combining Information from Self-reported and Observer-Measured Health Indicators

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