Gender Differences in the Acquisition of Prescribed Drugs: An Epidemiological Study
Gender Differences in the Acquisition of Prescribed Drugs: An Epidemiological Study
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购买处方药的性别差异：流行病学研究
DOI：
10.1097/00005650-198711000-00007
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发表时间：
1987
期刊：
影响因子：
3
通讯作者：
Pamela A. Robers
中科院分区：
文献类型：
--
作者：
B. Svarstad;P. Cleary;D. Mechanic;Pamela A. Robers
人们通常认为，女性接受更多的处方药是因为她们对疾病和医疗保健的态度不同，焦虑程度更高，看医生的时间更多，或者因为医生有偏见。这项研究考察了另一种解释，即大部分过量与女性的生殖角色有关。这项研究对862名男性和女性的医疗和药房记录进行了详细的审计。结果显示，在两年的研究期间，女性接受了更多的处方药。然而，所有年龄段的男性和女性之间的差异并不相同。正如预期的那样，这种差异在生育高峰期最为明显。进一步的分析表明，在排除了患有女性特有疾病的女性并排除了用于预防或治疗女性特有疾病的药物类别后，性别差异几乎消除了。以前的研究基于自我报告的药物使用的粗略测量，似乎低估了与妇女生殖作用有关的因素的重要性。
It is often assumed that women received more prescribed drugs because they have different attitudes towards illness and medical care, higher anxiety and more time to visit physicians, or because physicians are biased. This study examines an alternative explanation, that is, much of the excess is associated with women's reproductive role. The study involved a detailed audit of the medical and pharmacy records of 862 men and women. Results showed that women received more prescribed drugs during the 2-year study period. However, the differences between men and women were not the same for all age groups. As expected, the differences were most apparent during the peak child-bearing years. Further analysis showed that the gender differences were virtually eliminated after excluding women with female-specific diagnoses and excluding the drug categories used to prevent or treat female-specific conditions. Previous studies based on gross measures of self-reported drug use seem to have underestimated the importance of factors that relate to women's reproductive role.