Sex, Illness, Illness Behavior, and the Use of Health Services
Sex, Illness, Illness Behavior, and the Use of Health Services
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性别、疾病、疾病行为和卫生服务的使用
DOI：
10.1080/0097840x.1976.9936072
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发表时间：
1976
期刊：
影响因子：
--
通讯作者：
D. Mechanic
中科院分区：
文献类型：
--
作者：
D. Mechanic
摘要许多研究健康性别差异的研究者混淆了概念与报告，疾病与疾病行为，以及残疾症状。还有一种倾向是混淆受试者的反应，这些反应归因于男性和女性在不同的帮助来源中出现的选择性过程，以及由于卫生人员的态度和行为造成的反应。这篇论文考虑了一组试图解释健康中性别差异的替代假设。现有数据表明，女性报告的主观症状似乎比男性多得多。此外，女性报告的大量慢性疾病在一定程度上反映了她们如何定义和应对疾病以及她们的生活状况。有必要开发研究设计，更严格地测试健康中性别差异的替代概念。
Abstract Many investigators of the sex differences in health confound conception with reporting, illness with illness behavior, and symptoms with disability. There is also a tendency to confuse subjects' responses, those attributable to the selective process through which men and women appear at varying sources of help, and those due to the attitudes and the behavior of health personnel. This paper considers a group of alternative hypotheses that attempt to account for sex differences in health. Existing data suggest that women seem to report many more subjective symptoms than men. Also, much of the excess chronic illness reported by women is in part a reflection of how they define and respond to illness and to their life situations. There is a need for developing research designs that test alternative conceptions of the sex differences in health more rigorously.