Differences based on patient gender in the management of hypertension: a multilevel analysis
| Autor: | Marie-Josèphe Saurel-Cubizolles, Laurent Rigal, Raphaëlle Delpech, Colinne Patrice, Virginie Ringa, Hector Falcoff, Henri Panjo |
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| Přispěvatelé: | Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Institut national d'études démographiques (INED), Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Hawaii Academy of Science, HAS, Institut National de la Santé et de la Recherche Médicale, Inserm, Fondation de France, support from the French National Institute of Health and Medical Research (Inserm), the National Health Insurance Fund for Employees (CNAMTS), the French Health Authority (HAS), the Directorate for Research, Studies, Evaluation and Statistics (Drees), the Interministerial Mission on Research (MIRE), the National Public Health Research Institute (IReSP), the French Institute of Health Prevention and Education (Inpes) and the Fondation de France. |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty [SDV]Life Sciences [q-bio] MEDLINE 030204 cardiovascular system & hematology MESH: Cross-Sectional Studies Female Humans Hypertension* / diagnosis Hypertension* / drug therapy Hypertension* / epidemiology Male Multilevel Analysis 03 medical and health sciences 0302 clinical medicine Internal Medicine Medicine Humans 030212 general & internal medicine Antihypertensive medication business.industry Multilevel model Hypertension management 3. Good health Blood pressure Cross-Sectional Studies Male patient Family medicine General practice Hypertension Multilevel Analysis Smoking status Female business |
| Zdroj: | Journal of Human Hypertension Journal of Human Hypertension, Nature Publishing Group, 2021, 35 (12), pp.1109-1117. ⟨10.1038/s41371-020-00450-y⟩ |
| ISSN: | 0950-9240 |
| DOI: | 10.1038/s41371-020-00450-y⟩ |
| Popis: | International audience; The objective of our study was to investigate differences in the management of men and women treated for hypertension while considering the gender of their physicians. We used the data from the cross-sectional Paris Prevention in General Practice survey, where 59 randomly recruited general practitioners (42 men and 19 women) from the Paris metropolitan area enroled every patient aged 25–79 years taking antihypertensive medication and seen during a 2-week period (520 men and 666 women) in 2005–6. The presence in the medical files of six items recommended for hypertension management (blood pressure measurement, smoking status, cholesterol, creatinine, fasting blood glucose and electrocardiogram) was analysed with mixed models with random intercepts and adjusted for patient and physician characteristics. We found that the presence of all items was lower in the records of female than male patients (3.9 vs. 6.9%, p = 0.01), as was the percentage of items present (58.5 vs. 64.2%, p = 0.003). The latter gender difference was substantially more marked when the physician was a man (69.3 vs. 63.4%, p = 0.0002) rather than a woman (63.5 vs. 61.0%, p = 0.46). Although all guidelines recommend the same management for both genders, the practices of male physicians in hypertension management appear to differ according to patient gender although those of women doctors do not. Male physicians must be made aware of how their gender influences their practices. |
| Databáze: | OpenAIRE |
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