Evidence map›Paper›PMID 25433402›Full record

Observational studyBMC women's health2014

Primary health care use from the perspective of gender and morbidity burden.

María Teresa Carretero, Amaia Calderón-Larrañaga, Beatriz Poblador-Plou, Alexandra Prados-Torres

Abstract readObservational Study
In one paragraph

Observational study in BMC women's health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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  16. Measuring multimorbidity in a working population: the effect on incident sickness absence.International archives of occupational and environmental health · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

María Teresa CarreteroUniversity of Zaragoza, Zaragoza, Spain. mtcarret@unizar.es.
Amaia Calderón-LarrañagaUniversity of Zaragoza, Zaragoza, Spain. acalderon.iacs@aragon.es.
Beatriz Poblador-PlouEpiChron Research Group on Chronic Diseases, Aragón Health Sciences Institute (IACS), IIS Aragón, Miguel Servet University Hospital, Zaragoza, Spain. bpoblador.iacs@aragon.es.
Alexandra Prados-TorresUniversity of Zaragoza, Zaragoza, Spain. sprados.iacs@aragon.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSex and gender can interact to contribute to differences in morbidity and mortality between men and women. To detect such differences is an important issue for health policy planners when designing programmes for the provision of healthcare services for the whole population. Our aim was to study differences between men and women in the use of Primary Health Care (PHC) resources, taking into account age and morbidity burden.

methodsAn observational retrospective study was carried out using the information gathered in electronic medical records from 79,809 adult patients who attended a PHC centre at least once in 2008. The ACG® System was used to quantify the morbidity burden of patients. Poisson regression models were applied to analyse differences in the number of visits to the PHC centre by men and women.

resultsMorbidity burden was significantly higher in women of all age groups. The gross number of visits to the PHC centre was also higher for women in all age groups. However, when adjusting by age and morbidity burden, we did not find a higher utilization by women compared to men. For high levels of morbidity burden, the attendance by men was even significantly higher.

conclusionsThe overall higher use of PHC by women seems to be associated with their higher morbidity burden. The interaction between biology and socially constructed roles could also underlie this higher use by women, and is therefore an area that deserves further in-depth research.

Indexed as

Sex FactorsAdolescentAdultAgedAge FactorsElectronic Health RecordsFemaleHealth PlanningHumansMaleMiddle AgedMorbidityOffice VisitsPrimary Health CareRetrospective StudiesSpain

Identifiers

PMID25433402
PMCPMC4258297

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.