Evidence map›Paper›PMID 32303595›Full record

ArticleJournal of epidemiology and community health2020

Do men avoid seeking medical advice? A register-based analysis of gender-specific changes in primary healthcare use after first hospitalisation at ages 60+ in Denmark.

Andreas Höhn, Jutta Gampe, Rune Lindahl-Jacobsen, Kaare Christensen, Anna Oksuyzan

Open access · bronzeAbstract read
In one paragraph

Article in Journal of epidemiology and community health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% of its field
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

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
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  7. Sex disparities in melanoma stage, recurrence and mortality: A Danish cohort study, 2004 to 2024.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Article
  8. Diffusion of cumulative advantage? How wealth and health trajectories co-evolve across the life course among older adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
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12 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 3 countries.

Andreas HöhnInstitute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK andreas.hohn@igmm.ed.ac.uk.ORCID 0000-0002-7170-1205
Jutta GampeMax Planck Institute for Demographic Research, Rostock, Germany.ORCID 0000-0001-8189-2853
Rune Lindahl-JacobsenDepartment of Epidemiology, Biostatistics, and Biodemography, University of Southern Denmark, Odense C, Denmark.ORCID 0000-0002-4622-9826
Kaare ChristensenMax Planck Institute for Demographic Research, Rostock, Germany.ORCID 0000-0002-5429-5292
Anna OksuyzanMax Planck Institute for Demographic Research, Rostock, Germany.ORCID 0000-0003-4138-5886
University of Southern Denmark · DKMax Planck Institute for Demographic Research · DE

Funding

THE RANGE OF MALE-FEMALE MORTALITY DIFFERENCESP01AG031719 · NIA · DUKE UNIVERSITY · PI CHRISTENSEN, KAARE · 2009 to 2020
$10.2M
Biodemography of Disease and Death in MoscowR01AG026786 · NIA · DUKE UNIVERSITY · PI VAUPEL, JAMES W. · 2006 to 2010
$1.9M
NIA NIH HHS P01 AG031719NIA NIH HHS R01 AG026786
6 · The paper itself

Abstract

backgroundIt remains unclear whether women's greater primary healthcare use reflects a lower treatment-seeking threshold or a health disadvantage. We address this question by studying primary healthcare use surrounding a major health shock.

methodsThis cohort study utilises routinely-collected healthcare data covering the Danish population aged 60+ years between 1996 and 2011. Using a hurdle model, we investigate levels of non-use and levels of primary healthcare use before and after first inpatient hospitalisation for stroke, myocardial infarction (MI), chronic obstructive pulmonary disease (COPD) and gastrointestinal cancers (GIC).

resultsBefore hospitalisation, irrespective of cause, men were more likely than women to be non-users of primary healthcare (OR (95% CI): stroke 1.802 (1.731 to 1.872); MI 1.841 (1.760 to 1.922); COPD 2.160 (2.028 to 2.292); GIC 1.609 (1.525 to 1.693)). Men who were users had fewer primary healthcare contacts than women (proportional change (e

conclusionWomen's consistently higher levels of primary healthcare use are likely to be explained by a combination of a lower treatment-seeking threshold and a health disadvantage resulting from better survival in bad health.

Indexed as

Attitude to HealthAgedAged, 80 and overFemaleGastrointestinal NeoplasmsHealth ServicesHospitalizationHumansMaleMiddle AgedMyocardial InfarctionPrimary Health CarePulmonary Disease, Chronic ObstructiveSex DistributionSex FactorsStroke

Identifiers

PMID32303595
PMCPMC7337231
OpenAlexW3016945764

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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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.