ArticleBMC public health2021
Determinants of perceived health and unmet healthcare needs in universal healthcare systems with high gender equality.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Gendered experiences of cause-specific unmet medical need: An intersectional analysis using MAIHDA.SSM - population health · 2026Article
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- Socioeconomic and geographic inequalities in unmet healthcare needs in Cambodia: evidence from a national cross-sectional study.International journal for equity in health · 2026Article
- Decoding sex and gender effects on health: evidence from a nationwide cohort.Biology of sex differences · 2026Article
- Psychosocial and health-related determinants of self-reported unmet healthcare needs in Türkiye: evidence from a nation-wide survey.BMC health services research · 2026Article
- Article
- Factors associated with unmet healthcare needs in patients using Primary Care Access Points for unattached patients in Quebec (Canada).PloS one · 2026Article
- Incorporating the gender dimension into infectious disease research: how isParasitology · 2025Review
- Factors associated with unmet medical needs among middle-aged and older adults in China during COVID-19 pandemic.BMC public health · 2025Article
- Exploring the Influence of Sex and Gender on Cancer: A Comprehensive Analysis.Cancer medicine · 2025Article
- Knowledge, attitude, and practice toward hypertrophic cardiomyopathy of patients with primary hypertension: a cross-sectional study.Scientific reports · 2025Article
- Adaptation and Psychometric Assessment of the Turkish Version of the Perceived Access to Health Care Questionnaire: Validity and Reliability Analysis.Healthcare (Basel, Switzerland) · 2025Article
- The role and needs of family doctors in sexual medicine: contributions of a preliminary Portuguese qualitative study for a global action.International journal of impotence research · 2025Article
- Understanding Unmet Healthcare Needs in Nigeria: Implications for Universal Health Coverage.Health services insights · 2025Article
- Perceptions of health and healthcare needs in low-resource settings: qualitative insights from Bengaluru's urban slum and rural areas.Frontiers in public health · 2025Article
- Association of body composition with ambulatory blood pressure among Chinese youths.BMC pediatrics · 2024Article
- Gender differences in cost-related unmet healthcare needs: a national study in Turkiye.BMC public health · 2024Article
- Exploring unmet healthcare needs and associated inequalities among middle-aged and older adults in Eastern China during the progression toward universal health coverage.Health economics review · 2024Article
- Satisfaction with local healthcare services and medical need among hypertensive patients: a nationwide study.BMC public health · 2024Article
- The impact of the covid-19 outbreak on unmet health care needs in istanbul.Preventive medicine reports · 2023Article
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Authors and funding
9 authors.
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Abstract
backgroundPatient attitudes about health and healthcare have emerged as important outcomes to assess in clinical studies. Gender is increasingly recognized as an intersectional social construct that may influence health. Our objective was to determine potential sex differences in self-reported overall health and access to healthcare and whether those differences are influenced by individual social factors in two relatively similar countries.
methodsTwo public health surveys from countries with high gender equality (measured by UN GII) and universal healthcare systems, Canada (CCHS2014, n = 57,041) and Austria (AT-HIS2014, n = 15,212), were analysed. Perceived health was assessed on a scale of 1 (very bad) to 4 (very good) and perceived unmet healthcare needs was reported as a dichotomous variable (yes/no). Interactions between sex and social determinants (i.e. employment, education level, immigration and marital status) on outcomes were analysed.
resultsIndividuals in both countries reported high perceived health (Scoring > 2, 85.0% in Canada, 79.9% in Austria) and a low percentage reported unmet healthcare needs (4.6% in Canada, 10.7% in Austria). In both countries, sex and several social factors were associated with high perceived health, and a sex-by-marital status interaction was observed, with a greater negative impact of divorce for men. Female sex was positively associated with unmet care needs in both countries, and sex-by-social factors interactions were only detected in Canada.
conclusionsThe intersection of sex and social factors in influencing patient-relevant outcomes varies even among countries with similar healthcare and high gender equality.
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