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Physician gender differences in general and cancer-specific prevention attitudes and practices
Amelie G Ramirez1, Kimberly A Wildes, Anna Nápoles-Springer
1Institute for Health Promotion Research, Department of Epidemiology and Biostatistics, The University of Texas Health Science Center, 8207 Callaghan Road, Suite 353, San Antonio, TX 78230, USA. ramirezag@uthscsa.edu
Background:
Findings are inconsistent regarding physician gender differences in general prevention practices and cancer-specific attitudes and practices.
Methods:
We analyzed cross-sectional data from randomly selected physicians (N = 722) to test associations of gender with prevention practices and attitudes.
Results:
Chi-square analyses (P < .05) showed gender differences for 14% (7/49) of the general and cancer-specific practices and attitudes tested. Multivariate analyses revealed that gender significantly (P < .05) predicted general prevention practices and cancer-specific attitudes in 4 models. Female gender predicted discussion of physical activity, violence, and use of substances. Male gender predicted belief in effectiveness of prostate-specific antigen screening.
Conclusions:
Overall, male and female physicians showed more similarities than differences, but physician gender was associated with a number of important general and cancer-specific prevention services. Female physicians were more likely to discuss general health prevention activities than male physicians, especially issues considered sensitive. We discuss implications for research and education.
Insights
Physician gender influences prevention practices. Female physicians more often discuss sensitive health topics, while male physicians emphasize prostate cancer screening effectiveness.
Area of Science:
- Medical research
- Public health
- Physician behavior
Background:
- Inconsistent findings exist regarding physician gender differences in prevention practices.
- Differences in cancer-specific attitudes and practices between male and female physicians are not well-established.
Purpose of the Study:
- To investigate associations between physician gender and general prevention practices.
- To examine physician gender differences in cancer-specific attitudes and practices.
Main Methods:
- Cross-sectional analysis of data from 722 randomly selected physicians.
- Statistical testing using chi-square and multivariate analyses to assess gender associations.
Main Results:
- Gender differences were observed in 14% of general and cancer-specific practices and attitudes.
- Physician gender significantly predicted general prevention practices and cancer-specific attitudes.
- Female physicians were more likely to discuss physical activity, violence, and substance use; male physicians favored prostate-specific antigen screening beliefs.
Conclusions:
- Physician gender is linked to specific general and cancer-related prevention services.
- Female physicians demonstrate a greater tendency to discuss general health prevention, particularly sensitive topics.
- Findings suggest implications for medical education and future research on physician behavior in preventive care.
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