对于慢性鼻炎的医疗保健利用的性别差异:一个前性队列研究
Annemarie G Hirsch1, Brian S Schwartz2,3, Cara M Nordberg2
1Department of Population Health Sciences, Geisinger Health System, 100 N. Academy Avenue, Danville, PA, 17822-4400, USA. aghirsch@geisinger.edu.
BMC health services research
|May 20, 2025
概括
患有慢性鼻炎 (CRS) 症状的男性显示,反复使用医疗保健的几率增加. 患有CRS和面部疼痛/压力的女性更有可能停止护理,突出了CRS管理中的基于性别的差异.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗保健管理的管理
- 医学中的性别差异.
背景情况:
- 了解慢性鼻炎 (CRS) 未来的医疗保健需求对于明智的治疗决策至关重要.
- 关于长期CRS相关医疗保健利用的预测因素的数据有限.
- 关于CRS的性别差异已有证据,但它们对长期医疗保健需求的影响尚不清楚.
研究的目的:
- 评估CRS症状与医疗保健利用之间的关联.
- 为了确定这些关联在性别之间有什么不同.
主要方法:
- 使用问卷和电子健康记录对7,847名受试者的前性研究.
- 分类CRS症状概况和医疗保健利用情况 (2014-2019).
- 用于评估关联和基于性别的效果修改的多项逻辑回归.
主要成果:
- 与女性相比,患有CRS症状的男性反复使用医疗保健的几率几乎是女性的两倍.
- 患有CRS和疼痛/压力症状的女性显示,停止CRS相关护理的几率更高.
- 在女性中,CRS症状和重复使用之间没有发现联系.
结论:
- 对于CRS的医疗保健利用模式受到症状和性别的影响.
- 面部疼痛/面部压力较高的妇女有更高的风险停止CRS护理.
- 这些发现强调了慢性鼻炎症状表现和护理参与的性别差异.
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