Management of Depression by General Practitioners: Impact of Physician Gender

2009 ◽  
Vol 43 (4) ◽  
pp. 355-359 ◽  
Author(s):  
Gordon B. Parker ◽  
Matthew P. Hyett

Objective: The aim of the present study was to determine whether anecdotal claims of gender differences in the treatment of depression by general practitioners (GPs) existed in practice. Method: Referral letters from 100 GPs to a specialized psychiatric depression clinic were analysed by word count and gender of referrer. Second, a Web-based survey of 517 participants examined the impact of GP gender in terms of levels of management nuances. Results: The first study established that female GPs wrote distinctly longer referral letters. The second study identified that female GPs were seen as distinctly more caring over a range of parameters and identified the impact of some GP–patient gender differences. Conclusions: Reasons why female GPs are viewed as more caring – and any impact on the management of those with a depressive disorder – would benefit from refined investigation.

2021 ◽  
Vol 22 (11) ◽  
pp. 5808
Author(s):  
Annalisa Giandalia ◽  
Alfio Edoardo Giuffrida ◽  
Guido Gembillo ◽  
Domenico Cucinotta ◽  
Giovanni Squadrito ◽  
...  

Diabetic kidney disease (DKD) is one of the most serious complications of both type 1 (T1DM) and type 2 diabetes mellitus (T2DM). Current guidelines recommend a personalized approach in order to reduce the burden of DM and its complications. Recognizing sex and gender- differences in medicine is considered one of the first steps toward personalized medicine, but the gender issue in DM has been scarcely explored so far. Gender differences have been reported in the incidence and the prevalence of DKD, in its phenotypes and clinical manifestations, as well as in several risk factors, with a different impact in the two genders. Hormonal factors, especially estrogen loss, play a significant role in explaining these differences. Additionally, the impact of sex chromosomes as well as the influence of gene–sex interactions with several susceptibility genes for DKD have been investigated. In spite of the increasing evidence that sex and gender should be included in the evaluation of DKD, several open issues remain uncovered, including the potentially different effects of newly recommended drugs, such as SGLT2i and GLP1Ras. This narrative review explored current evidence on sex/gender differences in DKD, taking into account hormonal, genetic and clinical factors.


2020 ◽  
Vol 122 (7) ◽  
pp. 2219-2232
Author(s):  
Inna Levy ◽  
Pamela Kerschke-Risch

PurposeThe current research focused on attitudes toward food fraud (AFF) and examined the impact of types of food fraud, gender differences, and country of residence.Design/methodology/approachA convenience sample of German (n = 151) and Israeli (n = 496) participants was recruited through an online survey. They filled out a sociodemographic questionnaire and AFF scale, which includes three subscales: organic fraud, kosher fraud, and spraying fraud.FindingsThe results indicate that there is a significant effect of type of fraud, country of residence, and gender. German participants expressed more negative attitudes toward organic food fraud and less negative attitudes toward kosher fraud than Israeli participants. Women expressed more negative attitudes toward organic and kosher food frauds than men.Originality/valueThis study offers insight into cross-cultural and gender differences in attitudes toward food fraud. The findings suggest that public attitudes toward food fraud represent not just severity of possible consequences, but also environmental and religious aspects of consumption, norms and culture.


ESMO Open ◽  
2020 ◽  
Vol 5 (Suppl 4) ◽  
pp. e000796
Author(s):  
Nuria Mederos ◽  
Alex Friedlaender ◽  
Solange Peters ◽  
Alfredo Addeo

Lung cancer remains the leading cause of cancer-related deaths worldwide in women and men. In incidence, lung cancer ranks second, surpassed by breast cancer in women and prostate cancer in men. However, the historical differences in mortality and incidence rate between both sexes have changed in the last years. In the last decades, we have also witnessed an increased number of lung cancer in female never-smokers. These disparities have grown our interest in studying the impact of the gender and sex in the presentation of lung cancer. The aetiology is yet to be fully elucidated, but the data are clear so far: there is a growing divide between lung cancer presentation in women and men that will change our management and study of lung cancer. This article aims to review the sex and gender differences in lung cancer.


Author(s):  
Stacie L Daugherty ◽  
Edward P Havranek ◽  
Irene V Blair ◽  
Miriam Dickinson ◽  
Michael Bronsert ◽  
...  

Background: Gender differences in evaluation of coronary artery disease (CAD) have been suggested in observational cohorts. Whether gender differences in care exist under standardized conditions is not well known. Methods: We developed a web-based survey that randomly varied a case vignette by patient gender alone. The first part described a patient presenting with symptoms suggestive of CAD and the second described the results of an abnormal ETT (exercise treadmill test) in that patient. For both parts, the scenario was designed to represent an intermediate likelihood of obstructive CAD regardless of patient gender. Providers were asked to rate the likelihood of obstructive CAD and to choose the best treatment option. The survey was emailed to all physician members of a state cardiology association. A total of 3 reminder emails were sent. Results: Of the 317 cardiologists with valid addresses, 71 (22.4%) completed the survey. Participants were mostly men (82.4%) and non-invasive cardiologists (63%). For both parts of the vignette, cardiologists tended to estimate the likelihood of obstructive CAD as “high” more often when the patient was a man (Table). Respondents were equally likely to recommend cardiac testing based on symptoms suggestive of CAD regardless of patient gender; however, after an abnormal ETT, cardiologists were more likely to recommend angiography for male patients and more likely to recommend a second stress test with imaging for female patients (Table). Conclusions: Using a standardized case patient at intermediate risk for CAD, cardiologists tended to estimate the likelihood of CAD as higher and were more likely to recommend cardiac angiography after an abnormal ETT in male patients and more likely to recommend stress testing with imaging for women. Our findings suggest differences in how cardiologists evaluate symptoms and manage abnormal stress test results according to patient gender.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gisela Consolmagno Pelegrini ◽  
Gustavo Hermínio Salati Marcondes de Moraes

Purpose This paper aims to enlighten existing gender differences in the linkages between university ecosystem, self-efficacy and entrepreneurial intention in a developing country. Design/methodology/approach The empirical exercise relies on Partial Least Squares Structural Equations Modeling based on data from a probabilistic sample of 467 Brazilian students of 70 universities across the country. Findings The university ecosystem positively influences self-efficacy and entrepreneurial intention. Entrepreneurial intention is also influenced by self-efficacy. Gender difference lies in females’ self-efficacy, which presents a higher impact on entrepreneurial intentions. Research limitations/implications The research used a secondary database, which offered a limited view of the constructs analyzed. Moreover, by evaluating perception conditions, students’ self-evaluation may not offer conditions to better comprehend higher education organizations conditions. Practical implications This paper provided an evaluation of entrepreneurship in universities and gender differences, also presenting an analysis tool for university ecosystems. The assessment of the university ecosystem in two dimensions helps to analyze the strengths and weaknesses of university ecosystems and also the impact they can have on the entrepreneurial ecosystems in which they are inserted. Originality/value This study added in-depth information on the dynamics of entrepreneurial universities and gender differences in the context of a developing country, with a probabilistic sample. Both the comprehensive analysis of the model and the assessment at the variable level bring new evidence that can guide entrepreneurship-oriented initiatives in universities.


2017 ◽  
Vol 32 (1) ◽  
pp. 3-21 ◽  
Author(s):  
Katie Cyr ◽  
Claire Chamberland ◽  
Marie-Ève Clément ◽  
Jo-Anne Wemmers ◽  
Delphine Collin-Vézina ◽  
...  

This study documents lifetime experiences of victimizations, polyvictimization, and trauma symptoms among 1,400 adolescents from the province of Québec. The vast majority (81%) of adolescents were victimized during their lifetime, with most victims (82%) being the target of more than one form of victimization. Polyvictimization accounted for most variability in scores of depression, posttraumatic stress disorder (PTSD), and anger/aggression compared to individual victimization categories. Sexual victimization and maltreatment still made an independent contribution in predicting all trauma scores once polyvictimization was considered. Gender differences were found in the victimization experiences contributing to the prediction of mental health symptoms. Sexual victimization was a significant predictor of PTSD and anger/aggression symptoms for girls, whereas witnessing violence predicted anger and PTSD symptoms for boys, and assault predicted their anger. This study outlines the importance of assessing various types of victimization among adolescents. Systematic data and observation of trends on child victimization are needed in Canada and elsewhere.


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