scholarly journals A cross-sectional analysis of the association between age and gender and prescribed minimum benefit chronic disease list conditions among South Africans with concomitant hypertension, diabetes and dyslipidaemia

2017 ◽  
Vol 17 (1) ◽  
pp. 88 ◽  
Author(s):  
Johanita Burger ◽  
Martie Lubbe ◽  
Jan Serfontein ◽  
Suria Ellis
2015 ◽  
Vol 3 (4) ◽  
pp. 470 ◽  
Author(s):  
Allison Thomson ◽  
Simon Morgan ◽  
Amanda Tapley ◽  
Mike Van Driel ◽  
Kim Henderson ◽  
...  

Rationale, aims and objectives: Gender effects on physician-patient interactions are well-established and gender concordance of the physician-patient dyad influences consultation dynamics, person-centeredness and outcomes. We aimed to establish the prevalence and associations of gender-concordant and gender-discordant consultations of general practice (family medicine) trainees and to compare outcomes of gender-concordant and gender-discordant consultations.Method: A cross-sectional analysis from an ongoing cohort study. The outcome measure was whether a consultation included a gender concordant (female-female, male-male) or discordant (male-female, female-male) physician-patient dyad. Independent variables related to patient, physician (registrar), practice, consultation content and consultation outcome.Results: Five hundred and ninety-two general practice (GP) registrars (trainees) in 4 of Australia’s 17 regional training programs provided data on 56,234 individual consultations. Sixty-two point nine percent of consultations were gender-concordant (73.5% female-female, 26.5% male-male) and 37.1% were gender-discordant (47.0% male physician-female patient, 53% female physician-male patient). Associations of having a gender-concordant consultation were patient female gender and younger age (<55), the patient not being new to the registrar and the registrar being part-time, younger and having worked at the practice previously. Addressing a reproductive/contraceptive/ genital problem was associated with gender concordance. Gender-concordant consultations were  ‘complex’: significantly longer than gender-discordant consultations, addressed a greater number of problems, resulted in more pathology ordered, more follow-up organised and more learning goals generated.Conclusions: Gender-concordant consultations may be more complex and gender-concordance is ‘sought’ by patients rather than being random.  Thus, efforts could be made in general practice to provide access to both male and female GPs, especially for female patients or groups or patients with particular needs. 


2022 ◽  
Vol 131 ◽  
pp. 02004
Author(s):  
Sergey Nikulshin ◽  
Jana Osite ◽  
Stella Lapina ◽  
Anda Krisane ◽  
Iveta Dzivite-Krisane ◽  
...  

Seasonality of 25(OH)D deficiency rate is a factor of major clinical and social impact and should be considered when planning for appropriate testing and tailored correction. We present retrospective cross-sectional analysis of over a million 25(OH)D tests performed in two leading Latvian laboratories – Central Laboratory and E.Gulbja Laboratory. Both series of tests demonstrated prominent seasonal variability of 25(OH)D deficiency rate (<20 ng/ml) and critical deficiency rate (<12 ng/ml): the lowest percentage of deficient tests was in August, while a significant peak was found in March-April. This trend was present at all ages and in both genders, variations were pronounced even for a high-latitude country and more prominent for critical deficiency, in younger age groups and in males. Analysis of testing regimens of both laboratories revealed that schedule was not optimal, period of higher testing intensity being far removed from the 25(OH)D deficiency peak.


2018 ◽  
Vol 51 (5) ◽  
pp. 227-233
Author(s):  
Amy Zeglinski-Spinney ◽  
Denise C. Wai ◽  
Philippe Phan ◽  
Eve C. Tsai ◽  
Alexandra Stratton ◽  
...  

2021 ◽  
Author(s):  
Juping Liu ◽  
Jie Hao ◽  
Ye Zhang ◽  
Kai Cao ◽  
Xiaorong Li ◽  
...  

Abstract Background The sagittal abdominal diameter (SAD) is more precise than body mass index (BMI) for predicting adverse events in elderly. While physical function and BMI is related, the relationship is uncertain. BMI and gait speed (GS) is related and have a U-shaped distribution. The objective was to examine the relationship between GS and SAD in men and women aged 50 years and older. Methods This was a cross-sectional analysis. Data from the Handan Eye Study (HES), a Chinese prospective longitudinal study with participants randomly selected from the Yongnian county. Usual GS was measured over a 4 meters-track. SAD was categorized by interquartile: <18.0cm; 18.0-19.79cm; 19.8-21.89cm; ≥21.9cm. Unadjusted and adjusted analyses of covariance were performed to estimate the gender-specific means (and 95% CI) of GS (in m/s) according to SAD categories. Results The current analyses were performed in 2852 participants. Mean age was 56.16 years for women and 56.54 years for men. The unadjusted means of GS were 0.995 (95% CI 0.972-1.019) m/s in SAD Q1 participants, 0.991 (95% CI 0.968-1.014) m/s in SAD Q2, 0.986 (95% CI 0.964-1.007) m/s in SAD Q3 and 0.961 (95% CI 0.937-0.985) m/s in SAD Q4 individuals in women. The similar trend presented in men [Q1: 0.993 (95%CI 0.969-1.016) m/s; Q2: 0.980 (95%CI 0.956-1.004); Q3: 0.944 (95%CI 0.918-0.970); Q4: 0.948 (95%CI 0.923-0.973)]. After adjustment for age, the reported trends between GS and SAD in categories were largely confirmed in women, but not in men. Conclusions Age and gender should be considered when we explore the relationship between GS and SAD in elderly.


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