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  1. Gender differences in accessing cardiac surgery across England : A cross-sectional analysis of the health survey for England.

    Article - En anglais

    Objective 

    To examine gender differences in access to cardiac surgery in a nationally representative sample.

    Design 

    Nationwide cross sectional household based survey (Health Survey for England).

    Setting 

    Private households in England around 1993 and 1994.

    Subjects 

    1708 subjects reporting a history of either doctor diagnosed angina or heart attack from a stratified random sample of 32 378 people aged 16 and above.

    Outcome measure 

    The proportion reporting having had cardiac surgery or on a waiting list.

    Results 

    13.5% reported previous (n=206) or pending (n=25) cardiac surgery.

    Men were more likely than women to have had or to be waiting for cardiac surgery (19.1% of men versus 6.8% of women, x2 54.7, P<0.001), This finding was consistent regardless of age group and across three regional areas.

    The unadjusted odds ratio for cardiac surgery for men versus women as 3.3 (95% CI 2.3. 4.5. P<0.001 and was only slightly attenuated to 2.8 (95% Cl 1.9,4.0, P<0.001), after adjustment for other factors.

    The gender difference remained even when analysis was restricted to subjects reporting a previous heart attack, and after statistical adjustment for disease severity.

    Conclusion 

    Women are less likely than men to receive cardiac surgery across all age groups and regional areas.

    These results include private operations and adjust for individual behavioural data.

    Neither disease severity or co-morbidity explains these discrepancies. (...)

    Mots-clés Pascal : Accessibilité, Soin, Système santé, Angleterre, Grande Bretagne, Royaume Uni, Europe, Homme, Sexe, Chirurgie, Coeur, Appareil circulatoire pathologie

    Mots-clés Pascal anglais : Accessibility, Care, Health system, England, Great Britain, United Kingdom, Europe, Human, Sex, Surgery, Heart, Cardiovascular disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0046438

    Code Inist : 002B30A01B. Création : 31/05/1999.