Gender inequalities in cardiovascular risk factor assessment and management in primary healthcare
Objectives<br/> To quantify contemporary differences in cardiovascular disease (CVD) risk factor assessment and management between women and men in Australian primary healthcare services.<br/> Methods<br/> Records of routinely attending patients were sampled from 60 Australian prim...
| Main Authors: | , , , , , , , , |
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| Format: | Journal article |
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BMJ Publishing Group
2017
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| _version_ | 1797052416922746880 |
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| author | Hyun, K Redfern, J Peiris, D Sullivan, D Harris, M Usherwood, T MacMahon, S Lyford, M Woodward, M |
| author_facet | Hyun, K Redfern, J Peiris, D Sullivan, D Harris, M Usherwood, T MacMahon, S Lyford, M Woodward, M |
| author_sort | Hyun, K |
| collection | OXFORD |
| description | Objectives<br/> To quantify contemporary differences in cardiovascular disease (CVD) risk factor assessment and management between women and men in Australian primary healthcare services.<br/> Methods<br/> Records of routinely attending patients were sampled from 60 Australian primary healthcare services in 2012 for the Treatment of Cardiovascular Risk using Electronic Decision Support (TORPEDO) study. Multivariable logistic regression models were used to compare the rate of CVD risk factor assessment and recommended medication prescriptions, by gender.<br/> Results<br/> Of 53085 patients, 58% were female. Adjusting for demographic and clinical characteristics, women were less likely to have sufficient risk factors measured for CVD risk assessment (odds ratio (95% confidence interval): 0.88 (0.81, 0.96)). Amongst 13294 patients (47% women) in the CVD/high CVD risk subgroup, the adjusted odds of prescription of guideline-recommended medications were greater for women than men: 1.12 (1.01, 1.23). However, there was heterogeneity by age (p <0.001), women in the CVD/high CVD risk subgroup aged 35-54 years were less likely to be prescribed the medications (0.63 (0.52, 0.77)), and women in the CVD/high CVD risk subgroup aged ≥65 years were more likely to be prescribed the medications (1.34 (1.17, 1.54)) than their male counterparts.<br/> Conclusions<br/> Women attending primary healthcare services in Australia were less likely than men to have risk factors measured and recorded such that absolute CVD risk can be assessed. For those with, or at high risk of, CVD, the prescription of appropriate preventive medications was more frequent in older women, but less frequent in younger women, compared to their male counterparts. |
| first_indexed | 2024-03-06T18:31:15Z |
| format | Journal article |
| id | oxford-uuid:09b919d4-e885-4024-8f40-93b7ce000217 |
| institution | University of Oxford |
| last_indexed | 2024-03-06T18:31:15Z |
| publishDate | 2017 |
| publisher | BMJ Publishing Group |
| record_format | dspace |
| spelling | oxford-uuid:09b919d4-e885-4024-8f40-93b7ce0002172022-03-26T09:19:59ZGender inequalities in cardiovascular risk factor assessment and management in primary healthcareJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:09b919d4-e885-4024-8f40-93b7ce000217Symplectic Elements at OxfordBMJ Publishing Group2017Hyun, KRedfern, JPeiris, DSullivan, DHarris, MUsherwood, TMacMahon, SLyford, MWoodward, MObjectives<br/> To quantify contemporary differences in cardiovascular disease (CVD) risk factor assessment and management between women and men in Australian primary healthcare services.<br/> Methods<br/> Records of routinely attending patients were sampled from 60 Australian primary healthcare services in 2012 for the Treatment of Cardiovascular Risk using Electronic Decision Support (TORPEDO) study. Multivariable logistic regression models were used to compare the rate of CVD risk factor assessment and recommended medication prescriptions, by gender.<br/> Results<br/> Of 53085 patients, 58% were female. Adjusting for demographic and clinical characteristics, women were less likely to have sufficient risk factors measured for CVD risk assessment (odds ratio (95% confidence interval): 0.88 (0.81, 0.96)). Amongst 13294 patients (47% women) in the CVD/high CVD risk subgroup, the adjusted odds of prescription of guideline-recommended medications were greater for women than men: 1.12 (1.01, 1.23). However, there was heterogeneity by age (p <0.001), women in the CVD/high CVD risk subgroup aged 35-54 years were less likely to be prescribed the medications (0.63 (0.52, 0.77)), and women in the CVD/high CVD risk subgroup aged ≥65 years were more likely to be prescribed the medications (1.34 (1.17, 1.54)) than their male counterparts.<br/> Conclusions<br/> Women attending primary healthcare services in Australia were less likely than men to have risk factors measured and recorded such that absolute CVD risk can be assessed. For those with, or at high risk of, CVD, the prescription of appropriate preventive medications was more frequent in older women, but less frequent in younger women, compared to their male counterparts. |
| spellingShingle | Hyun, K Redfern, J Peiris, D Sullivan, D Harris, M Usherwood, T MacMahon, S Lyford, M Woodward, M Gender inequalities in cardiovascular risk factor assessment and management in primary healthcare |
| title | Gender inequalities in cardiovascular risk factor assessment and management in primary healthcare |
| title_full | Gender inequalities in cardiovascular risk factor assessment and management in primary healthcare |
| title_fullStr | Gender inequalities in cardiovascular risk factor assessment and management in primary healthcare |
| title_full_unstemmed | Gender inequalities in cardiovascular risk factor assessment and management in primary healthcare |
| title_short | Gender inequalities in cardiovascular risk factor assessment and management in primary healthcare |
| title_sort | gender inequalities in cardiovascular risk factor assessment and management in primary healthcare |
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