The Difference Blog by Dan4th ([info]differenceblog) wrote,

Playing doctor

Cleary et al (1982) examined why women go the the doctor more frequently than men. Contrary to the (almost comically outdated) suggestion that women had more flexibility of schedule (not having to take time off from work) during which to go to the doctor, or the possibility that women would seek help more readily than men, Cleary et al's analysis found that women had more health concerns, with chronic disease and childbirth explaining 80% of the gender difference. However, Pope and Green (1999) found that even controlling for social and health concerns, and excluding sex-specific treatments, gender was still a significant predictor of physician visits. Xu and Borders (2002) found that women were more affected by financial barriers to health care than men were. The Medical Expenditure Panel Survey (2005) found that 19.3% of men were uninsured, compared to 15.2% of women, but that more men than women were covered by private insurance.

The data that women go to the doctor more often than men are irrefutable, but the reasons are obviously multifaceted. Women may be more likely to seek help, but men tend to have more money. Another explanation may be tied to women's increased likelihood of being a child's caregiver. Women may have increased exposure by being around children (their own, and others) more often than men.



I certainly seem to go to the doctor more often since my transition than before, but that's largely related to my transition. Being on testosterone, I have to be more careful about the health of my liver and watch my cholesterol levels more carefully. I also have an entire system of organs (reproductive) that are currently shut down, and must be monitored to make sure that nothing goes wrong before I have the financial means to remove them. On the other hand, I had already developed the habit of seeing a doctor, and it appears to me that the habit is the biggest issue (after financial restraints). I think men are creatures of routine, and once the habit of getting a checkup is established, it's fairly easy to maintain.
Tags: carla green, clyde pope, data and tools, gender differences, health, health care, k tom xu, medical expenditure panel survey, medicine, men, meps, paul cleary, physician visits, sex differences, tyrone borders, women

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  • 9 comments

[info]poeticalpanther

August 31 2006, 14:21:01 UTC 5 years ago

I'd point out that there's another data source on this, too, in a sense, in that people quite often need doctors more as they get older. I know I'm seeing mine more than I used to, but in part that's because I'm more decrepit.

[info]differenceblog

August 31 2006, 15:04:53 UTC 5 years ago

Hm, and with women living longer than men, that would be an additional X years of frequent doctor visits.

[info]dan4th

August 31 2006, 15:40:13 UTC 5 years ago

in terms of my own doctor history, the related factors are:

1. I'm better insured now than I've been since childhood, and I'm in charge of making my own health care decisions.

2. I'm on 2 medications all the time now (and probably for the rest of my life) so I want to carefully monitor my body in case there's a weird interaction.

3. I'm *slightly* older. We're talking 5-7 years since the comparison period of my life, so I don't really feel like that's a huge difference.

4. I'm in a lot better health.

[info]astrogeek01

August 31 2006, 14:25:53 UTC 5 years ago

Another confounding source - C goes for a checkup every year. This seems to confuse the doctors, who seem to think that it's not necessary unless there's an issue. I find this odd, but true. For women, an annual checkup by the gyn is expected and often required by the insurance companies to keep on BC (though that is also changing to a slightly longer, or so I'm told).

My regular GP is somewhat confused when I want a normal checkup every year as well. So, that's probably a big part of it.

[info]differenceblog

August 31 2006, 15:04:02 UTC 5 years ago

Which is really funny, when you consider all the PSAs saying "get a checkup yearly, whether you think you need it or not" - but yeah, the doctors I see are all a little confused if you want to get it.

[info]dabunny

August 31 2006, 15:20:24 UTC 5 years ago

Mine was so confused he cancelled my appointment because I hadn't listed a particular issue to be addressed. Now I have to go have the "yes-I-really-wanted-this-appointment" conversation. :(

[info]differenceblog

August 31 2006, 15:29:38 UTC 5 years ago

oh grr! That's not actually funny at all. That's just annoying!

[info]astrogeek01

August 31 2006, 20:47:27 UTC 5 years ago

Wow, that's bad.

[info]pants_of_doom

August 31 2006, 22:22:38 UTC 5 years ago

I've had doctors not be able to figure out how to fix what was wrong with me the first (or second, or third) time I was in and have to go in multiple times for a condition that had to do with being a girl.
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