Gender differences in health-related quality of life of Australian chronically-ill adults: patient and physician characteristics do matter
Open Access
- 1 January 2013
- journal article
- research article
- Published by Springer Science and Business Media LLC in Health and Quality of Life Outcomes
- Vol. 11 (1), 102-12
- https://doi.org/10.1186/1477-7525-11-102
Abstract
The aims of this study were to explore the health-related quality of life (HRQoL) in a large sample of Australian chronically-ill patients (type 2 diabetes and/or hypertension/ischaemic heart disease), to investigate the impact of characteristics of patients and their general practitioners on their HRQoL and to examine clinically significant differences in HRQoL among males and females. This was a cross-sectional study with 193 general practitioners and 2181 of their chronically-ill patients aged 18 years or more using the standard Short Form Health Survey (SF-12) version 2. SF-12 physical component score (PCS-12) and mental component score (MCS-12) were derived using the standard US algorithm. Multilevel regression analysis (patients at level 1 and general practitioners at level 2) was applied to relate PCS-12 and MCS-12 to patient and general practitioner (GP) characteristics. Employment was likely to have a clinically significant larger positive effect on HRQoL of males (regression coefficient (B) (PCS-12) = 7.29, P < 0.001, effect size = 1.23 and B (MCS-12) = 3.40, P < 0.01, effect size = 0.55) than that of females (B(PCS-12) = 4.05, P < 0.001, effect size = 0.78 and B (MCS-12) = 1.16, P > 0.05, effect size = 0.16). There was a clinically significant difference in HRQoL among age groups. Younger men (< 39 years) were likely to have better physical health than older men (> 59 years, B = −5.82, P < 0.05, effect size = 0.66); older women tended to have better mental health (B = 5.62, P < 0.001, effect size = 0.77) than younger women. Chronically-ill women smokers reported clinically significant (B = −3.99, P < 0.001, effect size = 0.66) poorer mental health than women who were non-smokers. Female GPs were more likely to examine female patients than male patients (33% vs. 15%, P < 0.001) and female patients attending female GPs reported better physical health (B = 1.59, P < 0.05, effect size = 0.30). Some of the associations between patient characteristics and SF-12 physical and/or mental component scores were different for men and women. This finding underlines the importance of considering these factors in the management of chronically-ill patients in general practice. The results suggest that chronically ill women attempting to quit smoking may need more psychological support. More quantitative studies are needed to determine the association between GP gender and patient gender in relation to HRQoL.Keywords
This publication has 49 references indexed in Scilit:
- Smoking Amplifies Cardiovascular Risk in Patients With Hypertension and DiabetesDiabetes Care, 2009
- The influence of gender on the doctor–patient interactionPatient Education and Counseling, 2009
- Quality of life of Australian chronically-ill adults: patient and practice characteristics matterHealth and Quality of Life Outcomes, 2009
- Socioeconomic Status and Age Variations in Health-Related Quality of Life: Results From the National Health Measurement StudyThe Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 2009
- Associations between health-related quality of life and smoking status among a large sample of U.S. adultsPreventive Medicine, 2009
- Patterns of health-related quality of life and patterns associated with health risks among Rhode Island adultsHealth and Quality of Life Outcomes, 2008
- Validity of SF-12 summary scores in a Greek general populationHealth and Quality of Life Outcomes, 2007
- Measuring the neighbourhood using UK benefits data: a multilevel analysis of mental health statusBMC Public Health, 2007
- Comparing the Health Status of Male and Female Veterans Who Use VA Health Care: Results from the VA Women's Health ProjectWomen & Health, 1999
- Sex of provider as a variable in effective genetic counselingSocial Science & Medicine (1982), 1984