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Gender and health care utilization: The role of mental distress and help-seeking propensity

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  • Koopmans, Gerrit T.
  • Lamers, Leida M.

Abstract

Many studies report higher levels of health care utilization among women. Understanding how gender influences health care utilization is still unresolved. We developed a model that could explain these gender-related differences. The possible pathways assumed by this model that relate gender to utilization, can be summarized as follows: (1) utilization may be influenced by somatic morbidity, mental distress, perceived symptoms, poor subjective health and propensity to use services; (2) women have higher levels of these variables than men (mediating effect); and (3) the direct effects of some of these variables on utililization are moderated by gender, i.e. they are stronger for women than for men (moderating effect). Data were drawn from a community-based sample of adult enrollees of a sickness fund in the Netherlands, who had responded to a mailed health survey (N=8698). This survey contained questions on somatic morbidity, mental distress and other mediating variables. Health care utilization was measured prospectively, using data extracted from a claims database held by the sickness fund that covers all types of general health services except general practitioner consultations. The model was tested using structural equation modelling. Women reported more somatic morbidity and mental distress than men did, as well as elevated levels of other mediating variables, which might explain--at least partly--gender related differences in utilization. Differences in propensity to use services were not found. The expected moderating effect of gender could not be demonstrated. That is, we did not find gender related differences in the strength of the relations between mental distress, other mediating variables and utilization. Mental distress is related to utilization in a way that is not gender specific, however, because women report higher levels of mental distress (as well as somatic morbidity), this results in a greater utilization of somatic health care services.

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  • Koopmans, Gerrit T. & Lamers, Leida M., 2007. "Gender and health care utilization: The role of mental distress and help-seeking propensity," Social Science & Medicine, Elsevier, vol. 64(6), pages 1216-1230, March.
    • Handle: RePEc:eee:socmed:v:64:y:2007:i:6:p:1216-1230
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    1. Ford, Julian D. & Trestman, Robert L. & Steinberg, Karen & Tennen, Howard & Allen, Scott, 2004. "Prospective association of anxiety, depressive, and addictive disorders with high utilization of primary, specialty and emergency medical care," Social Science & Medicine, Elsevier, vol. 58(11), pages 2145-2148, June.
    2. Green, Carla A & Pope, Clyde R, 1999. "Gender, psychosocial factors and the use of medical services: a longitudinal analysis," Social Science & Medicine, Elsevier, vol. 48(10), pages 1363-1372, May.
    3. Parslow, Ruth & Jorm, Anthony & Christensen, Helen & Jacomb, Patricia & Rodgers, Bryan, 2004. "Gender differences in factors affecting use of health services: an analysis of a community study of middle-aged and older Australians," Social Science & Medicine, Elsevier, vol. 59(10), pages 2121-2129, November.
    4. Macintyre, Sally & Hunt, Kate & Sweeting, Helen, 1996. "Gender differences in health: Are things really as simple as they seem?," Social Science & Medicine, Elsevier, vol. 42(4), pages 617-624, February.
    5. Huisman, Martijn & Kunst, Anton E. & Mackenbach, Johan P., 2003. "Socioeconomic inequalities in morbidity among the elderly; a European overview," Social Science & Medicine, Elsevier, vol. 57(5), pages 861-873, September.
    6. Lahelma, Eero & Martikainen, Pekka & Rahkonen, Ossi & Silventoinen, Karri, 1999. "Gender differences in illhealth in Finland: patterns, magnitude and change," Social Science & Medicine, Elsevier, vol. 48(1), pages 7-19, January.
    7. Bailis, Daniel S. & Segall, Alexander & Chipperfield, Judith G., 2003. "Two views of self-rated general health status," Social Science & Medicine, Elsevier, vol. 56(2), pages 203-217, January.
    8. Benjamins, Maureen Reindl & Hummer, Robert A. & Eberstein, Isaac W. & Nam, Charles B., 2004. "Self-reported health and adult mortality risk: An analysis of cause-specific mortality," Social Science & Medicine, Elsevier, vol. 59(6), pages 1297-1306, September.
    9. Van Diest, Ilse & De Peuter, Steven & Eertmans, Audrey & Bogaerts, Katleen & Victoir, An & Van den Bergh, Omer, 2005. "Negative affectivity and enhanced symptom reports: Differentiating between symptoms in men and women," Social Science & Medicine, Elsevier, vol. 61(8), pages 1835-1845, October.
    10. Popay, Jennie & Bartley, Mel & Owen, Charlie, 1993. "Gender inequalities in health: Social position, affective disorders and minor physical morbidity," Social Science & Medicine, Elsevier, vol. 36(1), pages 21-32, January.
    11. Kandrack, Mary-Anne & Grant, Karen R. & Segall, Alexander, 1991. "Gender differences in health related behaviour: Some unanswered questions," Social Science & Medicine, Elsevier, vol. 32(5), pages 579-590, January.
    12. Ford, Julian D. & Trestman, Robert L. & Tennen, Howard & Allen, Scott, 2005. "Relationship of anxiety, depression and alcohol use disorders to persistent high utilization and potentially problematic under-utilization of primary medical care," Social Science & Medicine, Elsevier, vol. 61(7), pages 1618-1625, October.
    13. Gijsbers van Wijk, Cecile M. T. & Huisman, Henk & Kolk, Annemarie M., 1999. "Gender differences in physical symptoms and illness behavior: A health diary study," Social Science & Medicine, Elsevier, vol. 49(8), pages 1061-1074, October.
    14. van Wijk, Cécile M. T. Gijsbers & Kolk, Annemarie M., 1997. "Sex differences in physical symptoms: The contribution of symptom perception theory," Social Science & Medicine, Elsevier, vol. 45(2), pages 231-246, July.
    15. Briscoe, Monica E., 1987. "Why do people go to the doctor? Sex differences in the correlates of GP consultation," Social Science & Medicine, Elsevier, vol. 25(5), pages 507-513, January.
    16. Sweeting, Helen, 1995. "Reversals of fortune? Sex differences in health in childhood and adolescence," Social Science & Medicine, Elsevier, vol. 40(1), pages 77-90, January.
    17. Rojas, Graciela & Araya, Ricardo & Lewis, Glyn, 2005. "Comparing sex inequalities in common affective disorders across countries: Great Britain and Chile," Social Science & Medicine, Elsevier, vol. 60(8), pages 1693-1703, April.
    18. Macintyre, Sally, 1993. "Gender differences in the perceptions of common cold symptoms," Social Science & Medicine, Elsevier, vol. 36(1), pages 15-20, January.
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    2. Valérie Dauriac-Le Masson & Alain Mercuel & Marie Jeanne Guedj & Caroline Douay & Pierre Chauvin & Anne Laporte, 2020. "Mental Healthcare Utilization among Homeless People in the Greater Paris Area," IJERPH, MDPI, vol. 17(21), pages 1-13, November.

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